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Autobell® Fundraising Program Application

autobell logo
autobell logo

Thank you for your interest in the Autobell® Car Wash Fundraising Program. Your organization must be a non-profit with a 501(c)3 Federal Tax ID to qualify. Please fill out the information below and attach a letter or IRS form verifying your non-profit status. You will receive a completion notice once your application has been submitted.

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Organization Information

Organization Name:*
Please enter your organizations name.

Street Address:*
Please enter your street address.

City:*
Please enter your city.

Please Select Your State:*
Please select your state.

Zip Code:*
Please enter a valid zip code (i.e 28900).

Federal Tax ID # with 501(c)3 status:*
Please enter your federal tax id.

Has your organization conducted an Autobell Car Wash Fundraiser in the last 12 months?:*
Please answer if your organization has conducted an Autobell Car Wash Fundraiser in the last 12 months?

How many active members will be selling fundraising gift cards?*
Please select the number of active members.

Organization is associated with:*
Please enter the associated organization.

Please state the type of organization:*
Please state the type of organization.

What is the purpose of your fundraising event?*
Please answer what is the purpose or your fundraising event.

Does the organization have a Facebook page?*
Please select yes or no.

Facebook Page:*
Please enter a valid url http(s)://www.example.com required.

Does the organization have a website?*
Please tell whether or not you have a website.

Organization Website:*
Please enter your organizations's website http(s)://www.example.com required.

Chairperson Information

Name:*
Please enter contact/chairperson name.

Street Address:*
Please enter your street address.

City:*
Please enter your city.

Please Select Your State:*
Please select your state.

Zip Code:*
Please enter a valid zipcode (i.e 28900)

Primary Telephone Number (123-456-7890):*
Please enter a valid phone number in the following format: 123-456-7890

Secondary Telephone Number (123-456-7890):
Please enter a valid phone number in the following format: 123-456-7890

Email:*
Please enter a valid email address.

The organization's chairperson is at least 21 years of age and willing to be financially responsible for the gift cards and payment. *
Please select yes or no.

If no, Treasurer / Business Manager will be responsible.

Treasurer / Business Manager Information

Cannot be the same person as Chairperson

Name:*
Please enter a name.

Primary Telephone Number (123-456-7890):*
Please enter a valid phone number in the following format: 123-456-7890

Secondary Telephone Number (123-456-7890):
Please enter a valid phone number in the following format: 123-456-7890

Email:*
Please enter a valid email address.

Gift Card Information

Name you would like printed on the materials:*
Please enter a name.

Has your organization conducted the Autobell Fundraising Program in the past three (3) years?*
Please answer if your organization conducted the Autobell Fundraising Program in the past three (3) years.

Select Program Type:*
Please select your program type.

Select Program Type:*
Please select your program type.

Desired Number of Gift Cards:*
Please input the number of gift cards needed. (“Maximum allowed is 100 gift cards”)

Maximum allowed is 100 gift cards.
Desired Start date of Fundraiser (end date of Fundraiser will reflect 30 days after start date):*
Please select a date.

Shipping Information or Package Pick Up*

Please Select Shipping Information or Package Pick Up.

Please indicate if this is a residence or an organization / business address:*
Please indicate if this is a residence or an organization / business address.

Organization / Company Name (if using address for organization or business):*
Please input your organization / company name.

Contact Name:*
Please enter your contact name.

Street Address:*
Please enter a valid street address.

City:*
Please enter a valid city.

State:*
Invalid Input

Zip:*
Please enter a valid zip code (i.e 28900).

Please attach non-profit 501(c)3 verification (letter or IRS Form 990): 2MB Max
Please upload your donation request on company letterhead or event flyer. (Valid formats doc, docx, pdf, jpg, jpeg, png)

Any additional information / comments:
Please enter any additional information.

Autobell® E-Offers

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Autobell® will not sell or use your email address for any purpose other than transmission of Autobell® customer communications.

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First Name(*)
Please enter your first name.

Last Name(*)
Please enter your last name.

Zip Code(*)
Please enter a valid zip code.

Your Birth Month(*)
Please enter your birth month.

Email Address(*)
Please enter a valid email address.

Invalid Input

Free Shipping On Orders of $50 or More*

Any orders of $50 or more will receive Free Shipping automatically at checkout.

*Product total, including discounts, must be $50 or more at checkout. Valid only on shippable items. eProducts excluded.

BUY 3 GET 1 FREE
$25 eGIFT CARDS!
CYBER MONDAY ONLY! *

*See item page for complete details.