Manual Application Manual Application What type of organization do you represent?*501(c)(3)Religious InstitutionPublic SchoolGovernment AgencyOrganization's Name*Please enter your organization's nameOrganization's FEIN*Please enter your organization's FEINBilling Information* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Billing Phone Number*Shipping Information* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Shipping Phone Number*Account Information*First NameLast NamePhone Email (this will be your username)* Authorization & Acknowledgement*Please check all boxes to verify eligibility I am authorized to receive tax-deductible donations on behalf of my organization I acknowledge to receive products only to benefit my non-profit organization. I agree that I will not not resell, barter, or exchange merchandise –(whether at flea markets, thrift shops, auctions, raffles, charity benefits, fundraising events, or in any other context). I understand that merchandise may not be given to or taken by volunteers, officers, clergy, or employees for personal use. I agree to keep receipts for all transactions with WIN for a period of 2 years in the event the IRS wishes to verify these transactions. I understand that all product WIN distributes has been donated and all donated merchandise is distributed ‘As Is’. Warranties are not valid on any donated item. By entering my initials, I agree that the information I have entered on this form is true and complete and that I agree to all Terms & Conditions of membership.*Terms and Conditions Send me weekly emails about deals of the week NameThis field is for validation purposes and should be left unchanged.
