EarnDonations

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Ready to get your organization involved in EarnDonations?

In order to begin using the program, you will need to apply on behalf of your organization. It's a simple process, and we will get back with you shortly after receiving your application. You can either submit the electronic form below, or complete the printable form and mail it to us.

Application to Join the EarnDonations Program

Organization Information

Organization Name:

Address:

City:

State:

Zip Code:

Organization Type:

Such as: church, school, etc.

Website:

Optional.

Representative Information

First Name:

Last Name:

Title:

Email:

Phone:

Fax:

Optional.

Instant Messenger:

Optional. Please state the type (Google Talk, Yahoo, Windows Live, AIM, ICQ, or Skype) and the username / number.

Hours of Availability:

When you are typically in the office and available to talk. Such as: M-F 8-4; etc.

Affidavit

By submitting this form to EarnDonations, you declare that the information provided is complete, honest, and accurate, to the best of your knowledge. You also declare that you have read, understood, and do willfully agree to the EarnDonations Terms and Conditions and Privacy Policy for Organizations and Their Representatives, which may be found online at, respectively: http://admin.earndonations.com/terms and http://admin.earndonations.com/privacy.

I do agree to all these conditions.

Today's Date:

Electronic Signature (Your Name):