2019 KOAT 7 School Supply Drive - Supply Pick Up Request Form
PLEASE NOTE: IF YOU ARE A PARENT OR A GUARDIAN of a student in need of school supplies, please contact the student's school directly. This opportunity is for schools, school districts, and youth-serving organizations.

Thank you for your interest in the 2019 KOAT 7 School Supply Drive. NMCAN is a local community-based organization that is helping to distribute the supplies across the state. New Mexico schools, school districts, and youth-serving organizations are eligible to pick up free school supplies. Please fill out this form completely to sign up for school supply pickup.

Supplies must be picked up on a Tuesday or Thursday from 3-5pm between the dates of 7/18/19--8/22/19 at 2301 YALE BLVD SE, SUITE A5, ALBUQUERQUE, NM 87106 at the south doors. Please submit all requests at least 48 hours in advance of anticipated pickup date. Supplies can not be delivered to another location and are subject to availability.

For any further questions, please call NMCAN at 505-217-0220 ext. 1002.

Email address *
Your name *
Your answer
Your title *
Your answer
School/District/Organization represented *
Your answer
Are you a parent/guardian seeking supplies for your students? (Unfortunately, we can only accomodate requests from schools, school districts, and youth-serving organizations. If you are a parent/guardian, please contact your student's school directly) *
Grade level(s) the supplies will be used for: *
Phone number (in case we need to contact you regarding further details of supply pickup) *
Your answer
Primary pickup person's name (if different than your own)
Your answer
Anticipated pickup date (pickup times are from 3-5pm on all dates listed below at 2301 Yale Blvd SE, Suite A5, Albuquerque, NM 87106) *
How many students will use these school supplies? An approximate number is fine. Your answer will help us prepare supplies for your arrival. But please note that supplies are subject to availability. *
Your answer
Never submit passwords through Google Forms.
This form was created inside of NMCAN. Report Abuse - Terms of Service