Diaper Drive Participation Form

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Thank you for your interest in partnering with our 2020 diaper drives! The drive will take place in September and October. Please complete the information below. Partners will be notified and confirmed by the end of August.

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

Your Name *

Your Email *

Your Phone Number *

Business Name/Organization/School *

Our organization would like to receive diapers. (Please check all that apply)

We serve families in Detroit

We are an Early Head Start agency

We are willing to help promote diaper drives to our supporters

Location for Drive (if applicable)

Please indicate if you will be able to drop off diapers to our collection location in Detroit at the end of the drive period in October. (if hosting a drive) *

How many bins will you need for your location(s) *

2-5

Let's discuss

N/A

I would like to discuss supporting Diapers for the D in the following other ways: *

Promotion

Fundraising

Volunteering

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

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. *

Yes

No, the authorized person will contact you

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. *

I agree

I do not agree

Required

Thank you for your partnership! Please add any other information here:

Submit

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