PERMISSION / AUTHORIZATION TO PRINT
|ORGANIZATION INFORMATION
ON CACE WEBSITE

Print form, complete, and send to CACE, P.O. Box 244, Crossville TN 38557

ORGANIZATION LISTING (Please print carefully)

Name: ______________________________________________________________

Contact Person's Name_________________________________________________

Mailing Address: Number/Street/P.O. Box__________________________________

City/State/Zip ________________________________________________________

Email: ______________________________________________________________

Telephone:___________________________________________________________

Website: ____________________________________________________________

Brief Description: _____________________________________________________

___________________________________________________________________

Meeting/Gathering days/times: __________________________________________

Meeting/Gathering location: __________________________________________

_________________________________________________________________

I hereby give CACE permission to print the above information on the CACE web
site and verify that a simple majority of the participants of this organization live in
Cumberland County.
Signed: ___________________________________________ Date __________

Position in the above organization: ____________________________________

Term of Office: ___________________