Request for Supplies for Those in Need
Please complete this form.  You will be contacted within 24-72 hours. Please email if you do not receive a call or email. Thank you!
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Name of Person to Contact *
Name of organization (If applicable. If not, put n/a) *
Best contact number and time to call *
Preferred email of contact person *
Is your request for an individual or for clients you serve? *
What products are you requesting at this time? (we cannot guarantee type or quantity. Based on available donations) *
Is this an emergency need? If so please call or text 717-645-3116 *
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