Penny Campaign Collection Jar Reservation

Thank you for supporting Samaritan Ministries! Please complete the form below to reserve one or more Penny Campaign collection jars. Questions? Contact Lera Shawver, Community Engagement Specialist, at lera.shawver@samaritanforsyth.org or (336) 448-2674.

Organization Name (if applicable)
Your Name*
First Last
Your Email*
Your Phone
How many collection jars would you like?*
Collection jars will be available for pickup starting Oct. 26. Please select a pickup option, and we will reserve jars accordingly.*
Note: Samaritan Ministries is located at 414 E. Northwest Blvd., Winston-Salem, NC 27105.
- I will stop by on the week of Oct. 26.
- I will let you know my plans.
- Please contact me to make arrangements.
Comments or Questions
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