Coates Cabinet Request Form

Coates Cabinet Request Form

Orcas Community Resource Center
OCRC clients can access COATES Cabinet ONE time each month. Open hours are weekly on Tuesday, from 12pm - 4pm. Please place advance orders by Monday at 12pm. Items will be ready for pick up 12-4pm on Tuesday.

LOS CLIENTES PUEDEN ACCEDER A COATES CABINET UNA VEZ AL MES.
El horario de atención es semanal los martes, de 12:00 a 16:00 horas. Realizar pedidos anticipados antes del lunes a las 12:00 horas. Los artículos estarán listos para ser recogidos el martes de 12 a 4 p.m.
Coates Cabinet Pick Up Date*

MonthDayYear
1st OR 3rd Tuesday of the month
Client Name*

First NameLast Name
Primary Phone*

Area CodePhone Number
Number of people in Household*
Each household is eligible for seven items
+ one item per additional household member.

Household of 1 = 7 items
Household of 2 = 8 items
Household of 3 = 9 items
Household of 4 = 10 items
Household of 5 = 11 items
Please select your items

All-Purpose Cleaner / Limpiador MultiusoAntibiotic Ointment / Pomada AntibióticoBaby Wipes / Toallitas de bebé (2 max)Baking Soda / BicarbonatoBand Aids / Band Aids (Curitas)Bar/ Bath Soap / Jabón de baño y cuerpoBody Lotion / Loción CorporalBody Powder / Polvo CorporalBody Wash / Gel de bañoConditioner / AcondicionadorCotton pads / almohadillas de algodónDental Flossers / Hilo dentalDeodorant / DesodoranteDiapers (indicate size) / Pañales (indicar tamaño)Dish Soap / Detergente para lavar platosEpsom Salts / Sal de EpsomHand Soap (liquid) / Jabón de manoHydrogen Peroxide / Peróxido de hidrógenoAluminum Foil / Papel de aluminioParchment Paper / Papel de hornoKleenex tissues / El Kleenex (o el pañuelo de papel)Laundry detergent pods (x10) / Detergente para ropa (x10)Paper Towels / Toallas de papel (max 2)Q-Tips / Q-Tips (o hisopos)Razors / RasuradorasShampoo / ChampúShaving Cream / Crema para afeitarSponges / EsponjasTampons / TamponesFeminine Pads / Almohadillas femeninasBladder Control Pads / Almohadillas de Control de la Vejiga (x10) max 2Toilet Paper / Papel higiénico (4 rolls/max 8 rolls)Toothbrush / Cepillo de dientesToothpaste / Pasta dentalTrash Bags (x10), kitchen size / Bolsas para basura (x10)Ziploc Bags (sandwich size) / Ziploc - Bolsas de sándwich - pequeño
Add any notes about your order
Should be Empty: