Fillable Paint Donation Request Form printable pdf download

PAINT DONATION REQUEST FORM

Thank you for your interest in our Paint Donation project to help change lives, change the world and protect the environment. The

Paint Donation Request Form is for those who have new or leftover paint and would like to donate their paint to Global Paint for

Charity. We perform our services free of charge to businesses or individuals who want to donate paint. By filling out this request

form, our recycling center will be notified that your paint donation is ready for pick up or shipping to our collection center. For larger

donations (100+ gallons) or community projects please contact us online at .

Today’s Date: ___ /___ /_______

Preferred Pick up/Drop-off Date: _____ /_____ /_______

Full Name: _____________________________________________________ Title: ______________________________

Phone: _____________________ Cell: ____________________ E-mail: _______________________________________

Address: __________________________________________________________________________________________

Donation Location (if different from your home address) ____________________________________________________

Name of your organization (Optional): __________________________________________________________________

DESCRIPTION

Paint Type: _________ Color: _______ Brand: ________ Quantity: ________ Other: _____________________________

ATTENTION:

Global Paint will not take those items: Oil Paint

Paint Thinners,

Stains

Dry Paint,

Spackle, and Rusted Cans with less than

25% of wet Latex Paint. After collection and transportation, all donated latex paint is inspected, sorted, and mixed with latex paint of

the same color to achieve the desired quantity and then is transferred to five-gallon plastic containers. 75% of the paint it re-donates to

non-profit groups, missionary groups, orphanages, schools, colleges, veterans, and property owners in need all around the world, while

25% is re-donated to individuals and homeless shelters in the US at no charge.

How did you hear about the Global Paint project?

_________________________________________________________

NOTE: Global Paint won’t charge any fees to collect the paint donation. However, we are asking everyone to consider donating a

small financial contribution to help us cover expenses such as collection, transportation, processing and shipping the paint to those in

needs. These donations will help prevent the spread of disease, provide hope, pride, and happiness for people living in crowded

unsanitary conditions around the world.

USD:

CAD:

Other:

Please enter the amount you are willing to contribute in the box

Global Paint for Charity is a non-profit 501(c) (3) organization, your monetary contributions and donations are tax-deductible.

Signature: _________________________________________________ Date: ___________________________________

YOU MAY EMAIL, MAIL OR FAX THIS FORM TO:

GLOBAL PAINT FOR CHARITY, INC.

PO BOX 48855, ATLANTA, GEORGIA, 30362

FAX: 800-994-7329

NOTE: Please send the form to the contact info provided above. Someone will contact you with details about a pick-up date or drop

off location in your area. For more assistance please contact us online at

__________________________________________________________________________________________________

OFFICE USE ONLY

Date Responded: ___ / ___ /_______

Donation order form completed? Y or N

Record Mileage/Initial

_____________________________________

Record Donation:

_____________________________________________________________________________________

APPROVED:

_________________N/A

______________________ (Please Print Name)

__________________________

Paint Donation Request Form

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