IAET Charity Donation Request Form

Organization Name *

Name (title of person making request) *

Organization Website

Email Address *

Phone Number *

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Please provide a brief description of your organization *

What specific program or area of the organization would the donation be used for?

Please provide a flyer/ad for event or organization *

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