User TypeIndividualOrganizationUsername First Name Last Name E-mail Address Password Confirm Password Your organization must submit all required documentation with a completed member application. Your membership will be denied if this application is not completed or your organization does not meet minimum qualifications. Please upload with your application the following: Completed Membership Application 501(c)(3) Certification from Internal Revenue Service Most Recent 990 Form or 990 N E-postcard or Audited Financial Statement This is an organizational Member Application for joining Epiphany Soul’s 'Good for the Soul' Network. Fill out the application and upload all requested documentation to complete membership registration. NON-PROFIT MEMBERSHIP APPLICATIONSTEP 1: ORGANIZATIONAL INFORMATIONContact Title Mobile Number Chief Executive's First Name Chief Last Name Chief Executive's Title Chief Executive Email Organization Name Business Address City State Zip Phone Number Fax Website URL Estimated # of Clients Served Per Month Does your organization operate a thrift/restore or host sale events?YesNoMission StatementSTEP 2: REQUIREMENTSYour organization must submit all required documentation with a completed member application. Your membership will be denied if this application is not completed or your organization does not meet minimum qualifications. Please include with your application the following: Completed Membership Application 501(c)(3) Certification from Internal Revenue Service or other documentation from state for faith-based organizations Most Recent 990 Form or 990 N E-postcard or Audited Financial Statement Upload Document Upload Upload Document UploadUpload Document 2 Upload Upload Document 2 UploadPlease acknowledge that you understand and accept this donation agreement by typing your email Date I agree to Epiphany Soul's Warehouse Policies AgreementYesFirst and Last Name, Title Enter Phone and EmailPhone: Email:First and Last Name, Title Enter Phone and EmailPhone: Email:First and Last Name, Title Enter Phone and EmailPhone: Email:First and Last Name, Title Enter Phone and EmailPhone: Email:Acknowledge by providing Organization: Primary Contact Name: Date: Only fill in if you are not human Login