Donor Registration

DONOR REGISTRATION FORM

IN ADDITION TO FILLING OUT THE BELOW INFORMATION,
TO SIGN UP FOR EMAILS OF DONATIONS CLICK HERE

Name of Business, Organization Or Individual:

Name of Primary Contact Person:

Your Physical Address Street :

City:

State:

Zip:

Mailing Address (if different):

Phone:

Fax:

Pager/Cell:

Email:

What Item Would You Like To Donate:

Approx. Weight of Item:(required)
lbs.

Approx. Value of Item:

May this item be donated to the community at large? No tax receipt will be provided. Yes No

ITEM DESCRIPTION:
*Please note following instructions to donate multiple items.
1] Describe the item on one line including size/measurements
2] Approx. value on next line
3] Approx. weight on 3rd. line
Leave a space and repeat the same for each donation.

May item(s) be sold to support the nonprofit organizations operations:
Yes No

I will store the item for up to days before disposing of it.

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Name of Business, Organization Or Individual:
Name of Primary Contact Person:
Your Physical Address Street :
City:
State:
Zip:
Mailing Address (if different):
Phone:
Fax:
Pager/Cell:
Email:
What Item Would You Like To Donate:
Approx. Weight of Item:(required)	lbs.

Approx. Value of Item:
May this item be donated to the community at large? No tax receipt will be provided.	Yes No