Donation Drop-Off Form

Name

I wish to remain anonymous I wish to remain anonymous (gift will not be acknowledged)

I am donating as: I am donating as: an individual or household a business/organization

Business/Organization

I'd like to get the newsletter: I'd like to get the newsletter: via email only via mail only via email and mail I already get the newsletter I prefer NOT to get the newsletter

Email Address

Mailing Address

City

State

Zip code

Donation Designated for Donation Designated for New Beginnings' most pressing need Specific Program/Event

Program/Event

Description of Donated Goods