Organizations requesting a toothbrush donation from Delta Dental of South Dakota must be, or must be affiliated with:
 
 
Note: Requests of more than 3,000 toothbrushes must be submitted via a full DDSD Foundation grant application. These applications are reviewed by the grants board each year in May, September and December.
 
Donations are limited to one request per organization per calendar year. We will review your request and respond within 30 days.
 
 
 
Contact Information
 
Today's Date:12/18/2018
 
Organization Name:
 
Tax ID Number: Contact Name:
 
PhoneEmail Address:
 
Mailing Address:
 
City: State: Zip:
 
Purpose of Request
 
In what South Dakota counties will the toothbrushes be distributed?
 
We ask that organizations pick up their donation at the Pierre office. Arrangements can also be made for a Sioux Falls pickup. If necessary, toothbrushes can be shipped.
 
Items/Quantities RequestedDonation Information
 
ItemQuantityDate items needed: (minimum 5 weeks)Requested pickup date:
Infant (0-2 years) Toothbrushes
Pickup Location:


    Shipping Address
    City: State: Zip:
Youth (3-8 years) Toothbrushes
Adult (9+ years) Toothbrushes

Questions? Contact Donna Mullett at 605-494-2548 or via email at Donna.mullett@deltadentalsd.com