Referral SignUp

Use our fundraising platform for your group or organization Help local merchants increase their revenue while everyone saves Strengthening our economy, one community at a time
Use our fundraising platform for your group or organization Help local merchants increase their revenue while everyone saves Strengthening our economy, one community at a time

Sign up today as an HIMC Referral Source for FREE!

Individual Referral Source: you can sign up as a Referral Source and receive credit and funds based on your individual efforts to spread the word about HIMC.

OR

Group Referral Source: if you’re part of a Group that’s currently signed up and fundraising through HIMC, then you can refer new Groups on their behalf—they’ll receive credit and funds based on members’ efforts to spread the word.

If you want to receive payments for referring groups to HIMC, please provide the following information:

First Name:*

Last Name:*

Address1:*

Address2:

Country:*

City:*

State:*

ZIP:*

SSN: *

Payment Mode:*

Name on Account:*

Account Number:*

Routing Number:*

Account Type:*

Account:*

Email Address:*

Password: *

Confirm Password:*

Welcome to Referral Source Registration!

Sign up today as an HIMC Referral Source for FREE!

If you want to receive payments for referring groups to HIMC, please provide the following information: