Covid-19 Business Face Covering and Sanitizer Distribution
COVID-19 Business Face Covering Distribution - Placer County

The State of California and Placer County Office of Emergency Services have provided face coverings and hand sanitizer to assist businesses who are otherwise unable to obtain supplies as they reopen their businesses. To help, the Town of Loomis and the Loomis Basin Chamber of Commerce have partnered to distribute.

As part of the Governor's Office's efforts to distribute face coverings to businesses within the State of California, Placer County is using this form to collect orders and verify business information.

After completing and submitting the below form, you will be contacted to coordinate a date and time to pick up your order at the Loomis Basin Chamber of Commerce in Loomis, California. Thank you.

* Required
Email *
Business Name *
Business Mailing Address *
Federal Tax ID Number / EIN
Please select the Governor's sector that identifies your business type <https://covid19.ca.gov/essential-workforce/> *
The reason you are ordering face coverings through the government? *
Number of Employees *
Contact Person - Name *
Contact Person - Phone Number and/or E-mail address *
A copy of your responses will be emailed to the address you provided.
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