Volunteer Center of the Lehigh Valley

Holiday Hope Chests
Donation Registration

All fields are required!

Organization/Group Name:

Contact Name:

Contact Phone:

Contact E-mail:

Contact Address

Street, City, State, Zip:

Collection Goal - Total number boxes you plan to donate:

X the box for all that apply:

Total number boxes for 2-3 year olds:

Total number boxes for 4-5 year olds:

Total number boxes for 6-8 year olds:

Total number boxes for 9-10 year olds:

Total number boxes for 11-14 year olds:

Please be sure you have filled out all the fields before hitting the submit button.

Upon submission, you will receive a confirmation page verifying that your Donation Registration was sent.

Any information you enter will not be given or sold without your permission. Submitting this form does not bind you to anything!