Collection Sponsor Form
Please fill out the form and Bev Merchant will contact you to confirm your information.
Organization *
Contact Person *
E-mail Address: *
Phone *
Collection Site *
Collection Date (Must be a Saturday or Sunday) *
Time Slot * Saturday 9am - 12pm
Saturday 1pm - 4pm
Sunday 1pm - 4pm
I have read the collection guide and understand my organization is responsible for collecting $10 per bicycle. *

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