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Battery Request
Request form to notify Babysitters in Collective that you need a battery
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* Indicates required question
Name
*
Your answer
Phone Number
*
Your answer
Potential drop-off location (address, cross-street, business)
*
Your answer
Planned Usage
*
Refrigeration
Heat/AC
Sound System
Lighting
Other:
Reason for Request
*
i.e. event, power outage, relocation
Your answer
Priority
*
Very Low
1
2
3
4
5
Very high
Requested Date
*
MM
/
DD
/
YYYY
Optimal Time
Time
:
AM
PM
More details
Your answer
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