Program Registration

Just Online Fundraising

Just Online Fundraising
Program Registration

Now that you have selected your program from our online store

Complete the registration to set up your fundraiser and be on your way to

achieving your organization's fundraising goals!

(payment code or promotional code is required to activate your fundraising program)

Organization Name:
Fundraising Coordinator First Name:
Last Name:
Address Street 1:
Address Street 2:
City:
Zip Code:	(5 digits)
State:
Country:
Daytime Phone:
Evening Phone:
Email:
Fundraising Goal:
Fundraising slogan for your program (up to 42 characters)
Desired name for your fundraiser (i.e. Help our Heroes...)
Chartered and/or Registered with Federal, State or Local (enter your number and registered locality):
Payment or Promotional Code provided in email
	Does your organization have a paypal account?
Paypal account information:
	Do you want a dedicated domain name?
Domain names of interest:
Additional comments or information (website etc):	Enter comments here!
Security Code: *