2018 Diaper Drive Participation Form
Thank you for your interest in partnering with our 2018 diaper drive! 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 answer
Your Email *
Your answer
Your Phone Number *
Your answer
Business Name/Organization/School *
Your answer
Our organization would like to receive diapers. (Please check all that apply)
Location for Drive (if applicable)
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 in October. (if hosting a drive) *
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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