Help Your Church Members Drive Further — members Save Up to 40% on Auto Repairs with MySpeedyX®! Company Code: CHURCH Phone Number: 833.773.3399 EXT. 106 Email: CHURCH@MYSPEEDYX.COM register your church todayA Partnership That Serves Your People and Fuels Your Impact. Please enable JavaScript in your browser to complete this form.What is the Legal Name of the Church *What is the address of the Church? *Address Line 1City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeWhat is the Church Phone Number? *What is the Church Email Address? *EmailConfirm EmailWho is the point of contact at the Church for this Fundraiser? *FirstLastThe purpose of this Agreement is to establish the terms under which MySpeedyX® will provide donations to the Church through a membership-based fundraising program. *The Church may promote the fundraiser to its members, visitors, and community using the provided proprietary code. MySpeedyX® grants permission for the Church to reference the MySpeedyX® name and fundraiser in promotional materials solely for this purpose.MySpeedyX® agrees to donate $30.00 to the Church for each MySpeedyX® membership activated using the Church’s assigned proprietary company code.MySpeedyX® will issue the Church a sole, proprietary company code, which must be used during membership activation for the Church to receive credit for the donation.The Church acknowledges that MySpeedyX® LLC will provide reports on all memberships processedBy clicking the box, the Church acknowledges and accepts the terms of this Donation Agreement and agrees to participate in the MySpeedyX® fundraising program under the conditions stated above.Registration FeePrice: $229.99Stripe Credit Card *CardName on CardTotal$0.00Signature * Clear Signature By signing, I certify that I have read and understand the information provided.What is today's Date? *Submit
