Does your project have an oral health education or outreach component? If yes, please explain.*
How will the kits be distributed? If in a school, which one(s)?*
Does your project target uninsured or underserved residents of Kansas? If yes, please explain.*
What geographic area will your project reach?*
SMILE KIT REQUEST
The total number of Smile Kits requested must be in increments of 50. The minimum amount of kits you can select is 50 per toothbrush size.
If yes, please make sure you upload your U.S. Treasury (IRS) tax determination letter proving your organization's non-profit status below. If you do not upload it now, you'll have two days to email a current copy to firstname.lastname@example.org or fax it to 316.462.3372.
If no, a tax determination letter is not required and no additional steps are necessary.
U.S. Treasury tax determination letter/Tax exempt letter