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.
Business Mailing Address
Federal Tax ID Number / EIN
Please select the Governor's sector that identifies your business type <
Healthcare / Public Health
Food and Agriculture
Water and Wastewater
Transportation and Logistics
Communications and Information Technology
Government Operations and other community based essential functions
Chemical and Hazardous Materials
Defense Industrial Base
Industrial, Commercial, Residential, and Sheltering Facilities and Services
Personal Care Services
The reason you are ordering face coverings through the government?
I tried to buy privately and couldn't find them
Shipping was more than a month out when I tried to buy them
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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This form was created inside of Loomis Chamber of Commerce.