I CLICK TO GIVE™

JOIN US

Your Name:

Organization Name:

Your Title:
other.

Is this a valid 501 (c) (3) organization?
Click here to apply for
a 501 (c) (3) status with the IRS

Work Phone:

Fax Number:

Organization's Phone Number:

Mobile:

Your Email:

Address of organization:

Organization's Website:

Membership:

Federal Tax ID #:

Best Time to Contact?:

Organization Age:

CFAC Rep # and name
(if known):

How Did You Hear About Us?
other.

For your toolbar, please list four (4) URL links you would like to highlight to your members and contributors. These links can be to pages on your website that you would like your contributors to visit frequently. It can be links to other websites that may be of interest to your contributors or a combination thereof.

URL #1: http://www.		Description
URL #2: http://www.		Description
URL #3: http://www.		Description
URL #4: http://www.		Description

Attach your organization’s logo bmp or jpg in TWO formats:

18 pixels high by 60 pixels wide (for your toolbar)

100 pixels high by 640 pixels wide (for your blog/search page)

Please note: if you cannot provide your logo in these exact dimensions, send it in the format you have and we will convert it for you.

What percent of your members would you guess use the internet daily?

	5%			50%
	10%			60%
	20%			70%
	25%			80%
	30-40%			90-95%

Primary ages of membership (check all that apply):

		12 and under
		12-18
		18-25
		25-35
		35-54
		54-65
		65+

Please fax a copy of your Non-Profit status – 501(c)(3)
from the IRS (required) to 877-254-2508.

An I Click to Give representative will contact you within 7-10 days of receipt of this application.