Donation Order Request

If you're interested in requesting items for a donation, please fill out the information below and we'll email you shortly. Our goal is to respond to each request within 3 to 5 business days. We appreciate your patience!

While the donated items are free, we do ask that customers provide a credit card to cover the cost of shipping. Alternatively, you can provide a UPS or FedEx shipping number.

Upon receiving your form, we will reach out to you for the following information:

Credit card number
Expiration date
Billing address (if different than shipping)

Completion of this form does not guarantee a donation.

* Required Field

First Name *

Last Name *

Email Address *

Phone Number *

Shipping Address Line 1 *

Shipping Address Line 2

City *

State *

Zip Code *

Company/Organization Name *

Website *

Purpose of the donation *

Are you (or requesting on behalf of) an existing Compendium customer? *

Yes

Specific products or product category desired (if known) *

Number of items desired (provide a range of acceptable quantities) *

Date needed by (allow for possible shipping delays) *

Do you need a shipping cost estimate? *

Yes

Alternate shipper number with UPS or FedEx (or we can charge your credit card)

Best time to contact you for a credit card number *

Notes Field