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Xander Community Partner Questionnaire

 

Xander Community Partner Questionnaire

Thank You for your interest in becoming a Xander Community Partner in your county, and reminding the most vulnerable that they are loved and not alone. Please complete this form in its entirety and send back to victor@suitefab.com, so we can prepare donations in your community.

 

1. Your name ____________________________; email________________________; phone #_______________

 

2. County/ies you want to cover____________________________________________State ________________

 

3. # of children served in foster care annually in this county______________________________________

 

4. Name of agencies who provide foster care in this county ______________________________________________________________________________________________________________________________________________

 

5. Address of where a donation shipment would be delivered:

__________________________________ Name of building, business/or residence

__________________________________ Street

__________________________________Town/City

__________________________________State _________________________Zip

__________________________________Name of contact ________________phone #

6. I am committing to (please check):

______Build a relationship with ALL foster care agencies in my county;

______Receive and store ( if necessary) Xander kits for the entire year;

______Pay Freight cost for donation to be shipped to me ($.55-1.35/ea Xander depending on volume and location). Shipments may also be picked up on the farm in west Michigan;

______Ship the empty duffle back to Laveder Life Company (464 Stanton Farms Drive SE Caledonia, MI 49316) We reuse them over and over again; 

______Put the kits together (stuff lavender pouch in Xander Friend; place in the backpack and tie a bow - (approximately 2 minutes/Xander);

______Deliver to all agencies as they need them; &

______Spread the word. We are able to donate with a grass roots support of many.

 

_____________________________________Signed _______________________Date

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