Tell Us About Your Organization!

Contact Information

Contact Name (First and Last)

Contact Phone Number

Contact Email

Position at Organization

Organization Information

Organization name

City and State of where Organization is located

Tell us about your organization. What types of children do you serve? What struggles do they face? How would an equipment donation be helpful to you and the community you serve?

We will email you from resham@secondserve.org requesting shipping information once we have equipment ready to be sent to you. The ONLY thing we request from you is photos and videos of your children using the equipment we donate!

By providing your signature, you commit to providing photos and videos of participants of your organization using the equipment sent to you by Second Serve.

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Request equipment

Tell Us About Your Organization!

Contact Information

Organization Information