4TH OF JULY PAYEE INFORMATION FORM

 

The Mt. Shasta 4th of July Walk/Run & Mountain Runners are founding partners and have merged with Siskiyou Outdoor Recreation Alliance. As a result, we’re rebuilding some of our systems, including bookkeeping. To ensure we have accurate records, we need to collect current information for all payees who help make the event function every year. Please complete the form below to ensure payments are properly processed. Thanks for your help!


Name *
Name
Name of Company, Business, or Organization, if applicable
Please provide EIN if 501(c)(3) organization or business
Address *
Address
Phone *
Phone
Payee Type *
Please confirm where/how you help out!
Additional Information?