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Illinois Craft Distillers Association Healthcare Request Form
This form is for Healthcare Facilities only. Our goal is to provide as much hand sanitizer as possible in as short of a timeframe as possible. We will do our best to pair your request with one of our distilleries who has product available and respond within 24 hours.
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Organization Name
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Contact
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Phone Number
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Address
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Email
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Description of Organization
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Please let us know what you need in gallons and timeframe
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If you have made requests to other distilleries please let us know who and if they were able to respond
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