Arizona Together - Organization/Business Support & Donations
Arizona is committed to a unified effort to get our state through the COVID-19 outbreak. Please use the form below to let us know how your business or organization can help - either through donations, a food drive, or other activity.
Organization Contact (First & Last Name)
Contact Phone Number
Contact Email Address
Select the county(ies) you operate in.
How is your organization interested in assisting Arizonans during the COVID-19 Outbreak?
If your organization is offering the donation of goods or services to support COVID-19 relief efforts, please provide details about those good/services.
For the donation of medical supplies or sanitation products please indicate each product type and quantity.
Any additional information?
By completing this form you are authorizing the State of Arizona to share your information with partner organizations in need of support. You may be contacted directly by the organization in need of support. Please check the box below to acknowledge this statement.
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This form was created inside of State of Arizona.