Reception Donation Form

ICEC Reception Sponsorship*
Enter any amount below
Donation Type*
- 1 Time Donation
Contact our Development Office
Email or phone ICEC Development Office for more information
Complete ICEC's Mail-in Donation Form
Download the Form
Note
Donors contributing over $1,000 will be listed on the ICEC website and included in the ICEC Annual Report unless indicated below
- I want this gift to be anonymous
- Please do not include my name on the ICEC website or in the ICEC annual report
Donation Amount
$0.00
* designates required field

Is this a Tribute gift in honor or memory of a friend or loved one?*
- Yes
- No
Gift type*
- In honor of
- In memory of
Enter person's name for Tribute gift*
Prefix First Middle Last Suffix
Would you like us to send a letter acknowledging your gift in his or her name?*
- Yes
- No
Name of person to receive acknowledgement card*
Prefix First Middle Last Suffix
Email Address for Acknowledgement card
Address to where card should be sent
Street Address City State / Province / Region ZIP / Postal Code Country
* designates required field

Donor Name*
Prefix First* Middle Last* Suffix
Organization
Donor Address
Street Address City State / Province / Region ZIP / Postal Code Country
Donor Phone*
Donor Email*
Enter Email Confirm Email*
Sign me up for ICEC news and updates*
- Yes
- No
Total Donation
$0.00
* designates required field
Name
This field is for validation purposes and should be left unchanged.