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:

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:

Question Title

* 5. The best way to contact me is (please rank in order your preference of contact.):

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.

Question Title

* 7. I would like to learn more about (please select all that apply):

Question Title

* 8. How did you learn about ICAN initially:

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:

T