Milk Depot Drop Off Appointment
You MUST be an approved donor with issued donor number to make an appointment
Donor Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
By providing an email, you consent to confirmation and reminder notices
Donor Number
*
Please also bring donor # to appointment and label all outer bags/containers with donor # and pump date
Ounces to be Dropped Off
Oz
Car Description
Appointment for parking lot drop off at De Pere City Hall (335 S Broadway)
*
Comments/Additional Details
How did you hear about our program?
Mothers’ Milk Bank of the Western Great Lakes (Milk Bank WGL)
City of De Pere/De Pere Health Department Website
Social Media
Hospital/Doctor's Office
Family/Friend
Community Event
Search Engine
Other
Submit
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