Name * First Name Last Name Email * Cell Phone * To receive text message updates from the Brain Center of Green Bay (###) ### #### Why is our cause important to you? What inspired you to make your first gift to our organization? What inspires you to continue to support us? Would you be interested in providing a testimonial to your support for use on our promotional materials? Yes No What programs or campaigns are most interesting to you? Check all that apply. Coaching Program Community Program Youth Program Annual Fund Endowment Fund How do you like to donate? Check all that apply. With a check Via the website Donor advised fund IRA Gift of stock App - Venmo, PayPal, ApplePay How do you best like to be communicated with? Check all that apply. Phone Text Mail Email Would you be interested in a Brain Center tour and meeting some of our volunteers and staff? Yes, please call me to schedule. No, not at this time. We are always looking to do better and be better. Do you have any suggestions on how we can share our mission and grow our services? Thank you for taking the time to participate in our survey!
