Montpelier Needs Request

We are Montpelier Area Mutual Aid and we're here to help each other through the coronavirus pandemic.

We all need to help reduce the spread of the virus by staying home. Together, we need to make sure that all community members have what they need to stay home, whether sick or healthy.

>>> Do you need support? Does someone you know need support? Then this form is for you. WE REGRET TO SAY THAT WE ARE NOT ABLE TO PROVIDE FINANCIAL ASSISTANCE AT THIS TIME.

>>> Do you have a medical emergency? Please call 9-1-1.

Volunteers in and around Montpelier have agreed to provide some support. If you have a need we will try to connect you with someone who can help.

Fill out the form below, and we'll be in touch within 72 hours.

Thank you for looking out for each other and for keeping us #montpelierstrong.

Note: Information you provide here is not secure or protected by HIPPAA. Volunteers will read the responses and contact you.
Name *
Phone number (if none, N/A)
Email address (if none, N/A)
What do you need?
If you need delivery, please provide your address. *
Please list the items and groceries you need to be delivered. We will strive to provide everything on your list, but please begin with what you feel is most needed. Please also be specific about the store, brand, or product you need. *
Are there any specific brand products you require, for which you will NOT accept substitutes?
Your method of payment (check, cash, PayPal, Venmo, other) *
Do you need financial assistance for these items? We will help connect you to organizations in the communities that may be able to help. *
Would you be interested in food delivery from Just Basics, the Montpelier Food Pantry?
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Is there anything else you would like your volunteer to know?
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