eServices Corporation - Web Based Solutions For Non-profit Organizations

Organization Information:
*Organization Name:


*Street Address:

City, State, *Zip


*Mailing Address:	Check if mailing address is same as above

City, State, *Zip

PayPal Email:

Authorize.Net ID:

Administrative Contact:

*Name: (First, MI, Last)

*Email Address:

Phone Number:

*Username: (At least 3 and up to 16 characters with no spaces or special characters)

Note: Your initial password will be emailed to you at the email address you specified above. After you first login you can change your password.

In order to activate automatic funds transfer please click the button below and then print, fill out, sign and mail the ACH authorization form to the address specified on the form.

You will need to complete this step before you are able to accept credit card or eCheck payments from your website.

Get ACH Authorization Form

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