Name *

First Name

Last Name

Phone *

(###)

###

####

Which type of donation drive would you like to host? *

Because we have a small staff, limited space for storage and rely so heavily on the time and resources of our volunteers, we request the following donations associated with clothing drives.

$500 Mobile Boutique Drive (Host a clothing drive and pack our Mobile Boutique. Mobile Boutique clothing drives are available for 3 hours maximum. )

$250 General Drive (Drop off your donations outside of our regular donation days)

Free - Dedicated Drive (Host a drive for our most commonly needed items: shoes, accessories, or handbags)

Which location would you like to drop off your donation?* *

Raleigh (accepts on Tuesdays and Wednesdays from 10 am-1 pm)

Durham (accepts on Tuesdays from 10 am-1 pm)

Preferred donation drop off date *

MM

DD

YYYY

Person to be Invoiced *

Who should we send the invoice to?

First Name

Last Name

Address for Invoice *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country