Host a Winter Coat Drive
Participating Business, Church, Conference, Group or School
*
Contact Name
*
First Name
Last Name
Contact Title
Job Title
Contact E-mail
*
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
*
-
Month
-
Day
Year
Date
Drive End Date
*
-
Month
-
Day
Year
Date
Estimated # of participants:
*
Collection Bins
You are welcome to use whatever vessel is most convenient for you/your group to collect coats. Collapsible cardboard collection bins with Coat Drive stickers are available for pick up from our Neyer Outreach Center, located at 1146 William L. Mallory, Sr. Street (formerly 1146 Bank St.), during the following hours: Tuesdays, Thursdays, and Fridays: 9 AM – 3 PM, Wednesdays: 11 AM – 3 PM, Saturdays: 9 AM – 12 PM. If your Drive requires our truck, delivery can be arranged upon request, with preferred days being Tuesday, Thursday, and Friday. Please provide at least one week's notice to ensure availability. Thank you!
Would you like bins?
*
No, we will use our own vessel(s)
Yes, we will pick up
Yes, we require delivery
# Bins Requested
Preferred Date - Pick Up
-
Month
-
Day
Year
Date
Preferred Time - Pick Up
Hour Minutes
AM
PM
AM/PM Option
Coat Donations
If possible, we kindly ask that you drop off donations at our Liz Carter Center Dock, located at 1125 William L. Mallory, Sr. Street (formerly 1125 Bank St.), during the following hours: Monday – Friday from 10AM – 3PM and Saturday from 10AM – 12PM. If your Drive requires our truck, pick up can be arranged upon request, with preferred days being Tuesday, Thursday, and Friday. Please provide at least one week's notice to ensure availability. Thank you!
How will you donate?
*
We will drop off
We require pick up
Preferred Date - Drop Off/Pick Up
-
Month
-
Day
Year
Date
Preferred Time - Drop Off/Pick Up
Hour Minutes
AM
PM
AM/PM Option
Pick Up Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Pick Up - which vehicle best fits your donation?
Box Truck
Cargo Van
Unknown
Other
Pick Up Instructions (include on-site contact)
Additional Comments or Questions
Submit Form
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