All recipient agencies must be IRS designated 501(c) 3 organizations. Application deadline is Monday January 5, 2009.
Agency information
*Please select the date and time you would prefer to pick up the items.
*Please indicate the preferred method of contact for notifying you of your pick up date and time. (Be sure to provide your fax number and/or e-mail address in the agency information section above.)
Fax Email
*Is your agency willing to accept community referrals from individuals in need of coats or blankets who call the United Way 211 help line? If so, additional coats and blankets will be provided to you.
Yes No
*Form fields marked with an asterisk are required.
