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Donation of Goods & Services
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* Indicates required question
501(c)(3)
Please indicate the purpose of this form:
*
Clairz Kids, Inc. as a Mentor
Clairz Kids, Inc. as a Mentee
Clairz Kids, Inc. as a Volunteer
Clairz Kids, Inc. Partnership
Clairz Kids, Inc. Literacy/Intervention Programs (i.e. GED, tutoring, etc.)
Clairz Kids, Inc. Tech Program
Clairz Kids, Inc. Summer S.T.E.M Camp
Clairz Kids, Inc. Cart & Closet (Request/Donation)
Clairz Kids, Inc. Nutritional Resources (Childhood Obesity/Diabetes)
Other:
Participant's full name
*
Your answer
Address
*
Your answer
Primary Contact Number
*
Your answer
Best time to contact
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Morning
Afternoon
Evening
Email
*
Your answer
Thank you for completing the Donation of Goods & Services form. Someone from our staff will contact you within 24 hours of your request/response.
Again, we appreciate you.
Sincerely,
Clairz Kids, Inc.
*If you indicated "other" above, please indicate response below.
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