JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Destination Imagination, Inc. 5% Donation Allocation
If you donate to Destination Imagination on May 5, 2020 for #GivingTuesdayNow, you also have the opportunity to choose a single Affiliate (State or Country) to receive a portion of your donation.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Email Address
*
Your answer
Choose ONE Affiliate to donate 5% of your GivingTuesday donation to.
*
Choose
Alabama
Alaska
Alberta
Arkansas
Australia
Bosnia and Herzegovina
Brazil
British Columbia
California
Cayman Islands
China
Colombia
Colorado
Delaware
District of Columbia
Ecuador
Florida
Germany
Guatemala
Illinois
Indiana
India
Indonesia
Iowa
Jordan
Kansas
Korea
Kuwait
Louisiana
Maine
Malaysia
Manitoba
Maryland
Massachusetts
Mexico
Michigan
Minnesota
Mississippi
Missouri
Morocco
Montana
Nebraska
New Hampshire
New Jersey
New Mexico
New York
Nigeria
North Carolina
North Dakota
Ohio
Ontario
Oregon
Pakistan
Panama
Pennsylvania
Phillippines
Poland
Prince Edward Island
Qatar
Quebec
Singapore
South Dakota
Spain
Tennessee
Texas
Turkey
Ukraine
United Arab Emirates
United Kingdom
Vermont
Virginia
Wales
Washington
West Virginia
Wisconsin
Wyoming
Yukon
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Destination Imagination.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report