NAMAS - Eastside COVID Community Help - Volunteers/Donation Form
If you are a member of the Eastside of Seattle Community and want to help buy and deliver groceries to those who are quarantined or immunocompromised/immunosuppressed, please fill out this form and join the Facebook group:

Note that this is a serious commitment, please only join if you plan on helping out.

If you are in need of help, please fill out this form: https://tinyurl.com/EastsideCOVIDHelp

Please additionally request to join this Facebook group: https://www.facebook.com/namas4u/ 
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If you would like to donate any nonperishable supplies/groceries or some cash so we can buy these supplies/groceries, please contact Jyotika Diwan either through facebook messenger: https://www.facebook.com/jyotikadiwan or email her: jyotika.diwan@hotmail.com
Any amount of groceries or money helps!
What is your name (First Last) *
What is the best email to contact you
What is your phone number (with Area Code, please) *
What is your address? *
This is so we can better plan who you can deliver to, and won't be shared to anyone except the organizer of this form
What is your facebook ID (if applicable) *
If you don't have facebook, respond "none"
Which city do you live in? *
To which of the following cities would you like to deliver to? (Select all that apply) *
Note: This isn't binding - just to gauge your distance needs.
Required
What days, in general, are you available to deliver? (Select all that apply) *
Again, not binding, just in general.
Required
For which of the following do you have membership/discounts? (Select all that apply) *
Required
Which of the following do you have access to while making a grocery run? (Select all that apply)
Do you have space to store supplies/groceries, should it be needed? *
I affirm all of the following: *
Required
Anything else you would like us to know?
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