MY Project USA - PPE Donation Form
We are able to receive, store and distribute large and small donations of any type of PPE supplies from community members, large and small businesses, government agencies and and nonprofit organizations. Please Fill up this form and we will contact you soon. Thank you
Name of Agency/Group
Contact's Cell Phone
Please select all items that you can donate to our coalition
Children Face Masks
Adult Face Masks
How many Hand Sanitizers can you donate? How are they packaged?
How many Adult Cloth Face Masks can you donate? How are they packaged?
How many Children Cloth Face Masks can you donate? How are they packaged?
How many Face Shields can you donate? How are they packaged?
How many Sanitizing Wipes can you donate? How are they packaged?
How often can you offer the supply of the listed items in the next 6 months.
One Time Only
Every Two Weeks
Every Two Months
Can you deliver them to our warehouse off of Fisher Rd. 43228?
Any additional comment/suggestion
Send me a copy of my responses.
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