My business has been impacted by the Camp Fire and I need help!
If you are an individual or business needing help re-establishing your office space please fill out this form so we can help direct support your way.
Email address *
First and Last Name *
Your answer
Business Name
Your answer
Type of Assistance
Hours needing access
How many workstations or employees needing space?
Your answer
How long do you need space for?
What do you specifically need help replacing regarding your office? This list will help us direct donations to purchases.
Your answer
Any other comments?
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Chicostart. Report Abuse - Terms of Service