MY Project USA - PPE Request Form For A Family
THIS FORM IS FOR A FAMILY OR INDIVIDUAL REQUEST ONLY.
Please fill up this form to request a donation of Hand Sanitizers, Face Masks, Face Shield and Trash Bags from MY Project USA. We will scan your request and will do our very best to provide you with these items as they are available. The distribution will be based on supply and demand basis with focus on serving the most vulnerable and needy families within our communities.
Email address *
Client's Full Name *
Client's Cell Phone *
Client's Email *
Number of Adults in Household *
Number of children in the household *
Items Requested *
Required
Can you pick them up from our warehouse off of Fisher Rd. 43228? *
Any additional comment/suggestion
Submit
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