Fill out a Madison Charity Nomination Form to be considered for the 2020 Design for a Difference Madison Makeover. The selection committee will not meet to review the applications until March of 2020.

 

Nominator Information

Your Name

Your Email

Street Address

City

State

Zip Code

Phone Number



Charity Information

Charity Name

Charity Contact

Who owns the building where the makeover will take place?

Charity Website

Charity Email

Street Address

City

State

Zip Code

Briefly describe the mission of the charity.

Describe the space to be made over, how it is used, and its current condition.

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