The Big Payback
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Participation Requirements

Middle Tennessee public charities, schools, and tax-exempt religious institutions are eligible but must register by March 22, 2017 to participate.

Please note:
  • each public charity is required to have an up-to-date GivingMatters.com profile, in addition to completing this registration form;
  • each school is required to upload its proof of school status as part of this registration form; and
  • each religious institution is required to upload its IRS Letter of Determination or Group Exemption Letter (not sales tax exemption letter) as part of this registration form.
Registration Instructions:
Online registration is required for participation in The Big Payback.

All required fields (noted with *) must be completed in order to submit this form. It is not possible to start the form and save your changes, so be sure to gather all of the required information before you begin.
Once your organization is approved, you will receive an email with a unique link. Click that link to set your password and log in for the first time. You may return to the site at any time and use your email address and password to log in to make edits as needed.

You will receive an email regarding the acceptance of your registration within 10 business days of submission. You will be contacted if additional information is needed.

Important
All communication related to The Big Payback will be sent via email to your primary and secondary contacts.

Deadline
The final day to register is March 22, 2017. No exceptions.

Questions?
TheBigPayback@cfmt.org

* - Required field
Register to Participate
Primary Contact
* First Name
* Last Name
* Email Address
* Phone
Secondary Contact
* First Name
* Last Name
* Email Address
* Phone
Organization Information
* Organization NameAs you would like it to appear on The Big Payback Website
* Organization Legal NameAs it appears on your IRS Letter
* EIN (Federal Tax ID Number)
* Street Address 1
Street Address 2
* City
* State
* Zip Code
* Organization Phone
* Impact Area
* Mission Statement500 character limit
* Budget Size
$1-$499,999
$500,000+
* County where your organization is based
Other County:
* Does your organization have its own matching funds available for The Big Payback?
* If yes, what amount is available?
$
Social Media
Additional Questions
* GivingMatters.com Profile Status
My nonprofit organization has a profile on GivingMatters.com.
My nonprofit organization does not have a profile on GivingMatters.com, but will create one in accordance with this agreement.
My organization is a school or a religious institution. Schools and religious institutions are not profiled on GivingMatters.com.
Religious Institutions: Upload IRS Letter of Determination or Group Exemption Letter (not sales tax exemption letter)
No file is currently uploaded.
Upload File
Schools: Upload proof of school status
No file is currently uploaded.
Upload File
Image Uploads

Add images to be displayed on your profile. Please upload them individually using the fields below. Once your organization is approved to participate, you will be able to upload additional images and YouTube videos.

Image 1Preferred file type is PNG. Others accepted are jpeg, jpg, tif, tiff, gif. File size limit is 5 MB.
No file is currently uploaded.
Upload File
Image 2Preferred file type is PNG. Others accepted are jpeg, jpg, tif, tiff, gif. File size limit is 5 MB.
No file is currently uploaded.
Upload File
Image 3Preferred file type is PNG. Others accepted are jpeg, jpg, tif, tiff, gif. File size limit is 5 MB.
No file is currently uploaded.
Upload File
Acknowledgements and Agreements

By signing this agreement:

* I acknowledge that we have reviewed the Rules/FAQs section of TheBigPayback.org and agree to the guidelines.
* I agree to complete this registration form by March 22, 2017.
* If a 501(c)3 public charity, I agree to submit a GivingMatters.com new profile request by March 1, 2017 and to update or complete my profile by March 17, 2017.
* I agree to be listed on The Big Payback website and understand that The Community Foundation of Middle Tennessee will collect donations from the public on our behalf.Grant received will be net of donations after processing fees and will be distributed within 60 days of donation. All donations will be for general operating support and distributed by The Community Foundation of Middle Tennessee.
* I understand that enrollment in ACH direct deposit is a requirement to receive a donation distribution from The Community Foundation of Middle Tennessee.
* I understand including the profile on The Big Payback website does not constitute any assurance of funding by The Community Foundation of Middle Tennessee.
* I affirm that yes, we will participate in The Big Payback on May 3, 2017.
* I agree to use the promotional materials provided by The Community Foundation of Middle Tennessee as written.
* I understand The Community Foundation of Middle Tennessee has final approval in the submitted information and can make any changes to the profile by communicating with us.
* I understand The Community Foundation of Middle Tennessee does not make any explicit or implicit representation regarding the accuracy of the information contained in the profile.
* I acknowledge our access to the names and addresses of donors to our organization unless the donor is anonymous.
Signature
* Electronic SignatureUse your mouse/cursor to draw your signature in the box.
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* First Name
* Last Name