COVID-19: Essential Products and Services
Please complete the following form if you have essential products or services available or if you are donating products and services to the long-term care, housing, and community service sectors.

If you have any questions about this form, please email
Company *
Contact Name *
Phone *
Email *
I am offering the following: *
If your product is personal protective equipment (PPE), please list the category it falls under:
If your product is PPE, when is it available for delivery?
Clear selection
Name of Product or Service Available *
Description of product or service *
What pricing are you offering on your product or service? *
Are you an AdvantAge Ontario commercial member? *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy