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Merchandise Donation Form

Fields labeled with an asterisk(*) are required

First Name*
Last Name*
Company Name
Address*
Address 2
City*
State/Province*
Zip/Postal Code*
Country
Telephone
Fax
Email*
Website
CEO
   
Description
Contribution
(check all that apply)

Accessories
Apparel
Books
Juvenile Products
Shoes
Toys
Other

Estmated Quantity
i.e., 100 items or 2 cartons
items
cartons
pallets
sizes
Product Condition
i.e., new or samples
Seasonal Spring
Summer
Winter
Fall
   
* This product is in compliance with all applicable health and safety laws, rules, regulations, standards and requirements, including but not limited to the Consumer Product Safety Act, the Flammable Fabrics Act, and the Federal Hazardous Substances Act.
* This product is not included in any voluntary or mandatory recalls.
* I agree to notify K.I.D.S. immediately if this product becomes subject to a
voluntary or mandatory recall in the future.
   
Retail Value: $
  (Information must be provided to ensure tax credit)

Click here to download our Product Donation Form in PDF format.
 
Kids In Distressed Situations, Inc. | 112 West 34th Street, Suite 1133 | New York, NY 10120 | 212.279.5493
K.I.D.S. is tax-exempt charitable organization under Section 501(c)(3) of the Internal Revenue Service code.