To-Go Box Request Form
Pick-up Details
Pick up day (select one):	Tues (10-5pm) Wed (10-5pm) Thurs (10-5pm) Fri (10-7pm) Sat (10-5pm) Sun (10-5pm)
Date (i.e. Sept 5th):
Contact Details
Group Name:
Contact Person:
Phone Number:
Email Address:
Activity Details
Length of bead-making activity:
# of participants:
Additional notes or comments:
*Your $15 processing fee helps support our "To-Go Box" Program - Thank you! $30 refundable deposit will also be collected at time of pick up. If after 30 days the to-go box has not been returned, the $30 will be deposited* Thank you for encouraging your group members to "bring a buck for Ben's Bells". Your donation will help us increase our kindness-spreading activities!

***Your $15 processing fee helps support our
"To-Go Box" Program - Thank you! $30 refundable
deposit will also be collected at time of pick up. If after 30 days the to-go box has not been returned, the $30 will be deposited***

Thank you for encouraging your group members to "bring a buck for Ben's Bells". Your donation will help us increase our kindness-spreading activities!