How do you LIVE UNITED?

October Day of Action RSVP
1.

Please enter the information indicated below.
First Name:
Last Name:
Company Name:
Email Address:
emailaddress@xyz.com
Address 1:
Address 2:
City:
State/Province
(US/Canada):
Postal Code:

Drop off for donations and collected items will be on October 29 from 11 A.M. - 5 P.M.  Please take a moment to answer the questions below.

If these questions don't apply to you, please scroll to the bottom to submit this form.
 
2.

If you are holding a drive with a group of people, please provide the name of the organization.
 

  • 50 characters left.
3.

Are you planning to stay and volunteer when you drop off your items?
Yes
No
4.

If you are volunteering, will you have others with you?  Please provide names here.
 

  • 350 characters left.