Request for In-kind Donations

Requests submitted by the end of the month are reviewed and processed by the end of the following month. Incomplete forms will not be considered.

Your Name *

Email *

Organization Name *

Is this a fundraiser? *

Yes

Date of fundraiser or event *

Location of fundraiser or event *

Website (if applicable)

What are you asking for? *

Who benefits? *

How will the donation be used? *

Return mailing address for receipt of donation if approved

Apt, suite, etc.

Country

City

State

Zip code

Additional information

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