From our Classrooms to our Nurses: American Schools Care
Area schools that are able to donate disinfectant wipes. Please fill out this form after you have collected the wipes.
School Name *
School Address *
School Zip Code
School Phone Number *
Name of Contact Person at School *
Email of Contact Person at School *
Contact Person's Phone Number *
Name of Backup Contact Person
Backup Contact Phone Number
Number of SMALL containers (35 wipes per container) *
Number of LARGE containers (75 wipes per container) *
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