Exit this survey Requesting Donations Survey We Look Forward to Helping Your Organization! Question Title * 1. Please enter your contact information below. We may have chapter members (volunteers) or other contacts currently that can assist you so we want to find the best fit for your organization. Name: * Company: Address: * Address 2: City/Town: * State: * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code: * Country: * Email Address: Phone Number: * Question Title * 2. Are you looking for regular monthly donations or a one-time donation? Regular monthly donation One-time donation Other Question Title * 3. Can you accept gently used items that have been washed before donating? Yes No Question Title * 4. What types of items are you interested in receiving? Stuffed animals Books Blankets Children's clothes Baby items Other (please specify) Question Title * 5. Lastly, if you have any other important information about your organization we would need to know, please list it here, we will be in touch! Done
