BenefitAll - Client Request Submission

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BenefitAll periodically offers donated items to vetted organizations or individuals.

To request such items, please complete the secure form below. Your information will not be released, shared, or otherwise compromised and will only be used in direct need to service your request.

You may reach us, preferably via text, at 949-690-9408 OR visit US

Tell us what you would like!

BenefitAll!

* Name/Nickname

0/50

Organization, if any.

0/250

* Best contact number/method

0/250

* Is this request for you? or a client? or ??

0/500

* If you are requesting a Chromebook, phone or other electronic device, please fill in the following information, select ALL that apply.

I am NOT requesting a laptop or chromebook type device.

I am requesting a chromebook or laptop?

I am familiar with using a laptop

I have access to internet.

It will be used for educational purposes

It will be used for job searching.

It will be used for work-from-home for Admin / web, spreadsheets, social media, etc

It will be used by multiple people. (Indicate # of people in comments below)

I need an external mouse and/or keyboard, specify below.

I am requesting a cell phone to be used for purposes/reasons described below

I am requesting another form of device which is defined below and for purposes to be defined below...

I have a secure and safe place to charge, store and use such device(s)

I will request help, if needed, to ensure I get the proper use of the device. ( Support information will be provided with device)

I have an existing, unshared, email address.

I have an existing , unshared, phone number.

I have an address to which the device can be securely delivered.

I need to have the device delivered through an organization/person described below.

I would like to help others.... please help me find ways to do that!

Other

* Full legal name;

0/50

* Delivery address, (person or organization if appropriate)

0/250

Delivery Details/information - including best day/time/location, etc...

0/500

Contact Email

0/50

Contact Phone Number (Note if mobile!)

0/50

Other Special Instructions/comments

0/250

* A BRIEF OVERVIEW: About you, your situataion and why this matters to you! And any other information or details you think are important for us to know when considering this 'gift'.

0/500

If you have an organization you would like us to consider for gifting, please insert information here: Include Name, phone, contact and address if known, and any other pertinent information. For vetting requirements, please visit: https://benefitall.org/20251018Ball/about-benefitall/charities/vet-a-charity/

0/500

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