Delaware EITC Campaign Flyer Request Form

To request marketing materials for the 2008 Delaware EITC Campaign, please fill out the following request form to send your information directly to Delaware EITC Campaign staff. Materials requested will be sent out within one week. If you have any questions contact Joy McManus at 302-655-0803 in New Castle County or Steve Tolbert at 302-947-2726 in Kent or Sussex Counties.

*** indicates a required field

Organization Information
Organization  ***
Address Line 1
Address Line 2
City
State
Zip
County
Hours of Operation
Primary Contact Information
First Name  ***
Last Name  ***
Email
Phone  ***  123-456-7890
Material Quantity
English flyers flat
English flyers tri-fold
Spanish flyers flat
Spanish flyers tri-fold
Delivery Information
Special delivery instructions (time of day, location, etc.)
Date by which the order must be delivered  mm/dd/yyyy