Coronavirus Gift Card Request
Please complete the following form to request a gift card to help you during this time. Once the request is completed, a representative from Shippensburg Community Resource Coalition (SCRC) will contact you. The call may come from a private or blocked number so please answer those calls. If you need to speak to someone right away, you can email SCRC at
or call 717-658-2092.
First and Last Name
Phone Number (XXX-XXX-XXXX)
Number of People in Household:
What is your top need?
Personal Care Items/Toiletries
What is your situation and why are you requesting a gift card?
Is there a specific store or restaurant that you would like a gift card to?
We cannot promise that we can provide a gift card to the store you request but will do our best to match your need with the appropriate place.
Where should we mail the gift card to?
If you do not have a mailing address, please write "no mailing address."
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This form was created inside of Shippensburg University.