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Online Application


This form is under construction. Please use the contact us link on the left to email us.
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
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.