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Online Application
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Organization Name
Note: This is how your name will appear to your members and to whom any commuication will be address. Please include any "Of location" sub-discriptive information in this area. Example: "Humane Society of Missouri"
Leader Name:
Note: This name is the contact person and legally responsible party representing your organization.
First Name:
Last Name:
Leader Title:
Example: President, Pastor, Regional Manager, etc.
Leader Email:
Note: This is the responsible partys email address to where all communication will be directed.
Mailing Address:
Note: This is the mailing address to where the results of your fundraising efforts will be mailed.
Street 1
Street 2
City
State
Choose your state.
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Zip Code
Total Orgaization Members
The organization must exceed 500 (Five Hundred) members to qualify with Simple Click Fundraising.
Yes, membership exceeds the minimum requirements.
The legally responsible member for the organazation has read, and agrees to the
Terms and Agreements
Yes,
I agree to all terms and agreements.
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