October GUGP Period Products
Due to the overwhelming need in the community individuals must pre-register for each Market Distribution Day.

Please complete the following pre-registration form if you are in need of PERIOD PRODUCTS

*Please note we are limiting to pre-registration to 50 clients for period products.* 

We are doing our best to meet the needs within our community during this difficult time and we look forward to serving you.

If you register and do not show up TWICE, unfortunately we will not be able to accept your pre-registration for future market days. If you need to cancel please email us at info@graceupongraceproject.org
Email address *
Date *
MM
/
DD
/
YYYY
First Name *
Last Name *
Phone number (please no dash marks) *
City of Residence (used for data purposes only) *
Products--You may choose up to a total of three different products. (please note if we are out of something we will substitute it with something to ensure your needs are met) *
Required
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