KTGF Item Request Form

Katie Grace Foundation

Item Request Form

Date

Month

Day

Year

First name

Last name

Email

Phone

Name of Registered Nonprofit or Charitable Organization

EIN Associated with Organization

Item Request List

Date by which items are needed

I acknowledge that the requested items will be used to benefit the community and will not be resold. I confirm that I am authorized to represent my organization in making this request.

I understand that all requests will be fulfilled only after submission and confirmation of the Non-Profit Partnership Form

I want to subscribe to the newsletter.

KTGF Item Request Form