Annual Membership Sign Up

Step 1 of 4

1. Sponsor

Type in the ID of the person or group you want to support.

Contagus ID

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You are supporting:

First Last

Organization Name

Group Name

Learn more about Contagus Discount.

2. Account Information

Welcome to Contagus Fundraising. Enter the following information to create your new account.

Name of person that referred you (if applicable)

First Name

Last Name

Email

Password

Confirm Password

Zip Code* * This zip code will be the location from which your membership deals will be generated.

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3. Select Membership Type

Choose one of the membership types listed below.

Please select a membership option

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Purchasing:
[item name] ^$40

4. Payment Information

Please fill in your credit card information

Name

Address

City

State

Zip

Contact Phone

Email for Receipt

Promo Code

Shipping Address

Check if same as billing information

Name

Address

City

State

Zip

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