Host a Supply Drive Request Form

Thank you for supporting our shelter pets through a supply drive! While approval is not required to host a drive, completing this form allows us to better support and promote your efforts. A team member will contact you once your request has been reviewed.

Host a Supply Drive Request Form

Business/Organization Name(Required)

Contact Person Name(Required)

First Last

Email(Required)

Phone(Required)

Website or Social Media Link(Required)

Supply Drive Details

Event Name(Required)

Supply Drive Start Date(Required)

MM slash DD slash YYYY

Supply Drive End Date(Required)

MM slash DD slash YYYY

Drop-Off Location(s)(Required)

Please provide full address

Is this Location Open to the Public?(Required)

Yes

No

What items will you be collecting? (check all that apply)(Required)

Dog Food

Cat Food

Treats

Toys

Towels/Blankets

Cleaning Supplies

Other

If you selected 'Other' from above, please specify:

Promotion

Would you like the Humane Society of North Myrtle Beach to help promote your drive?(Required)

Yes

No

Anything else we should know?(Required)

Signature(Required)

Date(Required)

MM slash DD slash YYYY