Bluemont Giving

Product Donation Request Form

Fill out the form below to request a donation. Please note that we are currently not offering monetary donations, only product donations. If you’d like to speak to a representative please email donations@bluemontgroup.net.

Please request your donation at least two weeks prior to the day you’d like to pick up from.

Name(Required)

First Last

Phone(Required)

Email(Required)

Tell Us About Your Request(Required)

What Store Would You Like To Pick Up From?(Required)

What Product Would You Like?(Required)

Please note, we do not offer monetary donations.

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Name

This field is for validation purposes and should be left unchanged.

Contact information entered on this page will solely be used for the purpose of responding to inquiries. User data will not be sold, rented, leased, or used to initiate SMS.