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IEC Foundation Disaster Relief Fund Application

First Name:

Last Name:

Mailing Address - Street:

City:

State/Zip:

Email:

Phone Number:

IEC Chapter Affiliation:

Names of people living in your household:

A description of your disaster/emergency:

A description of your disaster damages if applicable:

Do you have insurance available to cover all or part of this damage or emergency?

Is there a specific assistance request from IEC Foundation?

Additional Notes or Comments

Optional photos of damage (jpg files only):

P.O. Box 1015
Monroeville, PA 15146
Telephone: (703) 997-9999

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How to Get Involved:

When you make an outright gift to the IECF, your contribution can be put to work immediately — either providing funding for current programs or creating a reliable source of future income by expanding the Endowment. Gifts can be unrestricted or restricted. An outright gift may be composed of almost any asset of value.

If you would like to make a donation you can DONATE ONLINE.
Or if you prefer, contact us at (703) 997-9999
or info@iec-foundation.org.