Charity Fundraising by Shopping Online

CAUSE/CHARITY REGISTRATION FORM

Thank you for signing up your charity or cause. Please fill in the form below with information regarding the organization you wish to support. It may take a few moments to process the organization and register it in our system. We appreciate your patience.

Name of Cause

Tagline/Slogan of Cause

Number of Members

Is your cause a 501(c)(3) charitable organization

Pick A Category:

Mailing Address 1

Mailing Address 2

Mailing Address 3

City
State

Postal Code
Country

Phone Number Fax Number

Cause Website:

Description of Cause:

Note: If you work with this organization, please fill in the username and password fields below. Special administration access will be granted pending verification. This section is optional.
Your Title:
Your First Name:
Your Last Name:
Your Email:
Customer Account Username: (If you fill in the password fields, a user alias is required for customer accounts)	(minimum of 3 characters, letters and numbers only, no spaces-use of underscores "_" is acceptable) Fill out Username for a customer account
Administrative Password:
Repeat Administrative Password: