Business Donation Form

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We want to thank you for your thoughtfulness and generosity to one or more of our programs. Being that we are a non-profit organization, ICBDA relies 100% on donation and public support. Please specify which programs you would like to support. Again, thank you for your support.

****After clicking submit button, you will receive a link and an email to submit your payment. Small transaction fee will be applied.*****

If paying by business check: after clicking submit, you do not need to proceed to payment link. Please print out your response and mail with your payment to:

ICBDA
ATTN: Treasurer
Post Office Box 20471
Indianapolis, IN 46220

Email *

YYYY

Last Name *

First Name *

Position/Title *

Website: *

Business/Organization Name *

Address

City, State

Please direct my donation to one of the following programs:

Dr. Laurene Simms Award

Youth Empowerment Summit Y.E.S!

Junior Black Deaf Advocates

Black/Brown Interpreter Program

General Fund

Other:

Donation Amount:

$100.00

$300.00

$500.00

$1000.00

Other:

Clear selection

Please email us your business/organization logo at info@icbdainc.org. It will be added to our special thanks' donation page. Thank you for your support!

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