Drive Registration Form | Develop Africa

Thank you for your interest in conducting a supplies drive. We warmly appreciate and welcome your efforts.

First Name

Last Name

Phone

Address

Address 2 (Suite, Apt.)

City/Town

State/Province

ZIP/Postal Code

Country

Send me text messages at the above number

Please tell us a bit about yourself or your group

Name of group (if doing this as a group)

Number of people in group (if doing this as a group)

My group has been formed under / is affiliated with / is part of (school / college / university / church / organization etc)

What will you be collecting (books, school supplies, pencils etc)?

How do you plan to raise funds (to cover shipping costs etc)?

When do you plan to hold the drive / collection / special activity?

Comments / Questions

CAPTCHA

This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Math question 17 + 1 =

Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.