Vibrant Health Donation Request
Please note: All donation requests must be made through this form at least two weeks in advance. No phone calls or emails, please. If approved, we will contact you to arrange pickup or delivery. Due to the large number of requests we receive, we are unable to respond to each request.
Contact name *
Organization name
Email *
Phone number *
Address
Event name *
Number of Attendees *
Event date
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Date donation needed by
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Event location
Brief description of event
What item(s) and in what quantity are you requesting for donation? *
Shipping address for the donation *
Additional questions or comments
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