REGISTER YOUR DISTRICT/CHURCH

DISTRICT/CHURCH INFORMATION
District/Church Name:*
District/Church Address:* (PO Boxes cannot be used)
District/Church City:*
District/Church State:*
District/Church Zip:*
District/Church Email:*
District/Church Phone:*
District/Church Phone Ext:
District/Church Tax ID:* Employer Identification #, EIN  
Upload IRS/State NonProfit Designation Form or Tax Exemption Letter:* 

DISTRICT/CHURCH ADMINISTRATOR INFORMATION
(person with authority and responsible for setting up the accounts with PTY and ProPay)
Admin First Name:*
Admin Last Name:*
Password:*  (Minimum 8 characters and must contain one uppercase, lowercase, number and special character)  
Confirm Password:*
Admin DayTime Phone:*
Admin Evening Phone:*
Admin Email:*
Confirm Admin Email:*
Admin Social Security Number:*
Admin Date of Birth:*

DISTRICT/CHURCH FINANCIAL INFORMATION
District/Church Banking Routing Number:* 
District/Church Banking Account Number:* 
Credit card is used for $5 annual fee payment to ProPay. Next annual payment method can be changed through ProPay.
Credit Card Type:*
Credit Card Number:*
CVV2:*

PROCESSING LIMIT

After approval from ProPay, you will have an account with ProPay with a preset processing limit of $10,000 per month. If you are confident you will need more than $10,000 per month, check the box below and ProPay will contact you for further underwriting. If ProPay has not contacted you within 3 days of account approval, please contact ProPay and provide your ProPay Account ID# and request an increase.


I have read and agree to the Terms and Conditions*
You will add Activity/Donation Groups to your District/Church once your account has been approved by PayThankYou.