Binder Exchange Partner Form
This form should be filled out by organizations/surgeons/businesses who would like to partner with DCATS Binder Exchange Program by collecting donated binders to be redistributed through our program.

Partners are given:

-A information flyer for patients who want to donate their binders, including a donation receipt for tax-deductible purposes
-USPS flat rate boxes to collect and ship binders
-A short profile on the Binder Exchange Program website
-Mentions on social media and program print materials
-Pre-paid shipping labels (for partners who cannot cover shipping costs)

Please allow us a 1-2 weeks to get back to you, as we are a volunteer-run organization with limited capacity.
Contact Person Name *
Contact Person Email *
Mailing Address (where the shipping boxes will be sent) *
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