The KenMat Foundation - Printer Friendly Page (Fax to 1-888-871-5597)

We pick-up donations Monday - Friday

Please select only 1 of the 3 choices below:

I am not ready to donate now, but have someone contact me about future donations.

I am ready to donate, but I would like more information or someone to contact me.

I am ready for a pick-up now.

Company Name

Email Address

Contact Person

Address/Location

Phone   Ext.

Date Items Will Be Available for Pick Up

Best time to pick-up (Hours  ex. 9am, 12 noon)

Description of items

-Please Select - Working Non-Working   If donating computer equipment, please state condition

Additional Comments

How did you hear about us:

Radio Show
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Brochure
Word of Mouth

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