Business/Organization Support Signup Form
If you'd like to participate in our mask drive program, as a business, nonprofit, or other organization, please fill out the information below and we'll follow up with you to address your needs. This program is first-come, first-served and based on the donations we are provided. There is no guarantee you will receive materials. We will; however, do what we can to address your issues and concerns. Thank you for your patience and participation as we, as a community, get through this difficult time. If you have any questions or would like to volunteer to support the effort, please contact Jeff Eggleston via email at ejeff@warren-county.net or call 814-584-2203.
Email *
Your Name
Organization
Organization Address
Phone Number *
Email Address *
What items do you need help acquiring? (check all that apply)
Mask Need Estimate (this does not need to be exact but a best guess)
Clear selection
General Question or Comments
A copy of your responses will be emailed to the address you provided.
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