Charity Signup Form
 

You have selected the form for nonprofits which are currently utilizing a fiscal agent. Please enter the requested information below. Required fields are marked with a red asterisk (*).

 
Nonprofit Information
* Organization Name:
* Address (Line 1):
Address (Line 2):
* City:
* State:
* Zip:
Website:

Website Address/URL (ie. http://www.yourname.org).
 
Fiscal Agent Information
 
* Fiscal Agent's Name:

This organization must be available in our search engine to receive the donations made through this site.
* Fiscal Agent's EIN:
Employer Identification Number (ie. 00-0000000).
* Address (Line 1):
Address (Line 2):
* City:
* State:
* Zip:
* Phone:
 
Nonprofit Primary Contact Information
 
* Full Name:
* Daytime Phone:

No spaces or dashes (ie. 9173399012).
Fax:

No spaces or dashes (ie. 9173399012).
* Contact Email:
 
Technical Contact Information (Optional)
 
Full Name:
Title:


(ie. Webmaster)

Daytime Phone:

No spaces or dashes (ie. 9173399012).
Email:
   
Login Information
 
* Login:

Login is case sensitive. 6 characters minimum.
*Password:

Password is case sensitive. 6 characters minimum.
* Confirm Password:

Retype password.
 
Terms of Service Please review the Terms of Service and check on the "I Agree" check box before continuing. NYCharities will respond promptly regarding your organization's submission.
 
 
I agree:
 
 
 
Charity Login
 
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Password:
 
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e-mail: support@nycharities.org
 


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