Contact Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Organization Name
*
Organization Web Site / Social Media page
*
Has your organization been registered as a tax exempt 501c3 with the IRS for 24 months or more?
*
Yes
No
EIN Number
*
Have you sourced 24 pallets of product from Good360 within the last 12 months?
*
Yes
No
Truckload Delivery Address (must be a business address)
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State/Province
Zip Code/Postal
Back
Next
Total square feet of warehouse/storage
*
Do you have a loading dock?
*
Yes (48"-52")
No
Please upload a photo of your loading dock.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Do you have a forklift?
*
Yes
No
Please upload a photo of your forklift.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Do you have a pallet jack?
*
Yes
No
Please upload a photo of your pallet jack.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please upload a copy of your warehouse lease, contract, or proof of donated space
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please upload photos of the truckload unloading space, space where pallets will be stored, and the entrance to the warehouse. This helps us best assess the address you are seeking to use for truckload volume product.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Back
Next
How many individuals do you serve on a monthly basis?
*
How much volume (in pallets) of in-kind donations do you currently receive monthly?
*
What types of products are most needed in your community, that you are seeking to source from Good360?
*
Clothing
Hygiene
Home Goods
Textiles (linens, towels)
Appliances
Other
Please describe how you currently distribute in-kind donations in your community.
*
0/250
Please describe how you keep record of in-kind donations in and out of your organization.
*
0/250
Please upload a copy of your most recent 990. If you are a religious organization, please upload a 24-month profit and loss statement with signed letter from senior executive acknowledging these are correct to the best of their knowledge OR audited financials compiled by a third-party accountant.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please upload your distribution records for the past 12 months.
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: