The Hometown Foundation, Inc.

HungerLESS Holidays Request Form

Please fill out this form by Friday, October 24. You will hear no later than Friday, October 31 if your request is approved.

Name of Organization*

Website (If applicable)

Is your organization a tax-exempt organization?

Yes
No

If yes, please provide EIN

Organization Contact

First Name*

Last Name*

Email*

Phone Number*

Organization Address

Street*

City*

State*

Zipcode*

Social Media (If applicable)

Facebook Page

Instagram Page

YouTube Page

Donation Request

Number of Turkeys Requesting*

Is there any other product your organization can utilize?

Yes
No

(ie. potatoes, canned vegetables, non-perishables, etc)

If yes, please list items needed and quantities. (Please be specific and include desired quantities)

Please select your desired pick-up location if donation is approved.*

Upon approval, you will choose your donation location and date.

Towns and locations are subject to change as our program date approaches. Organizations can change pick-up locations after selection if needed. All organizations must provide transportation for pick-up, if you have any questions please contact us

What population does your organization service?*

Where community does your organization service? (Towns and States)

Is your organization donating to individuals directly or cooking meals for a group?

Please describe what the donation will be used for.

Has your organization received a donation from us in the past?

Yes
No

If yes, please provide when and what the donation received included.

If your request has increased please explain the reason for that increase.

Is your organization interested in receiving information about discounted product purchasing year-round from our partnering organization, Stock Up Express?

Yes
No

HungerLESS Holidays Request Form

HungerLESS Holidays Request Form

Organization Contact

Organization Address

Social Media (If applicable)

Donation Request

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HungerLESS Holidays Request Form

HungerLESS Holidays Request Form

Organization Contact

Organization Address

Social Media (If applicable)

Donation Request

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