Non-Profit Donation Request Form
If you are requesting any kind of charitable donation from the Last Resort, we ask that you please complete the following form. If you have any questions or need assistance with completing this form, please contact jamshadz@msn.com.
Email address *
What is your name? *
Your answer
What is the name of your organization?
Your answer
Please briefly describe the mission of your organization.
Your answer
Please describe the event for which you are requesting a donation?
Your answer
When is this event?
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DD
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YYYY
What kind of donation items are you requesting from the Last Resort?
Please be sure to include the desired quantity of the item(s) you are requesting.
Your answer
When would you be picking up the donation if approved?
MM
/
DD
/
YYYY
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