City Wide Club: Community Agency Registration

Thank you so much for your Agency participation. Your support is needed. Please complete the information below and submit it to secure your table.

Agency Name:
Contact Person:
Agency Address:
Agency City:
Agency State:
Agency Zip Code:
Contact Phone:
Email Address:
Event Name:
Event Date:
Resources/Services Provided:
Area Served:
How many staff/volunteers are coming with you?
Is this your first time volunteering with City Wide Club? Yes No
How did you hear about us?
Note: We are only able to provide tables and chairs. Equipment or electricity not provided. Agency will assume all responsibility for equipment and supplies.

City Wide Club of Clubs, Inc. solely depends on the private and public sector for its support and operations. All donations given to CWCC are tax deductible under Section 501 (c) (3) of the Internal Revenue Code. Become a Sponsor today! Memorial Gifts can be made through trusts, wills, or endowments. CWCC also accepts cars, furniture, appliances, trucks, vans, household items, clothing, equipment, buildings, land, houses and etc. Thank you “for putting forth an extra effort” in your sharing and caring – it goes a long ways.