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Autobell Car Wash Fundraising Program Application

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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.

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 the Autobell Fundraising Program in the last 12 months?*
Invalid Input

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 give an answer.

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:*
Please enter a valid phone number (123-456-7890).

Secondary Telephone Number:
Please enter a valid phone number (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:*
Please enter a valid phone number (123-456-7890).

Secondary Telephone Number:
Please enter a valid phone number (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.

Number of Gift Cards:*
Please input the number of tickets.

Start date of Fundraiser (end date of Fundraiser will reflect 31 days after start date):*
Please select a date.

Store location for gift card pick-up:*
Invalid Input

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.

Invalid Input

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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

Give the Gift of Clean.

An Autobell® Gift Card makes the perfect gift - so you can shine even brighter.