Request for Donation

Please notify us at least one week in advance of your request.

Name of Organization
Are you a non-profit group?	yes no
Where is your organization located?
Contact person:
Phone:
Email:
Will the product be:	Sold Given Away
Will there be any public advertising of the product you requested?
Describe the event:
Are you able to pick up at 94 Vernon St, Brattleboro, or will you need delivery?	Pick up Delivery
Request description:
Any other comments: