COVID-19 Nonprofit Supply Needs Form
For any questions or comments, please contact Tanis Monroy at
Email address *
Personal info
First and Last Name *
Email address (Enter email address you are comfortable sharing with the public) *
Agency Name *
Phone Number *
COVID-19 Related Items Needed (Describe the items you need, please focus on items related to the outbreak only.) *
Agency website and/or Amazon Wish List *
Volunteers who have supplies to donate should *
Drop off street address (Add the drop off location here or if you can't accept drop offs leave blank)
City, State, Zip Code *
Best drop off days and times *
Additional details or comments
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