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Hometown Arcade - Donation Form
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!
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* Indicates required question
Email
*
Your email
Name of Organization
*
Your answer
Is your organization a registered non-profit
*
Yes
No
What is your organization's tax ID number?
*
Your answer
Website
*
Your answer
Phone
*
Your answer
Relevant Hometown location
*
Bloomfield, New Jersey
Northampton, Massachusetts
Norwood, Massachusetts
What would you like Hometown Arcade to donate to your organization?
*
Your answer
Has your organization previously received a donation from Hometown Arcade?
*
Yes
No
What is the mission of your organization?
*
Your answer
When was your organization founded?
*
Your answer
How will the donation be used, and why is the donation beneficial to your organization?
*
Your answer
What date will the donation be needed by?
*
MM
/
DD
/
YYYY
Will someone from your organization be available to pickup the donation?
*
Yes
No
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