Nonprofit Supply Order Form

Nonprofit Supply Order Form
Request supplies for your nonprofit organization. Please complete all fields to ensure prompt processing of your order.
Organization Name
Contact Person Full Name
First NameLast Name
Contact Email Address
example@example.com
Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Organization Address (Shipping Address)
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Type of Organization
Proof of Nonprofit Status (Upload Document)
Cancelof
Please select the supplies you wish to order
Sort By
Name: A to Z
Name: Z to A
Price: Low to High
Price: High to Low
Clear Sort
prevnext( X )
Nonperishable Food Kit
Assorted canned and packaged foods for distribution
$35.00Quantity

Hygiene Kit
Soap, toothpaste, toothbrush, and basic hygiene items
$20.00Quantity

School Supplies Set
Notebooks, pencils, pens, and basic classroom materials
$18.00Quantity

Blankets
Warm blankets for individuals or families in need
$15.00Quantity

Cleaning Supplies Pack
Disinfectants, gloves, and cleaning materials
$22.00Quantity

Total
$0.00
Preferred Delivery Date
MonthDayYear
Date
Intended Use or Beneficiaries (e.g., food pantry, shelter, school program)
Additional Instructions or Notes
Should be Empty: