Care - Non-profit Request Form
If you are a Moses Lake, WA non-profit or service organization in need of assistance to fulfill your mission to help those in our community let us know! Please request items 30 days in advance of an event or specific date. We will reply back if we are able or not able to assist you. Thanks for all you do for our community!
Name of non-profit or service organization:
Are you a 501(c)(3)
Yes
No
Contact Name
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
example@example.com
Phone Number
Please enter a valid phone number.
What is your need or project you need assistance with? Please be as specific as possible.
What date are items needed?
Submit
Should be Empty: