90 Duval Rd. Rt 2 @ Exit 34
Lancaster, MA 01523
Phone: (978) 537-4010

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Donation Request

Please fill out and submit this form to request a donation for your non-profit.

Your Name*
Email
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Name of Organization*
Please enter the name of the organization that will benefit from this donation.
Tell us about the organization.
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Raffle or auction item, participation prize, recognition, etc.
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If "I will pick it up." is selected, we will call you when the item is ready for pick up.
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Donation Request

Please fill out and submit this form to request a donation for your non-profit.

Your Name*
Email
Phone
Name of Organization*
Please enter the name of the organization that will benefit from this donation.
Tell us about the organization.
How will the donation be used?*
Raffle or auction item, participation prize, recognition, etc.
How many items are being requested?
Date Needed By
Date Format: MM slash DD slash YYYY
How would you like to receive the donation?*
If "I will pick it up." is selected, we will call you when the item is ready for pick up.
Address
Street Address Address Line 2 City State ZIP Code
Please enter the address you would like the donation to be mailed to.

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