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Participating Business, Church, Conference, Group or School Name
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Contact Name
*
First Name
Last Name
Contact Title
*
Job Title
Contact E-mail
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example@example.com
Contact Phone Number
*
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Drive Start Date
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-
Month
-
Day
Year
Date
Drive End Date
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Month
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Day
Year
Date
Estimated # of participants:
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Item(s) collecting:
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Barrels
Currently due to limited resources and an increase in the number of neighbors we're serving, we kindly ask that you use your own vessels to collect donations. If needed, barrels can also be picked up at our Neyer Outreach Center at 1146 Bank St. with at least one week's notice. Does this present a challenge, or do you require delivery? Please don't hesitate to let us know in the comment section below, and we'll be happy to work with you.
Pick up barrels at SVDP
Yes, we would like to pick up barrels from SVDP
# Barrels requested
Barrel pick up at SVDP - preferred date
-
Month
-
Day
Year
Date
Barrel pick up at SVDP - preferred time
Hour Minutes
AM
PM
AM/PM Option
Donations
We also kindly ask that you drop off your donations at our Neyer Outreach Center at 1146 Bank St. during the following hours: Tuesdays, Thursdays, and Fridays from 9AM to 3PM; Wednesdays from 11 AM to 3 PM; and Saturdays from 9 AM to 12 PM. Does this present a challenge, or do you need pick up? Please don't hesitate to let us know in the comment section below, and we'll be happy to work with you.
Donation drop off at SVDP - preferred date
-
Month
-
Day
Year
Date
Donation drop off at SVDP - preferred time
Hour Minutes
AM
PM
AM/PM Option
Are you interested in learning about volunteer opportunities?
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No, I currently volunteer
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