2024 Chavis Housing, Health, and Wellness Day
Please complete this form indicating items that can be included in 500 Registration Bags.
Your Name
*
First Name
Last Name
Your Email
*
example@example.com
Your Phone Number
*
Preferred Number
Business / Organization Name
Website
Business / Organization URL or Social Media Link
Quantity of In-Kind Donation:
Need minimum of 250, but prefer 500+
In-Kind Donation Description:
*
Picture of In-Kind Donation:
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