JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
CASA COLLECTE MARS 2020
Remplis le formulaire et choisis ton jour de collecte 👇
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Nom + prénom
*
Your answer
Rue + numéro
*
Your answer
Code postal
*
Your answer
Commune
*
Your answer
Numéro de téléphone
*
Your answer
E-mail
*
Your answer
Je souhaite que l'équipe de Casa Collecte vienne récupérer mon don le :
*
Samedi 28/11 entre 10h et 13h
Samedi 28/11 entre 14h et 18h
Dimanche 29/11 entre 10h et 13h
Dimanche 29/11 entre 14h et 18h
Submit
Clear form
Never submit passwords through Google Forms.
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