Good Neighbor Request Form

Nonprofit organizations should use this form to request Goodwill store vouchers to support their clients in need.

Your Name*
Your Email Address*
Your Phone Number*
Your Organization*
Tax-exempt status*
- 501(c)3
- Not tax-exempt
Your Mailing Address*
Street Address Address Line 2 City State ZIP Code
Client Name(s)*
Client(s) on behalf you are requesting Good Neighbor support.
Description of Client(s) Circumstance and Need*
Please provide the details of your client's situation that prompted you to ask for Goodwill Good Neighbor support.
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