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Organization Details

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Organization Name*
Address 1*
Address 2
City*
Postal Code*
State (Acronym)*
Organization EIN*
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Are you approved for Tax Deductible Status (a 501(c)3 tax-exempt organization)?*
Currently we can only assist organisations that have 501(c ) 3 status. We will contact you if this changes in the future. Submit your contact details to stay in touch!
First Name*
Last Name*
Organization*
Email Address*

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Authorized person responsible for accounts details:

First Name*
Last Name*
Position*
Email*
Mobile number

Primary address of the individual responsible for the account:

same
- Same as above
Address 1*
Address 2
Address 2
City*
Post code*
State (Acronym)*
Upload Drivers license/Passport copy*

Terms and Conditions (All compulsory)

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- I am an Authorised Representative of the Beneficiary and I agree with GoFundraise Service Agreement.
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- I acknowledge that the Service Fees are 5% of Gross Receipts.
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- I acknowledge the Transaction Fees are billed directly by my payment provider.
*
- I acknowledge that I am signing up for a free Basic Licence for an unlimited period of time.

Signature

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