SHIM Back to School Donation Registration

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I am registering as... *

an individual

a group

其他:

First Name *

Last Name *

Group Name (if applicable)

Email *

Phone *

Start of Drive

If you are uncertain, just give us a general range of dates to help SHIM plan for all of the generous donations we recieve.

年

月

日

End of Drive

年

月

日

Anticipated delivery date to SHIM

When do you plan to bring your donation to SHIM's Bethel Park Food Pantry on or before Monday, August 3? If unknown, just give us your best guess.

年

月

日

Questions or comments?

Let us know if you have questions or want us to know more about your group or organization. For immidiate information, please contact Seth Dubin at 412-854-9120 x109 or sdubin@shimcares.org

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