Flood emergency donations
Please enter all information and someone from the team will  be in touch once we have a main distribution centre set up
Sign in to Google to save your progress. Learn more
ITEMS NEEDED
 Towels
 Blankets
 Duvet, pillows and other bedding
 Nonperishable food e.g. tinned soup, bean, packaged foods…
 Toiletries (male & female) including female sanitary products
 Pet food
 Pet bedding
 Miniature hand sanitizers
 Wellington boots/waders
 Waterproof clothing
 Protective clothing (inc work gloves)
 New pants and socks
 Crockery and cutlery
 Baby/young child items (formula milk, baby food jars etc.)
 First aid kits
 Men’s clothing and shoes
 Females clothing and shoes
 Children (boys & girls) clothing and shoes
 Bottled water
 Torches
Company Name
Company Address *
including postcode
Contact Name
We need one point of contact to liaise with.
Contact Number
We will need a point of contact phone number or email address (both are preferable)
Contact Email *
We will need a point of contact phone number or email address (both are preferable)
Are you happy for the contact number or email address to be given out publicly?  (this may result in a high volume of responses)
Please tick if you are happy for the details to be public (leave unticked if you prefer it not to)
Clear selection
Availible drop off times from: *
Time
:
Availible drop off times until: *
Time
:
Comments
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms