Bob Roncker's Running Spot,
New Balance Cincinnati and New Balance Glendale
Donation Request Form

All fields are required.
Organization Name:
Address:
Address2:
Contact Person:
Job Title:
Email Address:
Phone Number:
Fax Number:
Tax Exempt #:
What programs and/or services does your organization provide?
Have you requested donations from us in the past?
Yes No
Please list what your organization is currently requesting items for (event name, race name, etc):
Date item is needed (mm/dd/yyyy):
Generally, we cannot provide delivery of donated goods.Can your organization arrange for pick-up?
Yes No