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Basically, you sign up for free. Then you log onto igive and link over to over 700 merchants' websites from there (including amazon.com). When you buy through igive, the merchant will donate a percentage of your purchase to a cause of your choice from the list. You can sign up for more than one cause, but I think you have to specify which one you are donating to for a given purchase. (you can also apparently add the cause you want if it's not already listed)
I think it's really cool, and I signed up, even though I won't actually be doing much online shopping. (unfortunately, it is only causes in the US and Canada)