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Donation Request Form

Any group requesting a donation will need to fill out the donation request form below. All donations must be picked up and will not be mailed. We will respond to you by email or phone if we can donate to your cause and when the donation would be available for pick up.

Name

First Name

Last Name

Group/Organization Name

Phone

(###)

###

####

Tax ID Number

Date

Date you need the donation by.

YYYY

Message