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Donation Request Form
After completing this request form, you will be contacted by personnel to discuss the details of your donation.
If you have questions or request for additional information, please contact us at (512) 588-3321 or
info@mission-accomplished.org
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* Indicates required question
Email
*
Your email
Today's Date
MM
/
DD
/
YYYY
Your Name
*
Your answer
Phone Number
*
Your answer
Name of Organization
*
Your answer
Address
*
Your answer
Is the organization a 501(c)(3)?
Option 1
Clear selection
If yes, please provide the organizations EIN
Your answer
Your role within the organization
*
Your answer
Has this organization received donations from Mission Accomplished in the past?
*
Choose
Yes
No
Who will this donation be distributed to?
*
Your answer
What is the frequency of the donation you are requesting?
*
Choose
One-time Donation
Re-occurring Donation
What item(s) are you requesting?
*
Laundry Supplies (Detergent, fabric sheets)
Toiletries (Toothbrush, toothpaste, dental floss, toilet tissue)
Hygiene Products (Deodorant, soap, lotion, shampoo, conditioner)
Hand Sanitizer
Bus Passes
Clothes (see next questions)
Other:
Required
If donating clothes, what type of clothing?
Men
Women
Boys
Girls
Please be specific on clothing sizes.
Please give details on clothing sizes.
Your answer
What is the quantity needed for this donation?
*
Your answer
Date needed by:
*
MM
/
DD
/
YYYY
How is recognition given to donors?
*
Your answer
Send me a copy of my responses.
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