Dignity Grows Community Partnership Form

Community Partnership Form

Please fill out the form to apply to be a local distribution site.
Organization/Site Name*
Organization Website
Contact Person Name*

First NameLast Name
Contact Email Address*
example@example.com
Contact Phone Number*
Please enter a valid phone number.
Company Address*

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Estimated Number of Totes to Keep at Your Location*
Acknowledgement

Please check the following boxes.
Your organization agrees to:

distribute Dignity Grows Totes FREE OF CHARGE to clients, constituents, guests, students, participants, etc.distribute Dignity Grows Totes intact, neither adding to, nor removing any productsdistribute men's totes (if applicable) to adults over the age of 18 onlycredit Dignity Grows in any related press coveragecredit and tag Dignity Grows in any related social media posts: @dignitygrowsshare any related (anonymous) anecdotes, trends, reflections, etc. which relate to the partnership with Dignity Grows
For more information about Dignity Grows visit www.dignitygrows.org
Signature of Distribution Partner CEO, President, or other authorized personnel*

Clear
Signer's Name*
Signer's Title*
Signer's Email*
Today's Date*

MonthDayYear
Date
Should be Empty:

Community Partnership Form