Fundraising Registration Form

Fundraising Registration Form

Fill the form below to be listed among the beneficiaries of the FUNDME first charity opportunity immediately it get launched.
Name*

First NameLast Name
Are You a Student?*

YesNo
What is your occupation?
Fill the above box If you are not a student

Address & Number Field
E-mail*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
WhatsApp Number*
Fill the above box with your WhatsApp number e.g +234 xxx xxxx xxx. To be added to our group.
Phone Number*

Area CodePhone Number

I want to*
Note: There will be special offer for DONATOR.
Identity Field
Take Photo*
Will you abide by any rules and regulations given in our WhatsApp group?
Signature

Clear
Should be Empty: