Donation Request

Donation Request

Please complete and submit this form so that we may learn more about your organization and the request you're making.

Email

example@example.com

Nonprofit Organization Name:

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

EIN

Point of Contact

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email Address

example@example.com

Organization's Website

Instagram Handles

Facebook Handles

Please tell us about your organization’s purpose/mission,

What are the requested items for donation:

What does the organization intended use of the donation?

When would you like to pick up the requested donation? Date

Date

When would you like to pick up the requested donation? Time

Hour Minutes

AM/PM Option

Donation Request Acknowledgment: Please plan ahead for your request. Donation submissions are reviewed weekly on Wednesdays. A follow up email confirming your submission and asking any clarifying questions will be sent by the following Friday. Once donations are approve, a confirmation email will be sent to the email provided. Please check the box confirming you read and understand the "Donation Request Acknowledgment."

Please verify that you are human