First Name *

Last Name *

Phone *

Email *

I am giving as

Individual or Family

Business

Church or Organization

Business or Organization Name

What would you like to donate? Pick all that apply.

Prepared Food

Gift Basket

Household essentials

Other

Describe the Items and quantities. *

Does any of it need refrigeration?

Yes

How will it get to us? *

I will drop it off

I need a pickup

When will it be ready?

Estimated Value (optional, for your acknowledgement letter)

Address *

Pick up Address

City

Postal Code

By checking this box, I consent to receive non-marketing text messages from Destiny Foundation about your donation. Message frequency varies, message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

By checking this box, I consent to receive marketing and promotional messages including special offers, discounts, new product updates among others, from Destiny Foundation at the phone number provided. Frequency may vary. Message & data rates may apply. Text HELP for assistance, reply STOP to opt out.