Club/Corporate Contributor Form

Thank you for your contribution to Toastmasters International's Ralph C. Smedley Memorial Fund.
For questions, please contact us at +1 720-439-5050 or smedleyfund@toastmasters.org.

Payments Accepted

I am donating as a: Club or Company Name: Club ID (if applicable): Prefix: First Name: Last Name: Education Credentials (ex. DTM): Title: Department: Address: City: State: Province (Foreign): Zip/Postal Code: - Email: Phone: How did you hear about us?

Contribution

Donation Amount:

This is a one time donation

Make this a recurring donation deducted

Keep Anonymous**:

Please note: While any names associated with anonymous contributions will not be published in official Toastmasters materials, the organization is required by law to report any cumulative donations of $5,000.00 or more to the United States Internal Revenue Service.

Designate My Contribution

Tribute Type: Tribute Name: Comment:

Notify the Following of My Contribution

Toastmasters International will send a notice of your contribution and/or comment without disclosing the amount.

Acknowledge To: Email: Address: City: State: Province (Foreign): Zip/Postal Code: - Country:

Please click the "submit" button to complete your contribution on the next page.

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