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Donation Box Submission Form 2017
This form will be used for potential donation box locations. Fill out the info here, and I'll handle the rest! Donation Boxes can be placed ANYWHERE (that is FTK appropriate).

Successful places include, but are not limited to:
Local ice cream shops, delis, markets, diners, restaurants, businesses, pharmacies, gas stations and more!

Any questions you have can be sent to Josh Schechtman (solicitations@atlasftk.org).
Your E-mail *
Your answer
Your Name *
Your answer
Your Phone # *
Your answer
Your Graduation Year *
Your answer
Location Name *
Your answer
Location Phone #
(if available)
Your answer
Location Contact Name
Name of person you spoke to (if available)
Your answer
Location Address *
Your answer
Location City *
Your answer
Location State *
Your answer
Location Zip Code *
Your answer
Type of Location *
When will you put this box out? *
Would you like the calling team to contact this location for you? (Only up until Nov 1st) *
If you are calling:
Would you like to decorate your own box?
Submit
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