Online Policy Group Anticipated Revenue Form

















	Terms of Service, Other Policies, and Copyright ©2000-2004 Online Policy Group, Inc.

Report OPG Revenue

As soon as you anticipate any specific revenue for the Online Policy Group in the form of cash, checks, stock, bonds, bank transfers, or any other type of revenue, you must submit an Anticipated Revenue Form (ARF) by web or email, so that the expense may be forecast into the OPG budget.

Person Reporting Information

Note: Please provide an accurate email address and let OPG know whenever you change the email address. Without it, we cannot process your request and keep you informed of changes in service.

*First Name:
Middle Name:
*Family Name:
*Email:
*Phone (primary):
Phone (backup):
*Street Address:
*City/Town:
*State/Province:
*Postal/Zip Code:
*Country:

Donor Information

*First Name:
*Family Name:
*Donor Organization
(if related to donation, example "Peace Alliance")
*Tel (main):
Tel (other):
*Street Address:
*City:
*State/Province:
*Postal/Zip Code:
*Country:

Revenue Information

*Revenue Purpose (typically "Donation")
*Date (projected or preferably actual date)
*Revenue Amount (in US dollars) $
*Project Designation	Online Policy Group (default if not otherwise indicated) QueerNet California Community Colocation Project
*Payment Method	Donor cash Donor check Donor stocks or bonds Donor online payment
*Acknowledgment	Donor wants receipt for tax purposes. Donor wants receipt for other purposes. Donor prefers no receipt.
Additional comments on this request:
You certify that all the information you are submitting on this Anticipated Revenue Form is correct to the best of your knowledge.

Click here to submit your report (click only once!), then make sure to complete the request process by reviewing and submitting any forms following this one.

Although OPG designed this form to run in secure mode with the designation https:, you may have trouble running the form in some browsers or network configurations, in which case you may decide to run it in non-secure mode by using the designation http: in the web address.

The Online Policy Group Privacy Policy covers the use of all information you provide on this form.

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