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Group Registration


* required fields



Login Information

Please keep your username and password in a safe place.
Username*:
Password*:
Confirm PW*:



Primary Contact Information For Your Organization

This information is for internal purposes, and will not be published on the ShopFunds site.

Your First Name*:
Last Name*:
Position:
Email*:
Phone Number*:



General Information About Your Organization

Organization Name*:
Address 1*:
Address 2:
City*:
Province/State*:
Postal/Zip Code*:
Phone Number*:
Email*:
Website Address:
BN/Registration #:
Cheques Payable To:



Description Information

Description of Your Organization*:

This will appear on your profile page on the ShopFunds site. Please ensure your statement is 500 characters or less.



Category*:

Area*: