Support Us - Donate Services

Donated Services

To donate a particular service to Northeast Council of W.I.C.C.A., please complete and submit the form below and a council representative will contact you regarding your contribution. Please visit our What's Needed page for a current listing of needed supplies and services. You may need to use your browser's back function to return to your referring page.

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Donated Services Form

Last Name First Name

Business / Organization

Address 1 Apt.

Address 2

City State Zip

Phone Number E-Mail Address

Your privacy will be respected. Please see our Privacy & Security Page for additional information. This information is required in case we need to contact you about your contribution.

I would like to donate the following service or services to Northeast Council of W.I.C.C.A. in support of their organizational mission.

   Please publish the following information in the Sponsor Directory on
       your web site.

          Listing Name

       Email Address

Thank you, but I would prefer that my information not be published.

Thank You For Your Support

By submitting this form I confirm my understanding that this contribution is not yet tax deductible, and that a member of Northeast Council of W.I.C.C.A. will contact me about arranging for this donated service. I also understand that by submitting this form I acknowledge that I am at least 18 years of age.