CPA Partnership Sign Up Form

Thank you for joining "CPAs for a Healthy Bay!"
* required information
CPA Partnership Sign-Up Form 
Contact Information
Please complete the form below with your contact information and Molly Alton Mullins will contact you in the next few days to discuss the program and provide materials.
Donor Request Comments:
First Name:*
Last Name:*
Organization Name:
Email:*
Address Line 1:*
Address Line 2:
City:*
State:*
ZIP/Postal Code:*
Phone:
Website address:
Additional Information
How many accountants prepare tax returns in your firm?:
On average, how many individual tax returns does your company prepare annually?:
In the most recent tax year, how many clients made a voluntary contribution to the Chesapeake Bay Fund?:
How did you hear about us:
Other:
Subscribe to our eNewsletter!
The Chesapeake Bay Trust's monthly electronic newsletter
Information on Chesapeake Bay Trust meetings and events
With questions about this program, please contact Molly Alton Mullins at 410-974-2941, ext 107 or email mmullins@cbtrust.org. Thank you for being a partner of the Bay!