I want to CONTRIBUTE micro-donations

Applicant Name*

Applicant Email*

Applicant Mobile Phone*

Charity to Support (that will receive your micro-donations)*

Choose any ONE of the following donation options*

1% of checkout total

US $1 dollar flat per checkout

Rounded to the nearest US $ at checkout

Choose your maximum total donation/s per month*

$4

$8

Uncapped

Communication Preferences*

GIVR can contact me with account and marketing related information from time to time

GIVR can only contact me with important or critical account related matters

Message (Optional)

Participant Confirmation*

I agree to automatically contribute micro-donations to the charity selected above when paying for shopping at all GIVR enabled points of sale.

Donor Signup Form