Host A Bin

Thank you for your interest in Hosting a Bin with us! Please complete the below form and we will be in touch to move forward.

Organization Name *

E-mail *

Phone Number *

Tax ID (EIN) # *

Please make sure the number format is [00-0000000]

Main Contact / Requestor

First Name *

Last Name *

Do you have approval to place a donation bin on your property? *

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Street Address *

Street Address Line 2

City *

State / Province *

Postal / Zip Code *

Website *

Did someone refer you? *

Is this your first time working with Donate 2 Impact? *

YESNONot Sure

Please write the mission or tagline you would like on the design of the bin *

What is your audience size? *

Marketing your fundraiser is important, and we love to help get the word out there. This helps know the best way to help you market your fundraiser.

Organization PNG or JPG Logo *

No files selected

JPG, PNG only · Max 5MB per file · Up to 3 files

Please upload a map or screenshot of where the bin will be placed on site *

We require that all bins be placed in the parking lot with visibility from a high traffic main road.

No files selected

JPG, PNG only · Max 5MB per file · Up to 3 files