In-Kind Donation Request

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Country *

Organization Type *

State/Province

Please fill out any missing organization information below.

Organization Name *

Tax ID If you know the Tax ID it will speed up the processing and verification of your request.

Alternate Name *

Doing Business As or Chapter:

Year Established *

National Taxonomy of Exempt Entities (NTEE) Code *

Mission Statement *

Org Contact First Name *

Last Name *

Title with the Organization *

Organization Address *

City *

State/Province *

Zip/Postal Code *

Primary Organization Email *

Primary Organization Phone *

Website *

Principal Individuals and Board Members *

Prefix *

First Name *

Last Name *

Email Address *

Primary Phone *

Cell/Other Phone

Title/Relationship to Organization *

Referred By (if applicable)

Referred By Email

Event/Program Name *

Short Description *

Event Start Date *

Event End Date for Multiday Events (optional)

Event Location and Address of Event * (include Street, City, State and Postal Code)

Number of Guests *

Age Range of Guests *

Classification *

Item donated will be used for *

Shipping Options

I will pick up item from George R Brown Convention Center 1001 Avenida de las Americas; Houston, TX 77010

Address to where donation should be mailed (If possible, please provide a commercial mailing address)

Address Type

Address *

City *

State/Province *

Zip/Postal Code *

Country *

Attachment

(Click on Upload File button to attach multiple documents. The files should be selected from a folder on your computer. The files will be listed under the attachment box. Files will be uploaded when you click submit. Attachments must be in one (1) of the following formats: Pdf, doc, docx, xls, xlsx. Limit the file size to less than 10MB.)

Comments

I confirm that I am 14 years or older

* Denotes required fields

This form will expire after 2 hours.

A DonationXchange account will be created and provided in the confirmation email for tracking purposes.

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In-Kind Donation Request

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