JiLLy's Donation Request Form

JiLLy's Donation Request Form
Tell Us About Your Organization or Event
Name of Organization or Event: *
Contact Name: *

First Name Last Name
Contact Phone Number: *

Area Code Phone Number
Email: *
example@example.com
Brief Description of Organization or Event: *
Has JiLLy's donated to you before? If yes, when? *
Information About Requested Donation
Date of Event: *

Month Day Year
Date
Type of donation requested: *
Purpose of donation: *
:Deadline for donation *
Name and phone number of person picking up donation (if applicable): *
Attach 501(c) form

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Cancel of
We review all donation requests on a case by case basis. Due to the high demand of requests we may not be able to participate in each request. If you have any questions please don't hesitate to call us at 609-385-1234.
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Tell Us About Your Organization or Event