United Way Days of Caring Donation

Contact Information
Name*
First Last
Business (if applicable):

Business Website (if applicable):

Phone*
Email*

Address*
Street Address City State / Province / Region ZIP / Postal Code Country

Item Information
Item: Retail Value:*

Expiration Date (if applicable):

Description:*
Item Collection (select one)*

Item is included with this form

I will mail or deliver item(s) to a Ben’s Bells Project studio

Please contact me to arrange pick up of item(s)

Other
If you selected other, please explain:

If mailing or delivering item, which studio will receive your item?

Ben’s Bells Downtown Tucson at 40 W. Broadway Blvd., Tucson, AZ 8570

Ben’s Bells Phoenix Studio at 918 N. 2nd St., Phoenix, AZ 85004

Ben’s Bells Connecticut Studio at32 Stony Hill Rd., Bethel, CT 06801
Email
This field is for validation purposes and should be left unchanged.

Δ

Ben’s Bells Project is a 501(c)(3) non-profit. Donated items are tax-deductible to the extent allowed by law.

Please consult your accountant for details. Tax ID 76-0779755.