Language
English (US)
Spanish (Latin America)
Host A Bin
Thank you for interest in Hosting a Bin with us! Please complete the below form and we will be in touch to move forward.
Organization Name
*
E-mail
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Tax ID (EIN) #
*
Please make sure the number format is [00-0000000]
Main Contact/Requestor:
*
First Name
Last Name
Do you have approval to place a donation bin on your property?
*
Address (This is address where the bin will be located):
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Mailing Address:
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
WEBSITE
*
Did someone refer you?
*
Please Select
Yes
No
Who referred you?
*
If not applicable please type "N/A"
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About Your Organization
Is this your first time working with Donate 2 Impact?
*
YES
NO
Not Sure
Please write the mission or tagline you would like on the design of the bin:
*
What is your audience size?
*
Marketing your fundraiser is important, and we love to help get the word out there. This helps know the best way to help you market your fundraiser.
Organization PNG. or JPG. LOGO:
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Please upload a map or screenshot of where the bin will be placed on site:
*
Browse Files
Drag and drop files here
Choose a file
We require that all bins be placed in the parking lot with visibility from a high traffic main road.
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of
Submit
Should be Empty: