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Gift of Christmas Barrel Request

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GIFT OF CHRISTMAS BARREL DONATIONS
As a representative for my place of business/ organization I am requesting DPVFD to contact me and schedule a time for a Gift of Christmas Barrel Deliver/ Pick-up as indicated below.
BARREL REQUEST*
1. DELIVERY
2. PICKUP
Date and Time Requested*
Date and Time Requested Start Date
Date and Time Requested Start Time
—
Date and Time Requested End Date
Date and Time Requested End Time
Name of Business/ Organization*
Contact Name*
Contact's Title*
Address1*
City*
State*
Zip*
Phone Number*
Disclaimer
Please note that this is a request and not a guarantee. You will be contacted by a DPVFD representative to confirm and approve your request.