Purolator Red Bag School School Challenge

Your Name *

First

Last

School Name *

Contact Email *

Contact Phone *

Address of PIck-Up Location *

Address Line 1

Address Line 2

City

Province

Code Postal

Nearest Major Intersection *

Contact Name at Pick-up Location *

Contact Phone Number at Pick-up Location *

Please provide special parking instructions (street parking, loading dock information, etc.) *

Please provide instructions to help the driver access your building (buzzer code, gate access, calling security, etc) *

Requested Pick-up Date *

Please select between June 12-15th

Estimated amount of food (ie. size and number of bags or boxes): *

Please upload a clear photo of your food drive/food collected: *

Click or drag a file to this area to upload.

Name