Become a Partner – Care to Share

Business Information

Business/Organization Name * Contact Person * Email * Phone * Street Address *

City * ZIP Code *

What type of business are you? *

Medical Clinic Barbershop Beauty Shop Law Office Pharmacy Retail Store Community Center Other:

What will you offer? * (check all that apply) Accept donations (drop-off site) Allow people to pick up food Both

When will your site be open? *

When do you plan to participate? Starting in November (ongoing)

Specific dates

Flexible / To be determined

Do you have a safe space to store donations? Yes Not sure (need guidance)

(Optional)

Questions, concerns, or anything else we should know?

By submitting this form, I confirm that:

My business is willing to participate in Care to Share I understand I'll receive follow-up information about signage, materials, and coordination