Application Form

First Name

Last Name

Email Address

Phone Number

Home Address

Country/Region

Address

City

Zip / Postal code

Position (You Are Applying For)

Company Name

What would you like to be done with the donations?

Why are you interested in donating to I'mPossible?

Letter For Us

Donation Statement

I certify that the information provided is true and correct to the best of my knowledge this information is provided solely for purposes related to donation and support of this cause.

I understand that any individual or company making a donation of $500 USD or more will receive an official donation acknowledgment letter, wich may be used for tax-deduction purposes in accordance with California law

I make this donation voluntarily

I confirm the agreement