Baby Bottle Boomerang

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Thank you for Partnering with us for our annual Baby Bottle Boomerang!

Please complete this form to confirm your participation in the Southern Tier Pregnancy Resource Center's annual Baby Bottle Boomerang.

Baby Bottle Boomerang Sign-up

* Indicates required field

Name of Church / Organization *

Name of Contact Person *

First

Last

Email Address *

Phone Number *

Will your Church / Organization participate in the 2023 Change-a-Life Baby Bottle Drive? *

Yes No Other - Please contact us

How many bottles would you like to receive? *

Same number we received last year More bottles than we received last year Less bottles than we received last year Not sure, please contact us

Pick Up or Delivery *

We will pick up our bottles at the Life Center (224 William Street in Elmira) anytime between the hours of 9:00-4:00 May 8th-11th Please contact us to schedule a time for delivery Other - Please contact us

Digital Resources or Print Resources *

Digital resources are perfect for us! Please provide printed copies of the materials for our church / organization.

Comment *

Submit

607-732-2111
info@stprc.org

VISIT: STPRC.ORG
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Last Name *

Southern Tier Pregnancy Resource Center
Mailing Address:
PO Box 944
Elmira, NY 14902
Fax #: 607-734-4772
Text #: 607-398-0707
STPRC:
375 W Water St
Elmira, NY 14901
607-732-2111
Life Center:
224 William St.
Elmira, NY 14901
607-737-6952