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Equipment Donation Form
Please fill out the form and someone from our team will contact you.
Your name
*
Last name
Email address
*
Phone number
*
Phone type
Mobile
Home
Work
Other
Department/Company affiliation
*
Are you authorized to make a donation on behalf of the above department?
*
Select…
Yes
No
I need to clear it with the Command Staff
City/State of items to be donated
*
Please provide a description of the equipment & quantities
*
Do you require a receipt for tax purposes?
*
Select…
Yes
No
Any photos of the items?
Choose files…
No files currently selected
Add up to 5 files.
Maximum file size 10 MB.
Thank You!
One of our team members will contact you regarding your donation.
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