Cleanup Supply Request Form

Home Cleanup Supply Request Form

Before requesting supplies from PalmettoPride, check in with your local KSCB affiliate first. If there is not a KSCB affiliate near you that is well-stocked on supplies, you can request supplies from PalmettoPride at no cost to you. We ask that you request supplies at least three weeks in advance, because there may be longer waiting periods and inventory shortages during our busy times of the year.

When you request supplies from us, we can typically ship supplies for events with fewer than 25 volunteers outside of the Midlands area. If your event has more than 25 volunteers, you or someone helping with the event will need to pick the supplies up from our office in Columbia located at 2700 Middleburg Drive Suite 216 Columbia, SC 29204. When your supplies are ready for pickup, a staff member will contact you and will schedule a time for you to get them. If you have questions about requesting supplies, contact info@palmettopride.org or call 803.758.6034.

Cleanup Supply Request

Organization Name*
Contact Name*
First Last
Contact Phone*
Contact Email*
Mailing Address*
Street Address Address Line 2 City State ZIP Code
County*
Date of Cleanup*
MM slash DD slash YYYY
Location of Cleanup*
Check which supplies you need:*
- Bags
- Gloves
- Safety Vests
*No more than 250 qty per item.
Describe the area of the cleanup. Please indicate if you would like to request any other supplies to make your cleanup more effective:*
Expected Number of Volunteers / Participants*
Please enter a number greater than or equal to 1.
Are you a current PalmettoPride Grant recipient?*
- Yes
- No
Would you like to subscribe to PalmettoPride's monthly e-newsletter to learn of litter cleanups and other organization updates around SC?*
- Yes
- No, not at this time
- I’m already subscribed