Your Donation! | smallbean

First Name: *

Last Name: *

Company or Organization Name:

Email: *

Phone Number:

Street Address: *

Address 2:

City: *

State: *

Postal / Zip Code: *

Country:

What gadget(s) do you have to donate?: *

Laptop

MP3 Player

Digital Camera

Other types of electronics

For each gadget you have available, please describe the item, its condition, and the quantity available (if possible).: *

Are you able to ship or transport your donation to the Smallbean offices in Boston? If you're in the Boston area, Smallbean is happy to arrange a free pick-up. If you're not in Boston, we can make other arrangements. :

Is this donation time sensitive? If so, when must the goods be donated?:

Would you like to receive a receipt for this donation with Smallbean tax information? If so, please provide the name and address for the contact who should receive this receipt.

Name:

Street Address:

Address 2:

City:

State:

Postal / Zip Code:

Country:

Would you be interested in participating in a Smallbean volunteer event, such as helping us prepare our clusters for departure or helping us plan an upcoming fundraising event in your neighborhood? Do you have any specialized skills that you'd like to lend to Smallbean? We love people with talent.:

How did you hear about Smallbean?: