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A MONTH of Simple Giving 2021 Sign Up
Please fill out the registration form to participate in our annual community service event.
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Email
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Your email
Your name
*
Your answer
Your email address
*
Your answer
Your phone number
Your answer
I want to participate as
*
an individual
part of a group/family/team
Other:
My group has _______participants.
Your answer
If you are part of a group and do not wish to be the contact person, please put the name and email of the contact person here
Your answer
I will work on
Please select at least one station. For more information, please refer to the Station Overview on
grassrootgivers.org
or email
info@grassrootgivers.org
.
Personal care kits - Station 1
Non-perishable food drive - Station 2
Household gift bags - Station 3
Liquid dish soap kit - Station 4
Washcloth and soap kit - Station 5
Book Collection and leveling - Station 6
Veterans' puzzle kit - Station 7
Tube sock and hotel toiletry kit - Station 8
Cake mix and dish towel - Station 9
Pot holder & wooden spoon Station 10
Soup in a bag - Station 11 - This station is now full, please choose another!
Other:
If relevant, select whether you will be doing a collection only, or whether you will collect and assemble
Collect goods for someone else to assemble into practical gifts
Collect goods and assemble them into practical gifts
Clear selection
I/my group will drop off the donations at the Grassroot Givers facility at 522 Washington Ave in Albany or will work with Grassroot Givers to arrange a pick up.
Agree
I/my group will make a tax deductible donation to support your work throughout the year
By sending a check to P.O. Box 84 Delmar NY 12054
By visiting
grassrootgivers.org/make-a-financial-gift
Other:
A copy of your responses will be emailed to the address you provided.
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