2015 Request For Donation Of Alpar Community Clean Up Bags Page 2

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Parcel Post
method of shipment
2015 Donation Request Form for ALPAR Community Clean Up Bags
• Community Information
1. In which community(s) will bags be used?
Please order bags for both volunteer community clean ups & your ALPAR Youth Litter Patrol if applicable.
2. Organization name:
3. Mailing/delivery address:
4. City:
Zip code:
5. Contact person:
title
6. Phone: (907)
Fax (907)
e-mail:
7. Date of 2015 volunteer Community Clean Up if known:
8. Official population of your community
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• Bags
Our records indicate that your community received
cases of free ALPAR bags last year, in 2014.
is the maximum number of cases of free ALPAR bags allotted for your community
this year. You may request less than this number of cases, but not more than this number of cases unless you
get prior approval from ALPAR.
ORDER AMOUNT:
cases of clean up bags (200 per case.)
IMPORTANT: Enclosed is a check or money order for $10.00 per case to help cover postage charges.
$10.00 each
$
(
)
______________________ X
=
No. cases requested
Postage & handling
Total enclosed
CHECK NUMBER
PLACE YOUR ORDER EARLY TO MAKE SURE YOU HAVE BAGS FOR CLEAN UP!!
• At least four weeks is required from receipt of your request to date of shipping.
• Requests are processed in the order received, shipping will start in February or early March.
• Bags are mailed parcel post unless other arrangements are made. Questions call ALPAR at (907) 644-7968
or email at alpar@gci.net.
Please remit payment with your order.
CU

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