Covid Support Drop-Off Form
Please choose a time for your estimated drop-off below and let us know what you plan to donate.

You will receive a confirmation email from Eric@EricsJourney.org in 24-48 hours after your submission has been processed by one of our volunteers.
Email address *
First Name *
Your answer
Last Name *
Your answer
Street Address *
Your answer
City *
Your answer
State *
Zip Code *
Your answer
Estimated Drop Off Date *
Please leave items under the carport on the right side. Note: We are not accepting visitors in our home at this time.
MM
/
DD
/
YYYY
Estimated Drop-Off Time *
Please choose all that apply.
Required
What types of item(s) are you donating? *
Any other comments and/or questions?
Your answer
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