2017 Contact Update Survey ICAN is committed to responsible fundraising and donor communications. Please let us know the best way to communicate with you and your most recent contact information and preferences. Your input is important to us, so if you have any additional suggestions or comments, please feel free to indicate those in the “comments” field below. You can also contact our Chief Philanthropy Officer, Cassie Patris-Browne, at cassie@icanaz.org or by phone at 480-874-7577 with any comments, concerns or ideas. Thank you, in advance, for your time and commitment to ICAN youth. Question Title * 1. Your Name (First and Last) Question Title * 2. Your date of Birth? (MM/DD) Question Title * 3. HOME CONTACT INFORMATION - ICAN is updating our database, please provide your HOME/PERSONAL information so we can update our records even if your information has not changed in the last two years: Spouse Name (First and Last) Address Address 2 City State Zip Code/Postal Code Home Phone (If your home number is the same as you cell number then please leave this box blank) Cell Phone Personal Email Question Title * 4. PLACE OF BUSINESS CONTACT INFORMATION-ICAN is updating our database, please provide your BUSINESS information so we can update our records even if your information has not changed in the last two years: Company Name Title Address Address 2 City State Zip Code/Postal Code Email Phone Number (please specify if this is a land line or a cell phone) Question Title * 5. The best way to contact me is (please rank in order your preference of contact.): 1 2 3 4 5 6 Home Phone 1 2 3 4 5 6 Business Phone 1 2 3 4 5 6 Cell Phone 1 2 3 4 5 6 Personal Email 1 2 3 4 5 6 Business Email 1 2 3 4 5 6 Do Not Contact Me Question Title * 6. I would like to receive text message updates and photos on ICAN's programs, events, and impact with the opportunity to opt-out at any time. Yes No Question Title * 7. I would like to learn more about (please select all that apply): Opportunities for giving to ICAN How to volunteer How to become a board or committee member ICAN's programs and the kids/families served The impact of ICAN's programs The financial health of ICAN Other (please specify) Question Title * 8. How did you learn about ICAN initially: Through a friend/colleague (Please provide name) Through a special event (Please provide event name) On the Internet (Please provide source; i.e. Facebook, website etc.) Through my business (Please provide company name) Through a direct mail piece or marketing material. Other (Please provide source) Question Title * 9. Please let us know what other information you would like to hear more or less about in our newsletters or social media: Question Title * 10. Your feedback is important to us! If you have any suggestions or comments that can help us better communicate with you or serve our community better, we welcome your thoughts: Done