Community Giving Request

Tell us about a specific need in your community and what would be most useful. Complete details help us review the request and, if approved, choose available products and prepare the contribution.

Please do not include private medical information or children’s full names. Submission does not guarantee a donation.

Your contact information

Fields marked * are required.

Your name *

Email *

Phone

Your role or connection *

Organization and need

Organization or community *

Organization type *

Website or social link

City and state where the contribution will be used *

Who is being served? *

Approximate number of people served *

Date needed

Is this one-time or ongoing? *

What is the specific need? *

What would be useful

Type of contribution *

Exact total quantity requested *

May we choose comparable available products? *

Specific Modern Burlap product

Quantity by item and size *

Practical requirements or preferences

Shipping information

Recipient or attention name *

Organization or receiving location *

Street address *

Address line 2

City *

State or province *

ZIP or postal code *

Country *

Can the recipient accept multiple boxes? *

Delivery notes or restrictions

Anything else

What else would help us understand the need or choose well?

I confirm that this request does not include private medical information or children’s full names. *

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Community Giving Request

Your contact information

Organization and need

What would be useful

Shipping information

Anything else

Country/region

Community Giving Request

Your contact information

Organization and need

What would be useful

Shipping information

Anything else