Donation Drive Request Form
Proudly serving WAYNE and HOLMES COUNTIES in OHIO
Are you located in Wayne or Holmes County Ohio? (As much as we would love to partner with everyone, we serve only Wayne and Holmes Counties Ohio)
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Yes
No
Donation Drive Type
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Please Select
Workplace Donation Drive
School Donation Drive
Team/Club Donation Drive
Congregation/Church Donation Drive
Community/Yard Sale Donation Drive
Business or School Name
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Full Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Optional: Preferred Date of Donation Drive (Workplace/Congregation/School Donation Drives typically begin on Mondays)
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Month
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Day
Year
Date
Please provide any additional details that may help us with your request:
Submit
Should be Empty: