First Name: (required)

Last Name: (required)

Are you registering as a company, group (family/friends), or individual: (required) Select Value Company Group (family/friends) Individual

Company Name:

Department:

Title:

Email Address: (required)

Phone Number: (required)

What date and time do you prefer to drop off the donations:

Preferred Method of Contact: Select Value Both Email SMS

School Supply Drive: (required) Select Value Yes, I'm Interested No, I'm Interested in Something Else

What are the dates of your drive? (ex. start and end dates):

Location of the drive:

Would you like to have your location to be a collection point to accept donations from the community: Select Value Yes No

Can you drop off the school supplies after the drive ends: Select Value Yes No

Monetary Collection: (required) Select Value Yes No

What are the dates of your collection? (ex. start and end dates):

How will the money be donated: Select Value Check (Payable to: Helping Hands Hawaii; Memo line: Ready to Learn) Cash Online donation

Volunteer: (required) Select Value Yes No

Thank you for your interest in volunteering. Your contact information will be forwarded to our Volunteer and Community Relations Coordinator, who will then follow up with you with volunteer opportunities. : Select Value Yes, please forward my information No, I'm not interested

Any other comments or concerns?:

Do you need us to attend/speak at your event: Select Value Yes No