TMWG Partner / Agency Order Form (Disaster Distribution)
This is an order form for TMWG RCC partners. Note: Only Partners and approved people can order. We will communicate if items can not be fulfilled.
Email address *
Agency Name *
Person placing the order *
Person picking up order *
Phone number *
For a family or an organization? *
Required
Number of people impacted by this order
Home Essential Needs
Check the box of items you need
Basic Needs
List the items you need under this category.
Electronic Needs
List the items you need under this category.
Supply Needs
List the items you need under this category.
Apparel Needs -Clothing, socks, ext. (Include Gender, Age, Size, and Quantity)
List the items you need under this category.
Infants and Kids Needs (Include Gender, Age, Size, and Quantity)
List the items you need under this category.
Outdoor and Lawn Needs
List the items you need under this category.
Automotive Needs
List the items you need under this category.
Tool and Hardware Needs
List the items you need under this category.
Seasonal Needs
List the items you need under this category.
Larger Items (Furniture or Outdoor items) - If we do not have these items we will put them on a request list and notify you when available
List the items you need under this category.
Date
MM
/
DD
/
YYYY
Submit
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