Request for Supplies for Those in Need
Please complete this form.  We donate to organizations only. If you are an individual, we will direct you to a community partner. You will be contacted within 72 hours. Please email theperiodprojecthbg@gmail.com. if you do not receive a call or email. Thank you!
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Email *
Name of Person to Contact *
Name of organization (if not an organization, go to next question)
Name of individual in need, if known OR Contact Person (All items will be distributed through one of our community partners and must be picked up)
Cell phone (for call or text message) *
Preferred email of contact person *
Preferred email of contact person *
What products are you requesting at this time? (we cannot guarantee type or quantity. Based on available donations) *
How many menstruators is your organization supplying per month? If not an organization, type N/A *
A copy of your responses will be emailed to the address you provided.
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