Community Partner Contact Form
It takes a village!
At Fresh Start Furnishings at Inner County Outreach, we recognize the need for community organizations and churches to work together to help support vulnerable families in Harford County. That's why we want to partner with you!
Organization/Church Name
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Organization's Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Organization's Email
*
example@example.com
Contact Person
*
First Name
Last Name
Contact Person's Phone Number (if different from above)
Please enter a valid phone number.
Format: (000) 000-0000.
Contact Person's Email (if different from above)
example@example.com
I would like to receive periodic emails from Fresh Start Furnishings at ICO regarding news, events, and other relevant program information.
Yes
No
Type of organization
*
Nonprofit
Government agency
Church
School
Other
Describe other here
Please describe the types of community services you offer. (If applicable, please include your mission statement.)
How would you like to partner with Fresh Start Furnishings at ICO?
*
Sending client referrals
Donating in-kind wishlist items
Providing volunteer support
Providing a transport vehicle
Raising/contributing financial support
Hosting a collection drive
Signing up for special projects/serve days
None/Does not apply
Other
Describe other here
How can Fresh Start Furnishings at ICO best support you?
We would like to share information about your organization and how we work together as partners in the community. Do we have consent to use your logo for this purpose?
*
Yes (if yes, please complete information below)
No
Person Completing this form
First Name
Last Name
Title
Date
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Day
Year
Date
Signature
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