DEMCO Inquiry Form

Delaware Multicultural and Civic Organization, Inc.
365 United Way, Dover, Delaware 19904
Website: www.demcoinc.net

Contact Information

Full Name: ______________________________________

Organization/School/Church/Agency: ______________________________________

Phone Number: ______________________________________

Email Address: ______________________________________

Address: ______________________________________

City/State/Zip: ______________________________________

Inquiry Type

Please select all that apply:

☐ Program Registration
☐ Afterschool Programs
☐ Youth Programs
☐ Summer Programs
☐ Financial Literacy
☐ Workforce Development
☐ Robotics / STEM
☐ Community Partnership
☐ Volunteer Opportunities
☐ Sponsorship / Donations
☐ Vendor Opportunities
☐ Speaking Engagement
☐ Event Information
☐ 30th Anniversary Celebration
☐ Other: ______________________________________

Message

Please describe your inquiry or request:

Preferred Method of Contact

☐ Phone
☐ Email
☐ Text Message

Best Time to Contact You: ______________________________________

Consent to Contact

I give DEMCO permission to contact me regarding my inquiry and related programs or opportunities.

☐ Yes ☐ No

Submit Form

Thank you for contacting DEMCO. A representative will respond as soon as possible.

Website: www.demcoinc.net
Phone: ______________________
Email: ______________________

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