Donation Request Form

Please Read Before Submitting Request

We make every attempt to fulfill requested donations*.

However, due to the high demand of requests, we limit our focus to the following areas: Diabetes, Play-Based Eduaction & Local Schools

We require at least 30 days notice of requested donation.

*At this time we are not fulfilling cash donation requests.

Organization Name:*
Your Name:*
Organization Address:
Contact E-mail:*
Contact Phone Number:
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Describe your donation Request:*