kakichihiwewin community care kit request
Send a care kit to your kin, or request one for yourself.
Sign in to Google to save your progress. Learn more
Email *
Name of recipient: *
Recipients address: *
Recipients Nation(s): *
Recipients phone (for shipping purposes): *
Anything you'd like to share about the recipient or yourself?
Your name:
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Seeding Sovereignty. Report Abuse