Organization Remittance Form

DonationXchange provides Corporate Giving and Matching Gift services to Fortune 500 companies.
Please complete the form below to update your preferred remittance process.
Questions? Please contact us at 866.513.7627 x 2

Central Illinois Christians in Mission, Inc.

* Denotes required fields

Country Code

Tax ID *

Postal Code/Zipcode

Doing Business As

Year Established

Organization Type

Government Charity Registration URL * (provide the link to your Charity's Detail Page on the Government Charity Commission website)

Mission Statement *

First Name *

Last Name * (i.e. CEO, President, Executive Director)

Title *

Primary Email *

Primary Phone *

Street * (No PO boxes please)

City *

State/Province

Website

TaxPayer Identification Number (US W9 Form) *:

(Files will be uploaded when you click submit. Attachments must be in one (1) of the following formats: pdf, png, jpg. Limit the file size to less than 2MB.)
(For US: if you need an updated W9 form, please click IRS W9 Form (Upload New file to replace existing one.)

Ruling/Determination Letter or a Government Letter showing that you are tax exempt (US 501c3) *:

(Files will be uploaded when you click submit. Attachments must be in one (1) of the following formats: pdf, png, jpg. Limit the file size to less than 2MB.) (Upload New file to replace existing one.)

Account Info

We would like to receive our remittances using:

Electronic Funds Transfer (EFT) using ACH/Direct Deposit

We have or use IBAN for banking.

Bank Name *

Phone *

Currency Code *

Account Number *

(Optional) Your Online Donation link

Voided Check *

The accounts must match the numbers on the documents attached.
(Files will be uploaded when you click submit. Attachments must be in one (1) of the following formats: pdf, png, jpg. Limit the file size to less than 2MB.)

Organization Financial Contact

Contact Name *

Contact Phone *

Contact Email * Please use a generic email address, when possible (i.e. finance or giving at your organization email). This will be used to notify you of payments as well accessing the details of the payments.

Comments

*Please Note*

I confirm that I am an officer or member of the above organization.