Asian Business Collaborative PPE Distribution - Business Sign Up Form
Asian Business Collaborative is working with City of Albuquerque to provide Asian owned small businesses FREE personal protective equipment!

Each PPE package that will be given to a business owner will consist of:
10 cloth masks;
100 disposable masks;
3 plexiglass dividers;
2 boxes of gloves;
3 bottles of sanitizer;
3 bottles of disinfectant;

To receive a free box of PPE per Albuquerque business location, you can choose drive-thru pickup at Talin Supermarket or we can deliver it to the main business location. This event will be available from 11/30/2020 to 12/23/2020. Boxes are reserved in a first come, first serve basis.
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Email *
First Name *
Last Name *
Phone Number *
Company Name *
Company Address *
If you chose to drop off PPEs, this will be the address we deliver to.
Business Size (How many people in your company, including the owner? ) *
How many locations do you have in Albuquerque?
If you have more than one location outside of the Albuquerque area, we apologize that we cannot accommodate for the location.
How would you like to collect your PPE box? (Sign up for individual times in the following section.) *
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