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Application Questionnaire

What type of support will this donation provide?
Is your organization based out of a private home or an office?
Lexmark's corporate giving program does not support organizations that practice discrimination. Is your organization selective by race, color, creed, sex, age, sexual orientation or national origin?
In order to give each charitable request full consideration, Lexmark encourages four to six weeks advance notification. Please indicate when your request requires attention.

Organization Information

Contact Information