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* 1. What is your first and last name?

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* 2. Donor company name

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* 3. Mailing Address

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* 4. Company Address (if different)

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* 5. Email 

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* 6. Phone number

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* 7. Description of item or service donated:

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* 8. Approx. retail value:

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* 9. How would you like us to obtain this item?

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* 10. Is there anything else we should know or any questions you have?

0 of 10 answered
 

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