Fundraising Event Type (select one or more) * Golf Auction Gala Other

Desired Fundraising Website Address *

Choose Subdomain * .maxgiving.bid.maxgiving.golf.maxtickets.org.maxgiving.events.max.gives

Organization DBA Name *

Organization Legal Name *

Organization Legal Physical Address (NO PO BOX) *

Organization Tax ID *

Organization Web Address *

Organization Main Contact Name *

Organization Main Contact Email *

Organization Main Contact Phone *

Fundraising Event Details *

Next Fundraising Event Date *

Fundraising Event Goal *

Who can we thank for referring you to MaxGiving?

Business Name (optional)

Referral Contact (optional)

Referral Email (optional)

Referral Phone (optional)

I declare that I am an authorized officer of the nonprofit organization that I represent, and am authorized to enter this agreement. I hereby declare that I am a duly authorized signer on the payment information provided and authorize MaxGiving to debit a one time software setup charge to the payment account provided according to the software license and associated products and services selected on this form.

I agree to MaxGiving terms of service and privacy policy below. *

Name and Title of Authorized Signer *

Signature Authorization