Donation Entry Form Page Fill out and Submit this form ONLY if you are in the WNY Area: Name* First Last Name of Organization, Group or Charity* Choose one:* Group Organization Charity School Other Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Website Email* PhoneWhat Kind of Donation are you looking for?*Date Need by:* MM slash DD slash YYYY Supporting Document(s) - Flyer, Letter, etc.:* Drop files here or Select files Max. file size: 5 MB, Max. files: 2. CAPTCHA
