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
Your Phone Number
Location for Drive
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
No, please contact me to discuss this.
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:
Diaper drive only this year!
We would like to publicize all of our partners during our diaper drive campaign. Please check all that apply.
I have a logo I will provide for marketing purposes
I give permission to Diapers for the D to use my name and logo in social media and print marketing
I would like our business to be a "silent partner" and would not like our business information shared
I agree to have our business name listed on the Diapers for the D list of 2017 drive partners
I prefer to not be personally identified by name
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.
No, the authorized person will contact you
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.
I do not agree
Thank you for your partnership! Please add any other information here:
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service