JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Card Delivery Notification
This form will ensure the priority of your volunteer hours confirmation receipt.
Please make sure to submit the form AFTER your delivery!
Input your personal email. Service confirmation emails to a school or work account may not go through.
See
Link to Delivery Information
or email uplifting.deliveries@gmail.com for more information.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
School/Organization (If Applicable)
Your answer
How were your cards delivered?
*
DROP-OFF 7:00AM - 4:00PM: Evergreen Coffee 40 N Valle Verde Dr #100, Henderson, NV 89074
PICKUP AVAILABLE: Pickups available in Las Vegas and Henderson for card deliveries of 150 or more
Drop-Off Date
*
MM
/
DD
/
YYYY
Total Number of Cards
*
Your answer
How did you hear about us?
*
Your answer
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report