Matching Gift Form

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Please click here to review the matching gift guidelines

Country *

Organization Type *

State/Province

Please fill out any missing organization information below.

Organization Name *

Tax ID If you know the Tax ID it will speed up the processing and verification of your request.

Zip/Postal Code *

Is there a different name, DBA or chapter?

Year Established

National Taxonomy of Exempt Entities (NTEE) Code *

Mission Statement *

Org Contact First Name *

Last Name *

Title with the Organization *

Organization Address *

City *

State/Province *

Primary Organization Email *

Primary Organization Phone *

Website *

Principal Individuals and Board Members *

Lookup your employee information.

Employee ID*

Last Name *

First Name *

Mid. Init.

Division *

Email *

Phone *

Country *

Home Address * (No PO boxes please)

City *

State/Province *

Postal Code *

Dept./Office

Manager/Supervisor

Classification *

Gift Details

Payment Method

I donated directly to the Charity/Non-Profit and have my receipt I wish to donate now with a Credit/Debit Card
To offer the convenience of online payments, DonationXchange incurs a nominal fee (3.5%) for each transaction that will be applied to your donation.

Donation Amount *

Currency

Match Amount * (please enter the amount you wish to be matched. It will be matched at 50.0% to a maximum of $2,500.00 per year. Please refer to the guidelines for additional information.

Date of Gift *

Gift Type *

Special Fund or Use If applicable, enter a specific program, cause or location, or donation in memory of a loved one, anonymous donation, etc. that you wish your donation to go towards.

Organization Contact Email *

Attachment *

If you made a donation directly to the charity, then please upload a copy of your donation receipt. The receipt should clearly show the tax deductible amounts as provided by the charity organization. (Click on Upload File button to attach multiple documents. The files should be selected from a folder on your computer. The files will be listed under the attachment box. Files will be uploaded when you click submit. Attachments must be in one (1) of the following formats: Pdf, doc, docx, xls, xlsx. Limit the file size to less than 10MB.)

I confirm that I am 14 years or older

* Denotes required fields

This form will expire after 2 hours.

A DonationXchange account will be created and provided in the confirmation email for tracking purposes.

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Matching Gift Form

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