Issaquah Chamber PPE Request

PPE REQUEST FORM

The Greater Issaquah Chamber of Commerce is working to secure masks and sanitizer to be made available, free of charge, to area businesses and nonprofits. Please complete the form below so that we can estimate the demand for these supplies and get in touch for distribution.
Organization Name *
Contact Person *
Phone Number *

Area Code Phone Number
E-mail Address *
Number of Employees needing PPE *
We are in need of: *

Hand Sanitizer Disposable Masks Cloth Masks
Thank you! The Chamber will be in touch with you regarding available pickup times within 3-5 business days.
Should be Empty:

PPE REQUEST FORM