Register Your Organization

Please review this application data carefully before submitting. Any later changes will need to be made in writing and faxed to SHARES headquarters. 1-888-745-0696

Organization Details
Status
Organization Name*
Primary Group Address*

Street Address

City*

State *

Zip Code*
Group Mailing Address (Checks will be sent to this address)*

Street Address

City*

State *

Zip Code*
Organization Phone*
Organization Fax*
Organization County
District Name
Type of Applicant*

if other:
Tax Classification*
Disregarded Entity
Corporation
Partnership
Federal Tax ID#* - Download W-9 Form
Note: Request for cards will be placed on hold until we receive the REQUIRED W-9 form. Fax W-9 form to Shares at 1-888-745-0696 or scan and email to w9forms@smg300.com. Save Mart REQUIRES submission of this form to certify the groups' Tax ID Number.
Is your organization subject to IRS backup withholding?*
Number of S.H.A.R.E.S. Cards
I hereby certify I am authorized to represent the school/organization and that everything stated on this application is true and correct. A user name and password for web site access to your account will be issued upon approval.
Contact Information
Contact Title*
Contact Name*
Contact Phone*
Contact Work Phone*
Address*

Street Address

City*

State*

Zip Code*
Email*
Miscellaneous Information
Store *
Please provide a 3-5 sentence description of your organization's mission statement/objectives. *
Once your application is approved, you will receive an email with instructions on how to set up your organization's participation in the SHARES program. Please allow 21 days for processing. You will also receive a quarterly check for the monies earned by your organization. If you have any questions, please call 1-800-477-5437
OR
You may fax a fully completed form to: 1-888-745-0696

Please note that Save Mart (Lucky/Food Maxx) reserves the exclusive right to accept, deny or discontinue any organization's participation in the SHARES program. Save Mart (Lucky/Food Maxx) does not typically award participation to individuals, research groups, or lobbying / political / religious programs.

Non tax-exempt organizations could be subject to Federal and State taxes.

Register Your Organization

Organization Details

Contact Information

Miscellaneous Information