PS 6015

Nonprofit Database Change Request (8/2008)

Download and Print the PS 6015

Request may not be processed if the form is incomplete or illegible.

To: Pricing and Classification Service Center
PO Box 3623
New York NY 10008-3623
AUTHORIZATION NUMBER of Organization_______________

Check action needed:

Organization Name Change*

Organization Address Change

Alternate Address Change

Telephone Change

Contact Name Change

Contact Title Change

Contact Email Change

Revocation

Date Last Used ____/____/____

*Required documentation, such as an amendment to your articles of incorporation or letter from the IRS MUST be attached.

Old Organization Name, Address, Alternate Address, Telephone, Contact Name, Title and Email

Organization Name
To: Pricing and Classification Service Center
PO Box 3623
New York NY 10008-3623
AUTHORIZATION NUMBER of Organization_______________
Organization Name Change*
Alternate Street
Alternate City, State, ZIP + 4®
Telephone
Contact Name
Contact Title
Contact

And much more...