Donation Kit for 10+ Phones

Includes FedEx “free shipping” labels and instructions

Number of Phones to be Sent: *

First Name *

First Name

Last Name *

Last Name

Company

Address *

Address

Address Line 2

Address 2

City *

City

State *

State

Postal Code *

Zip Code

Phone *

Phone

Fax

Email *

Were you referred to us by a specific shelter? If so, please choose Option B and enter the organization's name, city and state.

Your "partner" shelter (who benefits from your donation). Please choose one:

Partner Shelter *

Option A: Shelter Alliance will partner you with a shelter near your hometown.

Option B: You want to partner with a specific shelter.

Note: With Option B, the shelter must be a current Shelter Alliance participant.

Organization Name

Organization City

Organization State

How did you find us?

Comments

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