Organization Registration Form

NOTE: Please note that registering with the NYC Civic Database does not guarantee or secure publication. We provide the NYC Civic Database as a convenience to the public. The purpose of the database is to facilitate communication between the public and local stakeholders about issues facing their community. The inclusion of any content regarding any organization or person in the NYC Civic Database does not constitute a representation, warranty, or endorsement with respect to the competence, suitability, or reliability of such organization or person by the Community Affairs Unit.

CAU reserves the right to update and modify the listing as necessary as part of an ongoing effort to ensure the listing’s integrity and usefulness. Users are encouraged to report any misinformation to CAU.
           
*Fields with asterisk (*) are required.
I. Organization Information
NOTE: All of the information entered in this section will appear online.
Organization Name*  
Address 1  
Address 2  
City*  
State*  
ZIP Code*  
Borough/Region*  
 
*Either Phone Number or Email Address is required to submit the form. You may leave both if it applies.
Phone Number  
Email Address  
     
Fax Number  
Website  
 
II. Primary Contact Information
NOTE: None of the information entered in this section will appear online. This is for CAU's purposes only.
Name*  
Job Title  
Phone Number*  
or    
Email Address  

   
Verification
Please enter the letters you see in the graphic below (letters are not case-sensitive).*
 
 Listen to and enter into the text field the digits you hear 

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Please carefully review the information that you have entered before hitting the submit button. Please do not submit the same message more than once; doing so may delay processing.
   

Thank you!

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