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Bingus Network Donation Application
Apply for, or nominate an organization to receive aid from Bingus Network
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* Indicates required question
Name of Organization
*
Your answer
Location (City, Country)
*
Your answer
Type of Organization (select all that apply)
*
Registered Non-profit
Business (for profit)
Volunteer Run
Shelter / Rescue Organization
Animal Health / Medical (Vet, Rehab etc.)
Animal Activism
Other:
Required
Organization Mission Statement
*
Your answer
Current projects / reason for fundraising
*
Your answer
Fundraising Goal Amount ($USD)
*
Your answer
Able to receive donations in cryptocurrency?
*
Yes
No
Require assistance with set up
Not interested in receiving donations in cryptocurrency
Don't know
Contact Name
*
Your answer
Contact Email
*
Your answer
Relation to organization
*
Employee
Volunteer
Owner / Founder
Not affiliated (nominating)
Other:
Social Media Links (Instagram, website)
*
Your answer
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