Learn to Read Comics Application Form
Application for Materials Donation
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Email *
Name of Organization *
 Address *
City, State, Zip Code *
Country *
Primary Contact *
Position *
Email Address *
Website Address *
Phone Number *
Number of Students Learning to Read English *
Number of English Teachers *
Number of Art Students (interested in drawing) *
Number of Art Teachers *
Student Age Range *
Access to Internet? *
Best Way to Send/Ship Materials to you? *
Would you be willing to share photos of your organization's students using the product donated? *
If yes, please provide photos in full high resolution files, if possible, so we can share on all media related outlets.
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This form was created inside of Edibles List.