Delmarva Document Solutions - Copy For a Cause

Delmarva Document Solutions is donating a Xerox Multi-Function copier in support of local not-for-profit organizations.

Delmarva Document Solutions is proud to support local not-for-profit organizations through our Copy for a Cause program. Please complete the application below to be considered for a donated Xerox multi-function copier. While we wish we could support all not-for-profit organizations, priority will be given to smaller, grassroots programs that may not receive consistent funding or donations.

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Organization Information

Organization Name*

Address*

Street Address City State ZIP Code

Website

If Applicable

General Email*

General Phone*

Primary Contact Person

Name*

First Last

Title / Role*

Personal Email*

Personal Phone*

Eligibility & Use

Is your organization a registered 501(c)(3) nonprofit?*

Yes

No

Please describe your organization’s mission and the community you serve:*

How would a multi-function copier benefit your operations?*

Do you currently have a copier or printer? If so, what are the limitations?*

What is your average monthly copy/print volume?*

Additional Information

Upload any supporting documents (501(c)(3) letter, brochures, etc.).

These materials will not be retained on our web server. Optional. To email these documents, please call (410) 548-5844.

Drop files here or

Max. file size: 256 MB.

How did you hear about Copy for a Cause?*

Acknowledgment

By submitting this form, you certify that the information provided is accurate and that your organization agrees to use the donated equipment to further its nonprofit mission.

Please confirm and acknowledge:*

I agree to the above statement

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Contact Us for More Information

Organization Information

Primary Contact Person

Eligibility & Use

Additional Information

Acknowledgment

Easton MD

Salisbury MD

Elkton MD