Register Your Agency
Please provide all required details to register your agency with us
Agency Name
*
Agency Website
*
*If Applicable
Name
*
First Name
Last Name
Title
*
E-mail
*
Phone Number
*
-
Area Code
Phone Number
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Are you a 501©(3) tax-exempt organization?
Yes
No
Please provide your Agency's 501©(3) tax-exempt number
Please provide a brief description of your agency's mission, services and clientele.
Please provide a high quality file of you logo (PNG or JPG)
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Contact for donation drop off
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Address for donation drop off
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Drop off times and instructions
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Please provide a description on how donations impact your Agency.
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On the following entries, please provide a list of your Agency's needs.
Be specific and list any sizes, quantity or quality (new or used) requirements. The following are the current categories on MTNS's site. Use them as a general guideline but list the specific needs within the categories and don't hesitate to request something outside the categories provided: *Please Feel free to leave any categories blank that don't apply to your Agency.
ART, CRAFT, AND SCHOOL SUPPLIES
BED & BATH
CLOTHING & ACCESSORIES
ELECTRONICS
FURNITURE & APPLIANCES
GROCERIES
HOME & DECOR
KITCHEN & DINING
LAWN & OUTDOORS
LUGGAGE & TRAVEL
MISCELLANEOUS
MOVIES, GAMES, MUSIC
OFFICE SUPPLIES
PAPER PRODUCTS & CLEANING SUPPLIES
PERSONAL CARE & HYGIENE
PETS/ANIMALS
SPORTS EQUIPMENT
TOOLS
TOYS
VEHICLE/SAFETY
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Meet the Need Siouxland, Inc. is eager to support your Agency in any way possible.
For this reason, the site includes an opportunities for Agency Highlights as well as Urgent Need Highlights. If you now, or in the future, are in critical need of specific items, please let us know and we will feature your need on the website. If you would like to be considered for an Agency Highlight brief article, please let us know. Urgent needs and agency highlights MAY (but are not guaranteed to) be posted on MTNS website as well as in MTNS social media and/or monthly newsletters.
I would like to be contacted regarding an Agency Highlight article for my agency.
Yes
No
I would like the following Urgent Need to be highlighted on your website.
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By initialing, the Agency guarantees that any image or likeness of individuals provided by the Agency are done so with the (initial) full knowledge and permission of the owner of said materials and individuals depicted within.
*
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Signature
*
Print Name
*
First Name
Last Name
Title
*
Please verify that you are human
*
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