Musical Empowerment Instrument Donation Form
Thank you for donating to Musical Empowerment! A copy of this form will be emailed to you and will serve as a donation receipt. Our staff will reach out within 1-2 business days to coordinate a pickup time.

Musical Empowerment is a nonprofit 501c3 with EIN: 45-4589282

Instrument donation policy: https://docs.google.com/document/d/1cjoO6L5RTRuYz0ziLNh8Eh1a6B2aUB0p9AVtseZFh1Y/edit?usp=sharing 
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Email *
Date *
MM
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DD
/
YYYY
First Name *
Last Name *
Phone Number *
Mailing Street Address
City
State
Zip
What are you donating?
Please describe what you're donating - instrument condition and brand names, book titles, etc.
The estimated total monetary value of the donation (number only, no money $ and no text) - give us your best guess please!! *
In general, where are you or the instruments located so we can estimate a dropoff/pickup location that is convenient.  Include City, Zip
A copy of your responses will be emailed to the address you provided.
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