What item(s) can you donate? (Select as many as apply.) *
Required
If you selected "Other" above, please specify your donation items below.
Your answer
What is your street address? *
Your answer
What is your city of residence? *
Your answer
Can you leave your donation items on your doorstep or at your gate for pickup? *
Do you live in a gated community that is not accessible to the public? *
What is your email address? (Please list one that you check regularly.) *
Your answer
What is your phone number? *
Your answer
Have you submitted this form before? (You may submit multiple times as more donation items become available.) *
Do you consent to your NAME, STREET ADDRESS, and PHONE NUMBER being given to the driver assigned to your neighborhood? Your information will not be released publicly, nor shown to other donors. *
How did you first learn about Bay Area Covid Relief Project? *