In-Kind Donation Submission Form

Donation Items Submission Form

Please complete this form so that we can compile an e-bulletin through our Volunteer Portal Platform to send to our nonprofit network of 7,200 users.
Full Name*

First NameLast Name
E-mail*
example@example.com
Organization*
Phone Number*
On-Site Point of Contact Name*

First NameLast Name
On-Site P.O.C. Email*
example@example.com
On-Site P.O.C. Phone Number*
Please enter a valid phone number.
Address for Pickup*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
List of Donation Items (please include the total amount for each item)*
Days/Times Items can be Picked Up*
Latest Date Items can be Picked Up

MonthDayYear
Date
Any special Accommodations or Notes
Photos of the Items

Cancelof
Should be Empty: