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RFA #34352-39225 CHI Sponsorship Program Application

Applicant Information

1. Organization Details *This question is required.

Organization Name
Organization Address
Primary Contact Name
Primary Contact Title
Primary Contact Phone
Primary Contact Email

2. Organization Type *This question is required.

Please enter an 'other' value for this selection.

3. Is your organization a registered non-profit? *This question is required.TDH sponsorship requires recipient organizations to have non-profit status.

4. Please upload documentation of your organization's non-profit status with this application.

File: {{filename}} delete

4. Is your organization registered in Edison? *This question is required.TDH sponsorship requires recipient organizations to have an Edison ID#.

5. If Yes, Edison Vendor ID#

If No, please use the link to complete the registration process: Supplier Information

5. If you feel there are extenuating circumstances with regard to the lack of non-profit status, please provide an explanation here.

6. Please attach your signed Competitive Requirements form. *This question is required.

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