Use this secure form to submit your
Donation Receipt Request
What is your first name? *

What is your last name? *

How would you like to receive your documents and receipts? *

For both past and future transactions beginning on April 21st, 2011.

What is your mailing address? *

Example: 432 Spruce Street #951
What is your mailing city? *

Example:  Las Vegas
What is your mailing zip code? *

Example:  89052
Is your following mailing information correct?

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Optionally, would you like to receive our email newsletter? *

1-2 emails per month.  No spam, ever.  Unsubscribe at any time.

By submitting this secure form, you are giving I'm Positive, Inc. permission to contact you regarding only important documents and receipts for contributions, membership payments, contracts, etc. *

Please read the statement above.  Select your response below:
Thank you {{answer_3552354}}!  One last thing...
May we quickly ask you 3 questions to help us improve? *

Optional Feedback

Be brutally honest.  We use your feedback to improve our organization!
How would you grade the rate of growth I'm Positive, Inc. has demonstrated since incorporating in April of 2011?

How would you rate the leadership and management of I'm Positive, Inc.?

1 Star = Poor
5 Stars = Excellent

How can we improve?

This includes programs, services, management, location, websites, etc.  We want to know about any ways you feel we can improve.
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with your documents and receipts within 2-4 weeks.
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