Day 1 Bags-Work With Me Form

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Please complete this form only if you are a non-profit, church group, social club, government agency that is requesting bags or backpacks intended for use by foster children, youth or youth in transition or aged out foster youth.

Email *

Name (first and last) *

Agency or Group: *

Shipping Address (street number, street name, city, state, zip) - No PO Boxes. *

Type of bags needed: *

Small Duffel Bag - Specifications: 19" w x 9.75" h x 9.75" d

Large Duffel Bag - Specifications: 25" w x 12" h x 12" d

Backpack - Specifications: 13"w x 18"h x 6.5"d

Required

Quantity Desired of each (for checked items above): *

What type of service project will you be doing for foster youth? *

What dates are you planning the service project?

YYYY

Are you willing to fundraise for the bags if we are low on funds? *

Yes

Maybe

A copy of your responses will be emailed to the address you provided.

Submit

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