Guidelines and Conditions: Since Shrivers Pharmacy may get several requests
each day to process, please allow FOUR weeks upon receipt of request for
a response via e-mail and/or letter. No phone calls, please. If donation
request is approved, donation pick up times are: Monday through Friday
9am to 5 pm and Saturday 9am to 12pm. All request for donation forms must
be completed in full to be considered. Attach any additional information
regarding the event to this form you wish to be considered. By submitting
this request for donation form, I hereby agree that any donation received
is not to be used for resale. All donations received from Shrivers Pharmacy
are for the intended use and the organization noted above.