Request a Material Donation for Your Organization

Organization Name*:
Description of your organization:
Is your organization a 501(c)(3) nonprofit organization?*:
Primary Contact Name*:
Primary Phone*:
Primary Email:
Address*:
Date(s) of project:
Did your organization provide a budget for this project? If so, how much? *:
Description of your project:
Description of expected community benefits:
What type of donation would you like to receive?:
If "Other" Please explain:
If asking for credit, what kind of materials will you be looking for?:
To help SCRAP document the community benefits of its donation and promote reuse projects, we ask donation recipient to provide a very brief report, ideally with photos we can use. are you willing to submit this report? *: