2017 Diaper Drive Participation Form
Thank you for your interest in partnering with our 2017 diaper drive! The drive will take place from September 25th-October 8th. Please complete the information below. Partners will be notified and confirmed by August 31, 2017.

Questions can be emailed to us at diapersforthed@gmail.com

Your Name *
Your answer
Your Email *
Your answer
Your Phone Number *
Your answer
Business Name/Organization/School *
Your answer
Location for Drive *
Your answer
Please indicate if you will be able to drop off diapers to our collection location in Detroit at the end of the drive period on October 13, 2017 *
Untitled Title
How many bins will you need for your location(s) *
I would like to discuss supporting Diapers for the D in the following other ways: *
We would like to publicize all of our partners during our diaper drive campaign. Please check all that apply. *
Required
I certify that I am authorized to represent my organization and give permission to Diapers for the D to use our business name for the purposes identified above. *
Required
I agree to provide Diapers for the D with a copy of any public announcement of our partnership and with any articles related to this partnership. *
Required
Thank you for your partnership! Please add any other information here:
Your answer
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