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Response/Inquiry Form

To request a proposal or to get additional information...

Name
Title
Organization Name
Street Address
City / State / Zip
Phone
Email
Fax


How did you hear about CHI? [Check one]
Consultant
Direct mail
Directory ad
Referral from
Trade publication
Trade show | Name of Show
Web search


Type of Organization [Check one]
Academic
Environmental
International Relief
Medical Research
Public Broadcasting
Public Interest/.Advocacy
Religious and faith-based organizations
Social Service
Other


Number of Active Donors:
under 5,000
5,000 to 50,000
over 50,000


Donor Base and/or Service Area:
international
local
national
regional


Do you currently have some form of monthly program?
monthly statements
statements and EFT/credit cards


How do you currently fund raise? [Check all that apply]
Telemarketing
Direct mail
Events
Door-to-door canvas
Newsletters
Membership dues
Other