ShoppingForChange colour

Shopping for Change Event Submission Form

Please enter your name. Your name will only be used to contact you if required, and will not be shown on our website.
Please enter your email. Your email will only be used to contact you if required, and will not be shown on our website.
Please enter your phone number. Your number will only be used to contact you if required, and will not be shown on our website.
Please describe your special promotion or sale for the Shopping for Change event.
Contribution could include a gift card and items from your store. Please no clothing donations. Please note: we typically build four or five baskets so please keep this in mind for your contribution
Please add more information about your event and general information about your business (for example address, regular hours, Shopping for Change event hours, entertainment, phone number, websiite, Facebook page, etc.).
Your Logo
Please attach your logo graphic flle.
Accepted file types: jpg, jpeg, png, gif.