Holiday Donor Information Form Donor Information Question Title * 1. Donor Contact Information Name * Company Address * Address 2 City/Town * State/Province * ZIP/Postal Code * Country Email Address * Question Title * 2. Donor Phone Cell Work Home Question Title * 3. Preferable Form of Contact Telephone Email USPS Other (please specify) Question Title * 4. How Many Kids Would You Like to Sponsor? Question Title * 5. Do You Have Any Specific Age Requirements for Children You Would Like to Sponsor? Yes No Question Title * 6. If Yes, What Are They? Question Title * 7. Would You Be Agreeable to Put The Social Worker's Name On the Gift Tag for sorting purposes only? Yes, of course! No. Question Title * 8. Number of Years Involved in Project This is my first year! 1-5 5-10 10-15 15-20 20-25 25+ Question Title * 9. Interest in Returning Next Year? Yes, let me know if you need my help! Not right now. Pickup Information Question Title * 10. Pickup Address (If Different From Donor Address) Name Company Address Address 2 City/Town State/Province ZIP/Postal Code Country Question Title * 11. Contact Name For Pickup (If Different) Question Title * 12. Is A Large Truck Needed For Pickup? Yes No Question Title * 13. Special Pickup Instructions If Necessary Question Title * 14. Are You Able to Have The Donations Picked Up Before December 15th? Yes! No. Question Title * 15. If No, What Is The Earliest Date You Are Able to Have The Donations Picked Up? Date Date For transportation purposes, this year we are asking that gift bags be used as an alternative to wrapping paper! Thank you so much for your generosity and for supporting our annual holiday drive! Next
