Member Signup

Effective date of your membership agreement. This is the date that you wish to begin (or began) using the 1% logos:Your business's registered name:Type of Business:

Business Address

Address 1:Address 2:CityStateZipFiscal year (e.g. January 1 to December 31).
Note: for most member companies, certification and membership renewal occurs within 120 days after the close of their fiscal year.Tax filing deadline that your business adheres to
Note: If this is more than 120 days after the close of your fiscal year then we must modify the terms of your agreement.Is your business joining as an entity or, if the 1% agreement will apply only to one or more of your company’s brandsIf your business is joining as a brand, to which brand(s) it applies.Description of the products and marketing materials on which you will use the 1% marks (e.g. brochures, website, magazine advertisements, etc.)Description of the products and marketing materials on which you will use the 1% marks (e.g. brochures, website, magazine advertisements, etc.)

Primary Contact

BusinessFirst NameLast NameAddress 1Address 2CityState 2ZipEmailTelephone

Secondary Contact

First NameLast NameEmailTelephoneEstimated RevenueNumber of EmployeesHow did you hear about 1%?What method of donation reporting do you intend to use for certification, i.e., (CPA report or tax returns)

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Business Address

Primary Contact

Secondary Contact