Partnership Request with PSMA
Please fill out the form below regarding your organization's information to be considered for partnership.
We will review the content and get back to you shortly with next steps.
Thank you for your interest in partnering with PSMA!
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Name of Organization: *
Organization Tax ID #:
(Or enter N/A)
 *
What year was your organization established? *
Is your organization a 501c3/nonprofit? *
Organization main email: *
Organization main phone number:

 *
Organization physical address:

 *
Your name and title/Point of Contact:

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Your email/Point of Contact email:

 *
Your phone number/Point of Contact phone number: 

 *
How did you hear about PSMA? What are you looking for in a partnership with us?

 *
How many people does your organization serve annually? In what capacity?

 *

Have you worked with PSMA before? In what capacity?

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What kind of partnership are you looking for? *
I understand that if my partnership is approved:
-I may only place up to two orders a month for the SAME client/individual. (Multiple orders from the same organization but for different clients are accepted.)
-I cannot add to my order at the time of my order pick up; I must place another order if I require additional supplies.
-I will not arrive at the distribution center to pick up my order until after a PSMA representative has called and confirmed it is ready.
-We ask that clients/partner nonprofits picking up their supplies do not enter our distribution center and "hand-select" items they would like. Much of our inventory is already sectioned out for other orders, has yet to be cleaned/repaired, or is not yet categorized. 
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