Farm / Sanctuary Donation Site Registration HiddenNick Name(Required)Just use the BEGINNING letter of your First and Last Name, i.e. FN -(3 LETTERS MAX) HiddenProduct Name(Required)PFP-Registration ACCOUNT INFORMATIONWe are excited for you to join us! Complete the registration form below to join our list of Donation Sites. By registering, you are creating an account that enables you to log in and update your information throughout the donation season. Note: Donation Details, Donation Instructions, and Website and Social Media Links are posted on the website for Donors to see. Most of the information gathered here is not displayed on the website but needed for our non-profit reporting. Fields with a ★ will be displayed on the website.Date(Required)Enter or select the date you are completing or updating this form. MM slash DD slash YYYY Username(Required)Create a user name to use when you need to update your information or renew your FREE subscription. Criteria: 6 to 15 characters consisting of letters (a-z, A-Z) and numbers (0-9). ABOUT YOUR DONATION SITEOrganization Type(Required)Select your organization type. Farm / For-ProfitSanctuary / Rescue / Non-ProfitComposter / For ProfitOrganization Name(Required)★ Enter in the legal name of your farm, sanctuary, rescue or compost organization, in ALL CAPS. This is a searchable field on the website. OrgName Contact(Required)★ Enter in your FIRSTand LAST name. Business Phone(Required)We will use this number to validate your organization and is not displayed on the website. Email(Required)★ If we are unable to contact you via email, your farm/sanctuary will not be added to our donation list and you will have to resubmit. Enter Email Confirm Email Business Address(Required)Enter the address associated with the organization's EIN. This will be used to validate your organization and is not displayed on the website. Address1 Address2 City State / Province ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands County(Required)★ Enter the county your organization operates in. This is a searchable field on the website. HiddenSt-Prov Hiddencountry Insurance(Required)Do you have General Liability and Property Damage Insurance? YES, we certify that our organization maintains general liability and property damage insurance coverage effective throughout the donation period. Our organization holds no liability to Pumpkins For Pigs Foundation for any incidents covered under this insurance policy. NO, we do not have insurance We hold no liability to Pumpkins For Pigs Foundation for any incidents that occur on our property during our participation in PFP donation programs. Verification(Required)We verify each farm or sanctuary. What is the best way for us to reach out? Email Phone Visit Select AllHow did you hear about us?(Required) Facebook Instagram Friend Business Print Media Online Article Radio Podcast Google Search Bing Search Existing PFP Program Participant Other (enter in OTHER field) OtherLet us know how you found us. Goal(Required)What is your primary goal in participating in the Pumpkins For Pigs program? Reduce food waste in my community. Reduce our operational expenses such as, food, medicine, vaccine, or enrichment costs. Expand our name recognition. Something else. ★ WEBSITE and SOCIAL MEDIA LINKSOnly secure (https) websites will be listed.Website Facebook Instagram YouTube TikTok DONATION DETAILSDrop Off Address(Required)★ The Drop Off address is the location where donations are to be dropped off by Donors. This address will be displayed in your listing. City, State, and Zip are required. If you do not want your street address displayed type in "Call for Address". 2-letter STATE/PROVINCE is a searchable field on the website. SAME AS BUSINESS ADDRESS Address1 Address2 City State / Province ZIP / Postal Code Country AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Contact Phone(Required)★ A mobile phone number is recommended so donors can contact you by phone or text. Accepted Donations(Required)★ Select all items you wish to receive. This is a searchable field on the website. Pumpkins (uncarved) Pumpkins (carved) Gourds Acorns Fruits Vegetables Bread Pastries Brewer's Grains Hay Straw Corn Stalks Evergreen trees (including Christmas trees) Evergreen wreaths (with decorations removed) Non-Food Items: Kiddie Pools Select AllOther Items★ List additional desired items, separated by commas. Food Reclamation YES, I am interested in food reclamation opportunities in my area as they become available. This may include pick ups from local pantries of produce, bakery items, and expired canned goods (within the last 3 months). DONATION INSTRUCTIONSCall Ahead(Required)★ Do you require donors to call/text ahead to ensure you are still accepting the listed items or to obtain drop off instructions? If NO, enter in Drop Off Instructions. YES NO Drop Off Instructions★ If you do not require individuals to call ahead, specify where you want them to drop off items (e.g., end of driveway).Pick Up(Required)★ Indicate if you are willing to pick up donation collections. YES, within mileage/volume parameters. Call/text to coordinate pick up. YES, any amount, any distance. Call/text to coordinate pick up.cond Choice NO, we are not able to pick up donations at this time Feeding the Animals(Required)★ Displayed on the website. YES, with our presence YES, without our presence NO, please do not feed the animals. TELL US MORE ABOUT YOUR ORGANIZATIONWhy are we asking? This information helps us understand the size and scope of the organizations participating in our programs and will contribute to the service-offering decisions. It supports our nonprofit reporting requirements, including impact statements, which we use to attract donors, develop grant applications, and report year-end summaries. This information is not shared or sold. For each animal group, enter the estimated total number that will benefit from community donations. If none, enter 0.Pigs(Required)Goats(Required)Sheep(Required)Bovine(Required)Chickens(Required)All Other Animals(Required)AcresEnter the approximate total acres of your operation, rounded to the nearest whole number.Additional InformationPlease let us know any additional information you'd like to provide or think we should know. NOTIFICATIONSMessagesAs an approved Donation Site, you acknowledge you will receive periodic updates about your listing including required actions and deadlines, program updates, and new and expanded offerings via email, phone, and/or text message. Indicate below if you wish to receive additional updates about the Foundation. We do not sell or share your information with third parties without consent. YES, I would like to receive PFP's periodic newsletters via email. YES, I would like to receive PFP's periodic text messages about key dates, events, and similar content. Select AllSubmission Agreement(Required) I certify I am an authorized agent of this organization, and am agree to have our information, as submitted by this form, published on the Pumpkins For Pigs Foundation website. CAPTCHAIMPORTANT: If you have to make corrections you must RE-DO the Captcha. Mailing AddressP. O. Box 1096Leesburg, VA 20177-1096 Contact Us Information Media / PressFAQsSuccess StoriesPrograms & Events Quick Links RegisterDonation SitesFinancial DonationsVolunteerPartner / Plan an Event Follow Us on Social FollowFollowFollow Join Our Newsletter DONATE FOOD
Mailing Address
