Jersey Cares | Halloween Costume Drive - Collection Site Registration Form

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Halloween Costume Drive - Collection Site Registration Form

Type of Collection Site Type of Collection Site

Group Type Group Type

Organization Name: Organization Name:

Main Contact First Name Main Contact First Name

Main Contact Last Name Main Contact Last Name

Main Contact Phone Number Main Contact Phone Number

xxx-xxx-xxxx

Main Contact Email Address Main Contact Email Address

Confirm Email Address Confirm Email Address

Collection Site Street Address Collection Site Street Address

City City

State State

Zip Code Zip Code

County County

Collection Start Date Collection Start Date

Collection End Date Collection End Date

All donations must arrive to the Jersey Cares office no later than Wednesday, October 23rd, so that we can distribute donations to students prior to Halloween events. Please end your drive BEFORE October 23rd.

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Halloween Costume Drive - Collection Site Registration Form

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