Italian Portuguese Hindi Chinese Spanish Dutch First Name*Last Name*Email* Plant Location*Plant LocationAbrasive, Alliance, OHAlliance, OHArgentinaAshland, MAATIBelgium - DispBelgium - FilmBlauvelt, NYBloomfield - PlasticBloomfield - TechnologyBoca Raton, FLBrazil HoldingBurlington, NJCanada HoseCELChina Newco - WujiangCity of Industry, CAClayton, NCClinton, ILCost RicaDallas, TXDecatur, INDoral, FLFlemington, NJFullerton, CAGallazzi - GallarateGallazzi - TradateGhyiaHealthcare Italy HoldingHolland, OHHongkongIndiaKundliLawrenceville, GAMadison, WIManchester, NHMilwaukee, WIMMC Packaging, Laval CanadaModena, ItalyPS&TPureplast, CanadaPuretecPuurs, BelgiumRidgefield, NJSao Paulo, BrazilSchaumberg, ILSchema L, ItalySomerville, NJSparks, NVSuzhouTopseal - GermanyTPIA BucyrusTriadelphia, WVTrident TPI HoldingWayne, PAWenatchee, WAWinston-Salem, NCSupervisorName of Organization*Name of OrganizationA. Amita Health FoundationAdams County Habitat for HumanityAkshaypatraArminaaArminaa Poverty AalstASD Polisportiva Super HabilityAshland Emergency FundBelfast Homeless ServicesBloomfield Volunteer Fire DepartmentBlue Cross ConcordiaBlue Cross S. ProsperoCartago Non-ProfitCatholic Charities of Northern NevadaCenter for Food Action (Hackensack)Centre de Benevolat & Mosson LavalCherry Street MissionChester County Food BankChester County HospitalChildrens Hospital of Orange CountyChildren's Hunger AllianceClayton Area MinistriesCliffside Park High SchoolColin Neighborhood PartnershipCommunity and Senior Services Johnston CountyCommunity Support ShoppeCrime Victims of Chester CountyDays for Girls Covid ResponseDecatur Operations HelpDevereux Advanced Behavioral HealthDuchenne Dystrophy MuscularEddy HouseEnglewood Hospital & Medical CenterEvening Meals on WheelsFood Bank of Northern NevadaFood Bank of South JerseyFood Bank of Southern CaliforniaFood it ForwardGreat Valley Food CupboardGreater Chicago Food DepositoryGreater Toledo Community FoundationHackensack University Medical CenterHoly Name HospitalHunger Task ForceInstitutio Tecnologico de Costa Rica (Respirator Project)Khatraj Village Food KitsKhatraj Village SchoolLaurel HouseLawrenceville Cooperative MinistryLevensloop Aalst (Foundation against Cancer)MacMillan Care BelfastMadison Muslim YouthManyawar Kanshiram HospitalMasks for doctors, homes, clinicsMilwaukee Rescue MissionMobile Meals of WenatcheeNami Chester CountyNeighborhood Care CenterNew Hampshire Food BankNorth Texas Food BankNyack Homeless ProjectNyack HospitalPACs Food SecutiryParents Association of DisablesParkland CARES Food PantryPeople to PeoplePhilabundancePPE to COVID WorkersPublic Center of Social AidRed CrossRegional Service NinovaRegional Service Poverty NinovaRiver Food PantrySalvation ArmySalvation Army Greater WSSecond Harvest Food BankSoutheast Gwinnett CoopSpeakUp!T/E CareTesting Proactive C19The House of the CarpenterToledo Food BankTour of DutyTutti Insieme a Roverto e S. AntonioUnfailing Love ClinicUSPS of Broward CountyVictor Farmington Food CupboardVision KitchenWenatchee Valley Follies Guild & Children's FoundationWheeling Soup KitchenWheeling YMCAWood County Committee of Aging's Home Delivered Meals ProgramWS C19 Response FundDate of Gift* Amount of Gift*Proof of Donation (receipt, thank-you note, etc)Accepted file types: jpg, gif, png, pdf, doc, docx.Amount to be Matched ($25-$250)*By submitting this form, I certify that neither my family nor I will derive any direct or indirect financial or material benefit from this contribution. I authorize the above named recipient organization provisions of the program described herin and does not represent in any way a fee for a service or benefit. I have read and understood the guidelines of the Tekni-Plex Matching Gifts Program.* I agree I have sent, or will send, a scanned attachment or proof of donation to email@example.com.* I agree This iframe contains the logic required to handle Ajax powered Gravity Forms.