Alcoa in Suriname
Request a Grant 
Donation Application Form
Please complete the following form and click below to submit it.
If you wish to send a form by post,
download and print and return it to the

Chief Public Relations and Communications , Suralco L.L.C.
faxnr: 0323004, e-mail: suralco.llc@alcoa.com or PO Box 1810 Paramaribo- Suriname


Note: Please refer to the notes to enable you to complete this form correctly.

*Name of Organization

*Postal Address

*Is your organization incorporated?
Yes    No   
*Where is your organization located?

*Applicant's Name

*
Position

*Phone

*After-hours phone

*Donation Sought

*Needed by (date)

*End Use


*Check the box to accept our privacy agreement
By submitting this request I hereby consent to the transfer of my personal data supplied above to Alcoa Inc and all its controlled entities in the United States of America and elsewhere (Alcoa) and to the processing of such data for the purpose of answering my request. Alcoa shall use the information supplied solely for the purpose of answering the request and shall store the data for as long as is strictly necessary to be able to complete the request. I confirm that I am fully informed of the reasons for processing and transfer of my personal data and I am aware of all my rights regarding such personal information and all applicable laws. If at any time hereafter I decide that I want to withdraw my consent given above I shall contact Alcoa to inform them of this decision. I also have the right to have any incorrect information which is stored by Alcoa rectified.

In making this application for donation to Suralco L.L.C. I agree, as or on behalf of the applicant, that the funds requested will only be used for the purpose described, and that if the funds are not so used, they will be returned immediately to Suralco. I further agree that as or on behalf of the applicant I will ensure that the elements are achieved.

By clicking "Continue," I acknowledge that I have read and understand the statements set forth above and agree to be legally bound by them.


*Required
Explanatory Notes


View or print notes that are designed to help you complete the details needed on your donation application form.
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Grant Application by mail


To apply by mail, download a form and follow the directions.
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