Product Needs for Nonprofit Organizations Involved in Disaster Response

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* 1. Organization Name and/or Federal ID (EIN) Number:

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* 2. Are you a current Good360 member nonprofit?

Yes

Not sure

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* 3. Contact Information

Name

Title

E-mail

Phone Number

Website

City

State

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* 4. Please select all the products that your organization needs to help respond to the current disasters.

Household goods (ie. linens, kitchenware,blankets)

Health care (ie. bandages, bath supplies)

Personal care & hygiene (ie. skin care, lotion, soap, shampoo, deodorant)

Clothing & footwear (for men and women)

Items for children/infants (clothing, diapers)

Building supplies

Cleaning supplies (ie. bleach, disinfectant, mops, buckets)

Paper products (ie. cups, plates, toilet paper, paper towels)

Office supplies (ie. pens, pencils, notebooks)

Computers & software (ie laptops, servers)

Sporting goods

Toys

Other (please specify)

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* 5. How many individuals do you expect to serve during the disaster response?

1 to 50

51 to 100

101 to 500

501 to 1,000

1,001 to 5,000

More than 5,000

Other (please specify)

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* 6. What type of disaster is your organization responding to?

Flooding

Tornado

Hurricane

Wildfire

Man-made

Other (please specify)

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* 7. Where (City, State) are you assisting in disaster recovery?

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* 8. Please list any nonprofit organizations you are partnering with on disaster response.

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* 9. How much storage space (square footage) do you have available to accept donations?

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* 10. Do you have a loading dock at your ship-to location?

Yes

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* 11. Do you have a forklift or a pallet jack at your ship-to location?

Forklift

Pallet Jack

Both

Neither

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* 1. Organization Name and/or Federal ID (EIN) Number:

Question Title

* 2. Are you a current Good360 member nonprofit?

Question Title

* 3. Contact Information

Question Title

* 4. Please select all the products that your organization needs to help respond to the current disasters.

Question Title

* 5. How many individuals do you expect to serve during the disaster response?

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* 6. What type of disaster is your organization responding to?

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* 7. Where (City, State) are you assisting in disaster recovery?

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* 8. Please list any nonprofit organizations you are partnering with on disaster response.

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* 9. How much storage space (square footage) do you have available to accept donations?

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* 10. Do you have a loading dock at your ship-to location?

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* 11. Do you have a forklift or a pallet jack at your ship-to location?

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* 12. Additional comments: