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Myrtle Beach Area Giving Back Form

Use this form to report what your business is doing to support nonprofits: blood donations, mentoring programs, monetary and goods donations, etc.

Contact Name:
Mailing Address:
E-mail Address:

Date(s) of Service:


Select from drop-down list. For one day events, choose the same as start date.

Start Date

End Date

Recipient of Service or Philanthropy: Name of nonprofit – American Red Cross, Habitat for Humanity, etc.

Time Donated:

Money Donated:

Blood Units Donated:
Brief Description of Philanthropy Project:
(3200 character; 500 word limit )
Example: 15 employees helped build a house, staff donated 500 cans of food, etc.