0Shares0 0 Name* Mr.Mrs.MissMs.Dr.Prof.Rev.Mx.None Prefix First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email* Phone*Cell PhoneBirthdate Date Format: MM slash DD slash YYYY How did you hear about CHS?*CHS SupporterCHS VolunteerCHS EventFriendsEmployerSocial NetworkDirect MailingsEmailsPrint AdvertisementsRadioFlyersOtherIf other, please enter how you heard about CHS.Name of GroupAge of Group MembersPlease contact me - I have questions about organizing my supply drive.Please call mePlease email meSupply drive start and end dates.Location of supply drive.Is your supply drive open to the public?YesNoIf yes, what is the address and what hours may supplies be dropped off?CHS can provide you with downloadable templates. What items do you need? Supply drive flyer (8 1/2" x 11") Supply drive shopping list (8 1/2" x 11") Supply drive poster (8 1/2" x 11") Supply drive poster (11" x 17") Would you like to schedule an "All About CHS" webinar for your class/school prior to your supply drive?YesNoCAPTCHA 0Shares0 0
