Shares 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 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 Group Age of Group Members Please contact me - I have questions about organizing my supply drive. Please call me Please email me Supply drive start and end dates. Location of supply drive. Is your supply drive open to the public? Yes No If 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? Yes No CAPTCHA Shares
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