2-1-1 Materials Request Form
United Way 2-1-1, serving Lucas, Wood and Ottawa counties is happy to provide 2-1-1 materials for local agencies and businesses. Please provide information about materials needed. We will confirm receipt of your request via phone/email and verify pick up date. All materials can be picked up at one of our three locations (Toledo, Bowling Green, or Port Clinton offices).
Contact Name *
Your answer
Organization Name *
Your answer
Contact Email *
Your answer
Contact Number *
Your answer
Date Materials Requested *
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Date Materials Needed *
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Number of Posters
Your answer
Number of Rack Cards (Front English, Back Spanish)
Your answer
Number of Business Cards
Your answer
Number FamilyWize Prescription Cards
Your answer
Pick-Up Location *
Any Additional Notes:
Your answer
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