Would you/your church like to support Clarity by running a baby bottle campaign? Simply fill out this form and we will be in contact with you soon! Church NameChurch Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Church Office Hours (for delivery & pick-up purposes)Contact Name First Last Contact Phone NumberContact Email How many baby bottles would you like?When would you like to run the baby bottle campaign? Start Date: End Date: How would you like to return the bottles to Clarity? I will contact Clarity when the bottles are ready to be picked up. Please contact me at the conclusion of our campaign to arrange pick up. I will bring the bottles back to Clarity. Are there any additional details we should be made aware of?