I want to GIVE micro-donations

Applicant Name*

Applicant Email*

Applicant Mobile Phone*

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

Choose a combination of any ONE or MORE of the following donation options*

1% of shopping total

US $1 dollar flat (or € or £, etc.)

Rounded up to the nearest US $, €, £, etc.)

Alternative amount (see window below)

Alternative amount (per transaction)

Maximum Total Donation / Month

Communication Preferences*

GIVR may contact me with account and industry related infomation as required

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

Message (Optional)

Participant Confirmation*

I want to GIVE micro-donations to charities of my choice through the GIVR platform when I pay for shopping