Name of organization:

Type of organization (Primary category, use only 1-5 words):

Keywords (Additional descriptors of your organization. Separate each word with a comma. (MAX: 10 words):

Web site URL:

Summary description of your organization. Include contact people, number of employees, locations, hours of operation, services, products, activities, etc.

(Be sure to answer the 5 questions below as well.)

1. When, how, and why was the organization established, and why in the Fishers area?

2. What’s your most significant organization challenge and what are you doing to meet this challenge?

3. What’s the most interesting thing that has happened related to the organization since you started it?

4. Why should people be aware of your organization?

5. What else would you like to say about your organization?

Primary Organization E-mail:

President's Full Name:

Organization Street Address:

Mailing Address (if different):

President's E-mail:

Organization Phone:

Organization Fax: