Fundraising Organization Sign Up

Organization Information
 
* Organization Name
* Address 1
Address 2
* City
* State
* Postal Code
 
Website Address HTTP://
* Tax ID
(Only required if 501(c)(3) status)
 
Briefly describe the organization’s primary reason for fundraising.
 
Contact Information
 
* First Name
* Last Name
Title / Role
* Email
* Verify Email
* Daytime Phone
Cell Phone
 
Would you like to make your contact information available to participating merchants who support charities and fundraising organizations in your area? Yes     No
 

Secure Site
 
Copyright 2010, 2011 Loyalty Benefits, Inc. - All Rights Reserved