Stimulus Check Redistribution Form
Please let us know how you would like to redistribute your stimulus check to those who need funds in this difficult time. Let us know if you have any questions, you can email us at surjbemergencyresponse@gmail.com.
Email address *
Name *
Your answer
Phone Number
Your answer
Yes, I would like to pledge my stimulus check to support my community during the COVID-19 crisis! *
I would prefer my check go to... *
Required
Have you already pledged to redistribute your check through another organization?
Anything else you want us to know?
Your answer
Thank you for your commitment to resource redistribution during this crisis!
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