Period Product Donor Form
Thank you for donating to our Menstrual Product Drive! This is a very new way of doing things so we can all be safe during the pandemic while making sure no one is going without these necessary items. Items will be going to local Washtenaw Co orgs still taking in kind donations. We are accepting new and unopened Pads, liners, Tampons, Menstrual Cups , and Menstrual sponges. After you fill out this form someone from our pick-up team will contact you to confirm pick up. If there's any questions please reach out to the Organizer at : Kristen.Harter@ppmi.org
Sign in to Google to save your progress. Learn more
Name *
Phone Number *
Email Address : *
How do you want donate? *
When can we pick up? *
Required
What time of day is best? *
Required
For pick up leave address
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Planned Parenthood Advocates of Michigan.

Does this form look suspicious? Report