Equipment Donation Form - Responders On A Mission Int'l Inc.

Phone number *

Department/Company affiliation *

Are you authorized to make a donation on behalf of the above department? *

City/State of items to be donated *

Please provide a description of the equipment & quantities *

Do you require a receipt for tax purposes? *

Any photos of the items?

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Add up to 5 files. Maximum file size 10 MB.

Thank You!

One of our team members will contact you regarding your donation.