WJRC Donation Form

WJRC Donation Form

Provide your contact information and the items you wish to donate.
Name*

First NameLast Name
Organization
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Preferred Method of Contact*

EmailPhoneWhatsApp
Is This an Individual or Organizational Donation?*

Individual DonationOrganization Donation
Drop-Off or Pick-Up Preference*

I will drop off the itemsI need assistance with pickup
Tell us your story...
What's your personal connection to this event? What motivated you to give?

Acknowledgment*

I confirm that the items I listed are accurate and will be ready for drop-off or pickup as indicated.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Should be Empty: