Hometown Arcade - Donation Form

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Please fill out this form and submit for donation requests. Due to the volume of donation requests we receive, all requests need to be requested via this form. Thank you!

Email *

Name of Organization *

Is your organization a registered non-profit
*

Yes

What is your organization's tax ID number? *

Website *

Phone *

Relevant Hometown location *

Bloomfield, New Jersey

Northampton, Massachusetts

Norwood, Massachusetts

What would you like Hometown Arcade to donate to your organization? *

Has your organization previously received a donation from Hometown Arcade? *

Yes

What is the mission of your organization? *

When was your organization founded? *

How will the donation be used, and why is the donation beneficial to your organization? *

What date will the donation be needed by? *

YYYY

Will someone from your organization be available to pickup the donation? *

Yes

Submit

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