Proudly Give Back Application 
Here at Pay Proudly we believe in giving back, so much so it's actually in our Mission! 
Pay Proudly directs a portion of credit card processing fees collected to local nonprofits and charities on behalf of our merchants to positively impact our community. To date, we have given more than $100,000 to a variety of causes – and we are expecting to make an even bigger impact in the coming years! In fact, we have an updated vision to give back $1 Million.

To apply to be a 2024 Charity or Nonprofit Give Back Recipient we ask that you complete the form below.
*Must qualify as a Not-for-profit 501(c)(3) organization

Together, our team will select recipients in January and June. Deadline for January applications is January 10, 2024, and the deadline for June applications is June 10, 2024.  

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Email *
Organization Name *
Location Address (Street Address, City, Zip Code) *
Organization EIN *
Organization Website *
Contact (Full Name) *
Contact Email Address *
Contact Phone Number *
Tell us about your organization! What's your mission? *
What community/communities does your organization reach? *
Does your organization have a connection to Pay Proudly?  *
How did you hear about Proudly Give Back? *
How would this donation benefit your organization? *
Anything else you think we should know? (Now's your chance!) *
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