Program, Event and Supply Inquiry Form CommentsThis field is for validation purposes and should be left unchanged.CONTACT & TIMELINEOrganization / Business / Company Name(Required)Primary Contact Name(Required) First Last Email Address(Required) Phone Number(Required)Preferred Method of Contact(Required) Email Phone Either Target Date for Delivery or Event(Required) Exact Date Estimated Timeframe Date(Required) MM slash DD slash YYYY Timeframe(Required)How soon are you hoping to move forward?(Required) ASAP Within 1 month 1–3 months Just exploring / planning ahead WHAT ARE YOU LOOKING FOR?Which best describes what you need right now?(Required) Option 1: I just need supplies (no program or event attached) Option 2: I have a program or event already planned and need supplies Option 3: I’d like help planning a program or event and need supplies Supplies OnlyWho will receive the supplies? (Name of Nonprofit, School, or Business)(Required)Where will the supplies be delivered?(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Where will the event or distribution take place?(Required) Same as previous Street Address Address Line 2 City State / Province / Region ZIP / Postal Code What types of items are you interested in? (Select all that apply)(Required) Select All Backpacks School supplies (bulk) School supply kits Hygiene supplies (bulk) Hygiene kits Stationery and Office Supplies Toys Winter coats Are you interested in screen printing for your supplies? Yes (Please note: Screen printing orders require a minimum of 90 days' notice, and minimum order quantities vary by item.)Are there specific items or requirements we should know about?How would you like to build your order?(Required) I’d like to browse the website and select items I’d like OnTrackBackpack to select items based on my budget and needs Estimated Budget Range(Required) Under $500 $500–$1,500 $1,500–$5,000 $5,000+ Not sure yet Exact Budget (if known)Program or Event Already PlannedWhat program or event are you hosting or participating in?(Required)Who will receive the supplies? (Name of Nonprofit, School, or Business)(Required)Where will the supplies be delivered?(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Where will the event or distribution take place?(Required) Same as previous Street Address Address Line 2 City State / Province / Region ZIP / Postal Code What types of items are you interested in? (Select all that apply)(Required) Select All Backpacks School supplies (bulk) School supply kits Hygiene supplies (bulk) Hygiene kits Stationery and Office Supplies Toys Winter coats Are you interested in screen printing for your supplies? Yes (Please note: Screen printing orders require a minimum of 90 days' notice, and minimum order quantities vary by item.)Are there specific items or requirements we should know about?How would you like to build your order?(Required) I’d like to browse the website and select items I’d like OnTrackBackpack to select items based on my budget and needs Would you like this to be a kit-packing event? Yes, we’d like to pack kits ourselves No, we’d like kits pre-packed by OnTrackBackpack (Pre-packed kits may include additional service fees.)Estimated Budget Range(Required) Under $500 $500–$1,500 $1,500–$5,000 $5,000+ Not sure yet Exact Budget (if known)Program or Event Planning + SuppliesWhat type of program or event are you interested in?(Required) Adopt-a-School or Nonprofit ProgramA recurring support program where a business or group partners with a specific school or nonprofit to provide supplies on a scheduled basis Back-to-School in a Box Program/EventA back-to-school program/event that includes planning support, supplies, and optional kit-packing or pre-packed delivery. Chamber Community Impact Program/EventA chamber-led community giving initiative where chamber members sponsor supplies and OnTrackBackpack manages coordination and fulfillment. Other Do you already have a recipient organization in mind?(Required) Yes No, I’d like OnTrackBackpack to match me with a recipient Who is the recipient?Where will the supplies be delivered?(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code How would you like to determine what items are included? I’d like to select items myself I’d like OnTrackBackpack to coordinate with the recipient to identify needs What types of items are you interested in? (Select all that apply)(Required) Select All Backpacks School supplies (bulk) School supply kits Hygiene supplies (bulk) Hygiene kits Stationery and Office Supplies Toys Winter coats Are you interested in screen printing for your supplies? Yes (Please note: Screen printing orders require a minimum of 90 days' notice, and minimum order quantities vary by item.)Any specific item requirements or ideas?How would you like to build your order?(Required) I’d like to browse the website and select items I’d like OnTrackBackpack to select items based on my budget and needs If you are ordering school supply and/or hygiene kits, would you like this to include a kit-packing event? Yes No (pre-packed kits preferred) (Pre-packed kits may include additional service fees.)Estimated Budget Range(Required) Under $1,000 $1,000–$3,000 $3,000–$7,500 $7,500+ Not sure yet Exact Budget (if known)FINAL SECTIONAnything else you’d like us to know or questions you have?How did you hear about OnTrackBackpack? Chamber of Commerce Referral Event Social Media Website Other Please let us know who referred you so we can thank them!CAPTCHA
