Service Agreement & Intake Form Step 1 of 5 20% Which representative have you been in contact with?* Organization InformationOrganization Name* Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Organization Website* Facebook Page Twitter Page Instagram Page YouTube Page Tax ID / EIN Contact InformationContact Name* First Last Contact Email* Enter Email Confirm Email Contact Phone* Campaign InformationCampaign Name* Campaign Link* Short-code Text Keyword Example: Text 'GIVE' to 22454 to receive auto-reply containing Campaign linkFundraising Goal or Expected VolumeCampaign Start Date* Month Day Year Campaign End Date* Month Day Year Time Zone*Select TimezoneNorth American Eastern Time (GMT-5)North American Central Time (GMT-6)North American Mountain Time (GMT-7)North American Pacific Time (GMT-8)Alaskan Time (GMT-9)Hawaiian Time (GMT-10) Campaign ContentOrganization Logo*Recommended: Full-color PNG Drop files here or Select files Accepted file types: jpg, png, pdf, Max. file size: 64 MB. Campaign BannerRecommended: 1500px wide JPG Drop files here or Select files Accepted file types: jpg, png, pdf, Max. file size: 64 MB. Featured Video Embed CodeAbout your Organization Content*This will be used as part of the content for your page and can be edited at a later date.How Donations will Help Content*This will be used as part of the content for your page and can be edited at a later date.Custom Content Panel TitleTo add an additional content section to the ones listed above, include a Custom Content Panel Title here, and Custom Content Panel Content below. Custom Content Panel ContentThis will be used as part of the content for your page and can be edited at a later date.Successful Donation Page ContentThis will be used as part of the content for your page and can be edited at a later date. Online Payment ProcessingDo you have an existing iATS Payments account?*Our partnership with iATS Payment allows Auction Frogs the opportunity to offer seasonal credit card processing account to all of our nonprofit clients. Yes, we would like to use our existing iATS Payment account No, contact us with an iATS Payments account application iATS Payment application Contact*iATS Payments will reach out directly to the contact information you provide below with a processing account application First Last Email* Enter Email Confirm Email Phone*Allow Recurring Donations?*Donors can choose to give on a regular basis such as weekly, monthly, quarterly, or yearly.Select AnswerYes, enable Recurring Donations for this CampaignNo, do not enable Recurring Donations for this Campaign SubmissionOrganization Requesting Services* Authorized Contact Individual* First Last Signature*By electronically signing this form, you acknowledge that you are an authorized individual able to legally bind your organization to the Auction Frogs Service Agreement.Service AgreementAdditional Notes & Requests Become a part of our Community Sign up for the Auction Frogs Newsletter and get fundraising tips straight to your inbox!