Use this form if you located a hospital on your own to donate the disinfectant wipes to, instead of using our data base. We want to make sure your school is recognized for its contribution.
Donating School Name and Address
Hospital Name and Address Disinfectant Wipes Were Donated To
Number of Small Containers Donated (35 wipes per container)
Number of Large Containers Donated (75-80 wipes per container)
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