Eligibility
- Requesting organizations must be located in South Dakota.
- The organization must be, or must be affiliated with, a 501(c)3 charitable organization; a government agency or public school; or a Tribal organization.
- Donations are limited to 1 request per organization per calendar year.
- If the request is for more than 3,000 toothbrushes, you must first contact Cori Jacobson at cori.jacobson@deltadentalsd.com or 605-494-2552 before submitting the form.
Fulfillment
- We will review and respond to your request within 30 days.
- Please allow up to 5 weeks lead time to fulfill your request. Details for pickup/shipping will be discussed when responding to your request.
- Donations to organizations in Sioux Falls, Rapid City, and Pierre must be picked up at the local Delta Dental office location.
Submitting a request
- Complete the form below to submit your request.
- The entire form is displayed below.
- The form must be completed in one sitting. If you exit the page before submitting the form, your information will not be saved.
Questions?
Contact Cori Jacobson at cori.jacobson@deltadentalsd.com or 605-494-2552 if you have any questions about requesting toothbrushes for your organization.