DISPATCH SCIENCE COVID-19 Initiative Approval Form

As you are aware, we are offering a free Delivery Management System for organizations fighting coronavirus (COVID-19) impacts. More specifically, we want to help organizations deliver food, pharma, and essential goods to those in need. We are offering free accounts until July 31, 2020, to any qualifying organization that urgently needs to equip their dispatchers and drivers with the technology to make a difference.

This form will be used to assess your eligibility to obtain a free account.

Email address *
Never submit passwords through Google Forms.
This form was created inside of Apcurium. Report Abuse