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)
Yes
No
Donation Drive Type
Please Select
Workplace Donation Drive
School Donation Drive
Team/Club Donation Drive
Congregation/Church Donation Drive
Community/Yard Sale Donation Drive
Full Name
First Name
Last Name
Address for Donation Drive/Event
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Preferred Date of Donation Drive (Optional): *Workplace/Congregation/School Donation Drives typically begin on Mondays.
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Month
-
Day
Year
Date
Phone Number
Please enter a valid phone number.
Email
example@example.com
Please provide any additional details that may help us with your request:
Submit
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