Register Your Organization

Organization Details
Status
Organization Name*
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 (Request for Tax ID #)
Note: Request for cards will be placed on hold until we receive the W-9 form. Fax W-9 form to SHARES at 1-888-745-0696 or scan and email to w9forms@smg300.com
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. Each month, your organization will receive a participant report via e-mail. You will also receive a quarterly check for the monies earned by your organization. Amounts under $50.00 will be carried forward to the next quarter.

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 & State taxes.

Register Your Organization

Organization Details

Contact Information

Miscellaneous Information