New Hanover Disaster Coalition Partner Supply Request
This form is only for NHDC partners. Unfortunately, we cannot provide individuals with supplies but can refer you to partners who may have supplies.
Email *
Name
Agency
Priority
It'd be nice/future use
We need it today
Clear selection
Items requested-# of Reusable Masks, size and number of gloves, hand sanitizer (bring a container)
Need by Date
MM
/
DD
/
YYYY
Resource Use (staff & volunteers, walk-ins, food pantry etc)
Are you able to purchase the resource? (Example: we need cleaning supplies, I have funds to cover it I just can't find any or I currently don't have the funds to purchase masks for staff)
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Notes
Delivery Point of Contact (name and phone number)
Able to pick up at Harrelson Center? or Delivery location address
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Submit
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