New Page 1


Home	How It Works	Card Services	Locations	Enroll Your Business	Login	Contact

Non-Profit Organization Fund Raising

All your organization has to do is get the word out! Help people to earn valuable LocalBenefits Rewards Points on their purchases at participating businesses, while enabling them to have a percentage of all of their LocalBenefits Rewards purchases donated to your organization. Get started now by adding your LocalBenefits Rewards Logo to your website and/or newsletter and begin a new way of fund raising today!

It's Simple And Easy To Raise Funds With LocalBenefitsRewards.com!

Name of Organization:
Contact Person's First Name:
Contact Person's Last Name:
Contact Person's Title or Position:
Contact Person's Email Address:

Organization's Address 1:
Organization's Address 2:
City:
County / Parrish:
State or Province:
Postal/Zip Code:
Country:
Phone Number:
Cell Phone Number:
Fax Number:
Organization's Email Address:
Your Organization's Website URL (if available):
Referred by:
Create a Password:
501(3)C number:

Number of LocalBenefits Rewards Cards that you would like to order:
Method of Payment:

I have read and agree to the Terms of Agreement:	Check this box to agree to terms.