Non-Profit Sign-Up

Your non-profit organization can partner with Responsible Screens and will receive a $5.00 donation for each family that signs up under your organization. This isn’t only a one-time donation as each year that the family resigns-up, your organization will continue to receive the $5.00 donation.

Complete the form below to add your non-profit organization.

First Name

Last Name

Organization Name

Non-Profit Phone Number

Non-Profit Email Address

Address

City

State

Zip

Non-Profit Number (501c3)