310 Teal Ridge Hills Dr. Henderson, Nv 89014 P - 702.372.0986
Repurpose AMERICA is a 501c3 nonprofit education organization whose mission is to “enable a sustainable community through innovation and education.” Repurpose AMERICA works to achieve its mission by partnering with over 450 organizations to reuse/repurpose unwanted materials. If you have unwanted materials at Surfaces 2016, help Repurpose AMERICA! Would you like to see your resources benefit the Community? Visit our site at http://www.repurposeamerica.org/TISE2016 or call 702.372.0986
Commitment Form _________________________________ _____________________________ Contact Name / Title
Contact # / Email
_________________________________ ______________________________ Company Name
Booth #
Please indicate the items that you would like to donate with an estimated piece count and dimensions for each handling unit. Piece Count
Dimensions
Crate(s)
_______________
______________
Pallet/Skid(s)
_______________
______________
Flooring/Type ________/_______
______________
Carton(s) _______________
______________
Other
_______________
______________
Please communicate your anticipated need prior to TISE 2016. To return this form by email: TISE2016@RepurposeAMERICA.org
Greener Vegas Inc. DBA. Repurpose AMERICA is a registered 501c3 non-profit. Tax ID # 261125732. Your donation is tax deductible to the full extent of the law. This document serves as your receipt for IRS purposes. Please refer to IRS Form 8283 and IRS Publication 526 and 561. www.RepurposeAMERICA.org “Enabling a sustainable community through innovation and education.”