Community Collection Partner Request Form
Thank you for your interest in our Community Collection Partner program! Please fill out the following form. Once submitted, a staff member will reach out to you via email. If you have any questions, please email DonationDrive@goodwillconnect.org.
Is your organization located in Wayne or Holmes Counties in Ohio?
*
Yes
No
Organization's Name
*
Organization's Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact's Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Optional: When would you like to start and have the donation cart(s) dropped off?
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Provide any additional details that may help us with your request:
Submit
Should be Empty: