Join - My Gobena Coffee

I want to raise funds for...*

Name of Organization

Name*

First and Last Name

Website

Email*

Phone*

Have you received a matching grant through Lifesong?

Lifesong Family Account Number

Have you received a Matching Grant?

Name of Child being Adopted (if not allowed, please use their American name. Leave blank if child to be adopted is not yet known.)

Please upload a picture of child being adopted (for your fundraising marketing material, if not allowed that's ok, leave this field blank)

Max. file size: 64 MB.

Please upload a Family Photo (to be used for your fundraising marketing materials)

Max. file size: 64 MB.

Why do you want to use Gobena to raise funds?

Please upload a picture of your organization that we could use for your fundraising page.

Max. file size: 64 MB.

Church Name and Location*

Why do you want to use Gobena to raise funds?*

What will the funds raised through Gobena go to support?*

Phone*

School Name and Location*

Why do you want to use Gobena to raise funds?*

What will the funds raised through Gobena go to support?*

Photo for Webpage

Max. file size: 64 MB.

Please upload a photo that you would like people to see on your webpage.

Name*

First and Last Name

Phone*

Why do you want to use Gobena to raise funds?*

What will the funds raised through Gobena go to support?*

Address

Street Address City State / Province / Region ZIP / Postal Code

Brief Adoption Testimony

Fundraising Goal

How did you hear about Gobena Fundraising?

Any Questions or Comments?

Gobena Fundraising Program