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Rockaway Mutual Aid Donation Form
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* Indicates required question
Email
*
Your email
Name/pronouns
*
Your answer
Phone number
*
Your answer
Address
*
Your answer
What do you have to donate?
*
Air conditioner
Children’s clothes
Adult clothes
Diapers
Other:
Can you deliver the item(s) yourself?
*
Yes, I will drive/bike to any area of Rockaway
No, I would need someone to pick it up from me.
Maybe, depends on where it needs to go
Other:
I would like to be included on general Rockaway Mutual Aid e-mails about volunteer opportunities, community meetings and events.
Yes
No
Clear selection
Send me a copy of my responses.
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