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Donate critical safety supplies to our health care workers

Donate your unused masks (N95, KN95, P100, or surgical), anti-bacterial soap, sanitizing wipes, gowns, eye protection, and gloves to keep front-line workers healthy so they can save lives!

ALL DONATED SUPPLIES WILL BE ALLOCATED TO FRONT-LINE HEALTH CARE WORKERS, FIRST RESPONDERS, AND OTHER SERVICE PROVIDERS SERVING HIGH RISK POPULATIONS.
Name *

First Name Last Name
Business or Organization
Title
If any
Email *
example@example.com
Phone Number *

Area Code Phone Number
Address where supplies can be picked up *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Supplies you can donate:
Number of boxed, unopened N95 Masks to donate
Description and count of any other supplies you intend to donate (e.g. masks other than N95, scrubs or medical gowns, gloves, etc.)
Additional comments or suggestions
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Donate critical safety supplies to our health care workers