Donation Request Form

Donation Request Form
Organization Details

Tell us a bit about your organization and your needs
Contact Name *

First Name Last Name
Email *
example@example.com
Organization Name *
Are you a 501(c)(3)?

Yes No
Event
Event Start Date

Month Day Year
Date
Event End Date

Month Day Year
Date
Donated Items Used For: *
What Media are you Interested In? *

Acrylic Colored Pencil Drawing Oil Pastel Ink Marker Spray Paint
Is there a dollar value required?

No
Please provide an address to where you'd like your donation shipped (no po boxes) *

Street Address

Street Address Line 2

City State

Zip Code Country
Social Media Sharing

We reserve the right to choose which events go into our social media posting schedule. If you do not give us permission to share information about your event, it will not be considered for potential social media content.
Do you give Chartpak permission to share your event through social media? *

Yes No
Please give us a brief description about your event that you'd like for us to include on our social media platforms.
Upload up to three images representing your event.

Browse Files
Preferred file format is jpg at 72 DPI, RGB. Optimal size is 450 x 235 pixels. Cancel of
Tell us where you're active
Facebook
Instagram
YouTube
Web Address
Other
Office Use Only
Order Number
Tracking Number
Items Donated
List by Part Number and Description
MSRP Value for Total Donation

MSRP Value By Brand