WINGS Donation Drive Registration Form

Contact Name

First NameLast Name

Contact Phone Number

Please enter a valid phone number.

Contact Email Address

example@example.com

Organization or Business Name

Organization or Business Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Please enter the date range for your planned donation drive.

What focus area are you interested in for your drive? (Select all that apply)

What materials or assistance can we provide to help maximize your drive’s impact?

May we thank you on social media for your generosity?

Yes, Please!No, Thank you!

If you’d like us to tag you, your partners, or volunteers please provide all applicable social media handle(s):(e.g., @YourUsername or LinkedIn profile link)

	Facebook	Instagram	LinkedIn
Username/Handle (1)
Username/Handle (2)
Username/Handle (3)
Username/Handle (4)
Username/Handle (5)

How would you like your donations to reach us?

Schedule a drop offSchedule a pickup by WINGSOther

Thank you for your generosity and commitment to making a difference! Someone from our team will reach out to you shortly to help make your drive a success.

The mission of WINGS Program, Inc. is to provide housing, integrated services, education and advocacy to end domestic violence.