Donation Request Form
Name of Organization *
Contact First Name *
Contact Last Name *
Phone Number
Email Address *
Date of Event *
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Name of Event *
Are you within 30 miles of Bloomington or Springfield? *
Event Location *
Number of people expected at the event *
Privacy Policy
SMARTpath Education is committed to protecting and respecting your privacy, and we’ll only use your personal information to administer your account and to provide the products and services you requested from us. From time to time, we would like to contact you about our products and services, as well as other content that may be of interest to you. If you consent to us contacting you for this purpose, please tick below to say how you would like us to contact you:
I agree to receive communications from SMARTpath Education. *
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