If you would like Canon USA to support your organization through funding, equipment loan or donation, please complete the form below. Please note you may not receive a response for several weeks; and we cannot guarantee that all requests will be approved.
Questions? Visit our FAQ page.

Organization Name: *
Address: *
City: *
State: *	State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
Zip Code: *
Which best describes your industry? *	Select One Advertising Consumer Imaging Corporate Education Film & TV Production Government Healthcare House of Worship Journalism Museums & Galleries Nature & Travel Portrait & Event Security & Surveillance Wedding
How many members are in your organization? *	Select One 1-25 26-50 51-100 101-500 501-1000 1001-5000 5000+
What percentage of your organization consists of professionals? *	Select One <25% 26-50% 51-75% >75%
What is your organization's website? *
Approx. # of unique monthly visitors? *	Select One less than 999 1,000 to 4,999 5,000 to 9,999 10,000 to 24,999 25,000+

First Name: *
Last Name: *
Business Phone: *
Business Email Address: *

Describe the opportunity/event: *
If an event, how many professionals will attend? *	Select One less than 25 26 to 99 100 to 499 500 to 999 1,000 to 5,000 5000+
Canon products requested: *	Cameras Camcorders Projectors Large Format Printers Pro Photo Printers Other
How will you promote the event? *	Magazines Newsletters Website Ads Email Blasts Direct Mails Other
Dollar amount requested: *