Material & Equipment Donation
Please fill the form in order to help us channel your material/service donation.
Point of Contact - Full Name *
First Name and Last Name
Your answer
Organization Type *
Please select the category that apply.
Name of Organization
(if apply), individual type: N/A
Your answer
Phone *
Please type your phone number using this format (XXX) - XXX - XXXX
Your answer
E-mail *
Please type your email address.
Your answer
Categories of Donation *
Detailed Description of Donation/Cargo
Please be precise. Example: "Water bottles", "1 Container Empty", "Satellite radios'", etc.
Your answer
Location of Donation/Cargo *
Example: "1 South Drive, Orlando, FL"
Your answer
Zip Code for the Location of the Goods/Service *
Your answer
In Stock *
(if apply: Inventoried, pallets, etc)
Donation needs Transportation/Logistics *
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