Application Form

1Customer information

2Nonprofit information

Name(Required)

First Last

Phone Number(Required)

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Username(Required)

Email(Required)

Password(Required)

Enter Password Confirm Password

Strength indicator

Name of Nonprofit(Required)

Address of Nonprofit(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Primary Contact(Required)

EIN Number

Did the organization raise more than $50,000 in gross receipts for the year(Required)

Yes

Name and Address of Board of Directors

Name of Director 1(Required)

First Last

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Name of Director 2(Required)

First Last

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Name of Director 3(Required)

First Last

Address(Required)

Street Address City State / Province / Region ZIP / Postal Code Country

Name of Director 4 (optional)

First Last

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Please provide the City and State where the activities of the Nonprofit were conducted(Required)

Gross receipts for the year.

The total amounts the organization received from all sources during its annual accounting period, without subtracting any costs or expenses.(Required)

As the organization raised more than 50,000 a year. We need the donors that donated $5,000 or more.

Name of Donor 1

First Last

Amount Donated

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Name of Donor 2 (optional)

First Last

Amount Donated

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Name of Donor 3 (optional)

First Last

Amount Donated

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Name of Donor 4 (optional)

First Last

Amount Donated

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Please use the space below to add details of more donors (optional)

Description of activities of the organization.(Required)

Annual budget of the organization(Required)

Did You send money overseas(Required)

Yes

Name of country(Required)

How much money and what are the activities(Required)

Copy of Articles of Incorporation

Max. file size: 8 MB.

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Application Form

Name and Address of Board of Directors

Quick Links

Contact

Pay Via Credit Card

Pay Via Paypal

Pay Via Zelle
(561-212-1192)

Application Form

Name and Address of Board of Directors

Quick Links

Contact

Pay Via Credit Card

Pay Via Paypal

Pay Via Zelle (561-212-1192)

Pay Via Zelle
(561-212-1192)