Donor Communication Opt-Out Request Form

Full Name

First NameLast Name

Email Address

example@example.com

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Mailing Address

Street Address

Street Address Line 2

CityState / ProvincePostal / Zip CodeCountry

Preferred Contact Method for Confirmation

Donor ID (if known)

Organization Affiliation (if applicable)

Please select the types of communications you wish to opt out of:

Would you prefer to reduce rather than completely opt out of communications?

If reducing communications, please specify your preferences (e.g., fewer emails, only annual updates):

Comments or Additional Information