Distribution Day Schedule & Select

Month

Day

Year

Let's work together to make Distribution Day go smoothly for everyone by showing up at the assigned time.

Select pick-up time:(Required)

Please arrive 5 minutes early.

for this Organization:(Required)

Pick-up Person's name(Required)

First Last

Pick-up Person's phone number:(Required)

I am also the Pick-up Person

Check this box if your name is already above

Checking this box will automatically copy your Name & Phone number to the fields below.

Your name(Required)

First Last

Your phone(Required)

Your e-mail address:(Required)

A confirmation email will be sent to this address.

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