### Contribution Forms

Please fill out the form below to get started.

#### 3.75% Rate

### New Payment Processing Account Request

## What is the official name of the committee or organization?

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Ex: Committee to Elect Mattie Maticas

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## What is the committee or organization's address?

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Ex: 123 Main St. Averyville, CA 92626

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## What type of campaign or organization is this?

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## If you have a website please enter it here:

## Please upload your logo

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## Please upload a background image for your contribution form (optional)

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## Please list the emails of any users you would like us to invite to your platform upon creation. The person responsible for adding your bank account to your Numero account needs to be a user. All will be added as Admin users unless specified.

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Read More About Adding Users and User Roles Here: [https://help.numero.ai/article/19-how-do-i-add-a-user-to-the-numero-platform (opens in new tab)](https://help.numero.ai/article/19-how-do-i-add-a-user-to-the-numero-platform)

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## What is your first and last name?

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## What is your title with the campaign?

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## What is your email address?

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## I'm interested in learning more about Numero's CRM, Calltime App, or Comm- Email and Text Services

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