REGISTRATION FORM

Social Workers and other representatives of certified nonprofit organizations are eligible to receive items from Community Giving Tree for their clients.

To register to receive donations, provide the following information about yourself and the agency you represent. Please do not visit the Giving Center for distribution until we contact you about your registration. Thank you.

* = Required

Your Name:*

Agency Name:*

Office Location:*

Cities/Towns Served:*

Number of Clients You're Currently Serving:*

Your Email Address:*

Your Phone Number:*

Alternate Phone Number:

Any Comments:

2+2=?  * Required to prevent spam

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