Disaster Relief Application
Professional Speakers Benefit Fund
Art Berg Fund Grant
Professional Speaker Benefit Fund Application
Please provide the following information:
Address (where the relief check should be sent):
For payments to individuals, the IRS does require us to collect the Social Security number for report and audit purposes.
Social Security Number:
What is your current situation?
(250 word limit). If additional space is needed, you can attach a Word document after you click submit.
- denotes required fields
National Press Building
529 14th Street NW, Suite 1280
Washington, DC 20045 USA