Fill out the form below to request a donation. We will follow up with you as soon as we can. Thank you! Organization * You must enter your name Contact Person * You must enter your name Phone Number Email Address * You must enter your email Date of event * You must enter a date Store Location * Please Check All That Apply: Product Donation Product and Amount Gift Card Amount Desired Front of Store Space Dates Desired Cash Donation (Needs corporate approval. Must be turned in 4 weeks prior to date needed) Amount Please describe in detail your organization's event or purpose and your desired donation: You must enter a comment Kent's Kickbacks Log In Learn More Already started a profile in-store? Complete your profile.