Baby Bottle Campaign
Thank you for your interest in hosting a Baby Bottle Campaign for Piedmont Women's Center!
Please allow 24 hours between submission of this form and your bottle pick up.
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Name
Email Address
Phone Number
Name of Church or Organization
Number of Bottles Needed
Date you plan to pick up the bottles
Please select a week day.
Please allow 24 hours between submission of form and bottle pick up.
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/
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/
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Time you plan to pick up the bottles
We are open from 8am-4:30pm.
Time
:
Location you plan to pick up the bottles
Please note that all bottles MUST be returned to 1146 Grove Rd.
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