Donations Form
At this time Marin County is encouraging our public, business partners and organizations to donate select new and unopened personal protective equipment to assist our first responders and health care facilities who are responding to the COVID-19.
Email address *
First and Last Name *
Your answer
Business or Organization Name
Your answer
Phone Number *
Your answer
Select any of the following items you would like to donate *
Required
Please list any other medical supplies not listed above that you would like to donate
Your answer
If you would like to donate any of the items above, please enter the quantity of those items below. *
Your answer
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