Outreach Request Form

Outreach Request

  • We believe in “Enriching Our Community” and want to recognize what you and your organization are doing in Brevard County. We know there are many worthy charities and causes that depend on contributions to continue their amazing work. Please understand that our resources are limited and that we will do our very best to honor your request. We ask these questions: A. Is your organization nonprofit? B. Does your organization “Enrich Our Community”? C. Is this a local organization? Thank you for reading and filling out this request form. We appreciate your time, it will help us to make an informed decision!
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  • Your Organization
  • Max. file size: 50 MB.
  • The Donation
  • Donation Details We will provide speci c information as to where donated product will be available for pick-up.
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