Contact Information:

Full Name *

Phone Number (optional)

Email *

Organization Info:

Name of Business or Nonprofit *

Website

Do you currently have a logo or brand identity? *

Yes

Partially

Social Media

Instagram

Facebook

Are you a 501(c)(3) nonprofit? *

Yes

Sector *

Industry *

NAICS Code (optional, with lookup)

Look Up Code Here: https://www.naics.com/search/

City *

State *

Design Needs:

What kind of design support are you seeking? *

Logo

Visual Identity

Pitch Deck

Social Graphics

Event Materials

Print Collateral

Other

Are you open to being featured in a case study or testimonial? * *

Yes

Maybe

How would this support help your business or organization? *

Are you doing any marketing, outreach, or fundraising? * *

Yes

Additional:

How did you hear about Copa Care? *

Attestation & Consent

(Check at Submission)

Declaration & Agreement:

By submitting this application, I confirm that all information provided is accurate and truthful to the best of my knowledge.

I understand that Copa Design may request documentation to verify eligibility. If any information is found to be intentionally false or misleading, Copa Design may revoke any granted services and seek reimbursement for the value of services provided, up to $5,000 USD.

Do you read and agree with the terms above? *

I agree to the terms above.

Publicity disclaimer *

I understand that if selected, I may be invited to participate in a podcast feature or asked to acknowledge Copa Care publicly through social media and/or a newsletter inclusion.

By selecting this, you agree to our Privacy Policy.