Community Request Form
Moon Time Sisters is a volunteer organization whose mission is to help northern communities gain access to menstrual products. We gather products and ship them to communities completely free of charge.

Please fill out the following questionnaire to help us gather and prepare items best suited to your community.
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Community Name *
Contact Name *
First and Last
Email *
Phone number *
What is your relationship to the community? *
Are you a member, a teacher, doctor, nurse, or other professional in the community?
Roughly how many people who menstruate are in your community? *
Please indicate which products you would be interested in receiving. *
How will the products be distributed to members of the community? *
What is the price range for a box of pads and/or tampons in your community? *
Which airlines fly cargo into your community? *
Please provide an address and contact name for shipping purposes. *
Do we have permission to mention your community's name in our social media feeds, website, e-mails etc?
By submitting this form and checking the box below, I do hereby declare that I will ensure donated products will be provided to community members free of charge as per the Moon Time Sisters mandate. *
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