REGISTER YOUR ORGANIZATION


This charity application allows your charitable organization to be eligible for Greenbax donations from our Greenbax customers. All organizations must be exempt under Section 501(c)3 of the Internal Revenue Code. Once your application is approved, your Greenbax card will be mailed to the contact you specify.

Full Name of Organization Employer ID No. Street Address
City State Zip Contact Name
Phone Number Fax Number Date Incorporated(mm/dd/yy)
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Web Address Email Address Description of Organization and Services Provided