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First Name

Last Name

Phone Number

What organization, charity, or business are you representing?

What would you like to discuss? * Required

Arranging a Speaking Engagement

Becoming a Delivery Driver

Becoming a Donation Drop-Off Location

Partnering with Oopsie

Requesting a Donation of Supplies

Sharing an Oopsie Story

Sponsorship Opportunities

Volunteering

Hosting an Event

Other

Please provide the full address of your organization:

City

State

Postal / Zip code

Is the organization, charity, or business you are representing an official 501(c)(3) or other legal form of nonprofit? *

Yes

What is your role within this organization, charity, or business?

What does your organization, charity, or business stand for?

Why would you like to team up with The Good For Girls Initiative? How do you think we can benefit each other and make a bigger impact?

Why would you like for us to speak at your event?

Where will the event take place?

Date of Event

Time of Event

How long would you like for us to speak at your event?

What are the resources your organization is in need of? * Required

Deodorant

Feminine Wipes

Oopsie Bags (pad, panty liner, & unscented feminine wipe)

Panty Liners/Pads

Tampons

Who will receive/benefit from this donation? Who will the resources be given to?

How many deodorants do you need?

How many feminine wipes do you need?

How many Oopsie bags do you need?

How many panty liners/pads do you need?

How many tampons do you need?

How often do you need to utilize these resources? *

Monthly

Quarterly

Annually

As Needed

One Time

Is your need time sensitive? Please provide your deadline. We cannot guarantee specific deadlines will be met but will do our best.

How would you like to help? Please check all that apply! * Required

Delivery Driver

Fundraising

Social Media

Starting a Chapter in My County (Outside of Volusia County)

Stuffing Parties

Other

What city & county do you live in?

Other? Tell us more!

Share your story below!

Do we have permission to share your story anonoymously? *

Yes

Is there anything else you would like for us to know?

Thanks for taking the time to reach out. We will be in touch soon!

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