To be considered for a charitable donation, please complete the form below.
The Beauty Initiative Inc.
Hygiene Donation Request Form
Organization Name
Street address:
Street address line 2:
City:
State:
Please Select
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
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PA
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Zip code:
Contact Person
First name:
*
Last name:
*
Phone number:
*
Please include area code
Email:
*
Best time to reach you?
*
Morning
Afternoon
Evening
Anytime
What is the best way to reach you?
*
Email
Telephone
Both
Have you applied for a TBI Donation for your organization in the past?
Yes
No
If so, when?
-
Month
-
Day
Year
Date
Are you a 501c3 (tax deductible) organization?
Yes
No
Please share your EIN number
Please upload your tax exempt determination letter
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Please share your organization's mission and purpose.
Tell us how the The Beauty Initiative Inc. may help you....
*
Description of need
What will this donation be used for?
If given a donation, are you willing to recognize The Beauty Initiative for the donation? If you agree please type, AGREE or DISAGREE.
What items are you in need of?
Sanitary pads
Tampons
Pantyliners
Feminine Wipes
Hygiene Kits
Other
How many of the particular items are you in need of?
*
Who will these donations benefit?
When do you need to receive the donation?
-
Month
-
Day
Year
Date Picker Icon
Would you be willing to provide photos or a short story regarding the outcome of TBI’s donation for use on our social media and to share with our supporters?
Yes
No
ALL ITEMS WILL NEED TO BE PICKED UP FROM OUR LOCATION IN FORT LAUDERDALE.
Note: The Donation Request Forms are sent to the TBI Committee who meet monthly to review submitted donation requests.
Final decisions will be sent via email.
Signature
Please verify that you are human
*
SUBMIT FORM
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