Request PPE in the Central Coast
If you are are an organization or business that NEEDS supplies in order to provide essential services, use this form to give us information about your needs.

Parent Site: https://www.ppe4cc.org

PLEASE SHARE:

Go Fund Me for PPE in the Central Coast:
https://www.gofundme.com/f/santa-cruz-need-ppe-now-support-ppe4scc

A portion of funding is allocated to Encompass health workers through this Go Fund Me: https://www.gofundme.com/f/help-protect-santa-cruz-community-service-workers
Email address *
Organization Name *
Full Name *
Job Title *
Phone *
Facility Address *
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