General Donation Form Fill out and submit the donation form. An acknowledgment of receipt will be emailed within 24-48 hours. A follow-up email with additional information will be sent shortly thereafter. Primary Donor IndividualOrganization Full Name Contact Person Personal Email Work Email Cellphone Work Phone Website Address Please leave this field empty. City State Zip Add Secondary Donor? Yes Secondary Donor IndividualOrganization Full Name Contact Person Personal Email Work Email Cellphone Work Phone Website Address City State Zip Donation Information •Please include photos of items. •If items are USED please ensure that they are in good condition, sanitize, and clean. Item Name Quantity Description Condition —Please choose an option—NewUsed Value($) Add Another Item? Yes Item Name Quantity Description Condition —Please choose an option—NewUsed Value($) Add Another Item Yes Item Name Quantity Description Condition —Please choose an option—NewUsed Value($) Add Another Item Yes Item Name Quantity Description Condition —Please choose an option—NewUsed Value($) Recipient Information If a specific recipient is not indicated, the Build Belize Inc. team will ensure that your donation is distributed to well-deserved organizations or individuals. Proof of donation ( photos) will be provided. IndividualOrganizationGovernment Full Name Contact Person Personal Email Work Email Cellphone Work Phone Website Address City State Zip Special Instructions: Acknowledgment Please select one and indicate on the line below how you would like to be acknowledged on our website, in news releases, on exhibit labels, or in other publicity regarding this donation. AnonymousIndividual NameOrganization Name Would like to be informed of future campaigns, projects, and initiatives? YesNo