COVID19 Donation Form

Donations will need to be in sealed, unopened packaging. One box minimum.

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* 1. Contact Information

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* 2. Do you have any of the items below that you are willing to donate? If yes, how many boxes? 

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* 3. Do you have the resources to manufacture any of the above listed items? If so, please explain below:

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* 4. Have you already donated? If so, what items and where?

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