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Women's Center
Supply Drive box Requests
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Supply Box Request
Request for Supply Drive Box
Please don't fill out this input box.
Name of Organization
*
Affiliation
*
Student Organization
LSU Department/ Office
Community Organization
Contact Person (This person will be responsible for checking and removing the box)
*
Phone Number
*
Email Address
*
Start Date
*
End Date
*
What type of supplies will your orgnaization be collecting?
*
I authorize that all information provided on this application, including any and all data may be shared with the Women's Center staff to fulfill supply drive requests. This data will be retained for one year.
* Your organization will be responsible for checking and removing the box by the stated end date. The Women's Center is not responisble for the items donated. We reserve the right to decline requests upon review. The Women's Center will only accept two drives to happen at the center at one time. Requests are on first-come frist-serve basis.
To learn more about privacy at LSU, please see the
LSU Privacy Statement
.
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