Organizations Accepting Donations Form

If you would like to have your organization included in our list of Organizations Accepting Donations, please fill out the following information. If you have any questions, please contact us at civic@dolphin.upenn.edu

1. Organization Information:

Name of Organization

Address Phone Number

Website

Contact Person

Email of Contact Person

2. Drop off or Pick-up Status and Location: (Please check all that apply)

Drop-Off Pick-Up

Drop off Location:

Same as above or Other:

3. Items Accepted:
(Check all that apply. Please provide a detailed description of the specific items accepted for each category.)

Clothing:

Electronics:

Furniture:

Toys:

Foods:

Household Supplies:

Household Appliances:

Books:

Other:

4. Comments:

5. Code Validation:
  82593   
Please verify the 5 digit numeric code.