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To list your charity on TheGivingMachine, please complete and submit the application form below.

Your application will be considered and if validated you will be added to our database and notified by email within a day or two.

* = Mandatory Fields

Charity Login Information

Charity name:*    
Your email address:*  
Retype to confirm :*  
 
Create Password:*
Retype to confirm :*  

This is the email address you will require to log back in and administer your account.
We will send all important correspondence to this email address.
Please note that passwords are case-sensitive.



Charity Account Information

Charity Type:*  
Charity Number:  
No. of Supporters*  

Are you exempt from charity status?   Yes   No



Charity Address

House/Building Name/No.  
Street:  
Town:*  
County:*  
Country:*  
Postcode:*  

Are you a national charity?   Yes   No



Contact Information

Your Full Name:*  
Contact Names*
At least one name is required. Please select the
main person to contact by checking one button.

Fund Raising  
FD 
Other 
Email Address:* (main contact)  
Phone Number:* (main contact)  

Website Address:   http:// 

Payee: (cheque payable to)  
c/o Full Name:  

How did you hear about us?  
Leaflet sent to School/PTA
Charityfair 2009
Third Sector Publication/Website
Small Charities Coalition
The Big Give Website
From an existing Giver
From an existing Beneficiary
Marketing Literature
Call from TheGivingMachine
Found on Search Engine
IOF Publication
FaceBook
Twitter
Other - Please let us know



Public Information

Twitter Username:
http://twitter.com/ 
Click here to test this link works as intended.

Facebook Group/Fan Page URL:
e.g. http://www.facebook.com/pages/TheGivingMachine/120981608713?ref=mf
Click here to test this link works as intended.

Charity Account:
Please provide a small amount of information about your charity. This will appear in your public beneficiary page and can be updated by logging into your charity account area.

Allowed HTML:
<b>Bold</b>
<i>Italic</i>
<u>Underline</u>

Line-breaks are inserted automatically.
  

Upload Your Logo:  
Once approved you can upload a logo in .JPG or
.GIF format for display in your public account.




I agree to TheGivingMachine™ Terms & Conditions



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