Community Giving Connection Application

To participate:

1. You must be a group or agency serving San Jose and/or Santa Clara County.

2. You must have 501c3 status, and have a copy on file with us.

     Mail or fax (408-353-6058) a copy to:

     Lourdes Pollard
     Phoenix Data Center
     PO Box 1713
     Los Gatos, CA 95031

3. Your request for items must be in line with the services your agency currently provide.

4. The Mission and Goals of your agency will determine what you may ask for.

5. One application per agency.

Name of Agency
Address Line 1
Address Line 2
City
Zip
Phone
Fax
E-mail
Website
Contact Name
Contact Phone


Who do you serve?




When do you need gift certificates?

Year Round
Holiday Season Only


What gift certificates are needed?