Community Partners Order Form

Program Updates
Community Partner Order Form
We are able to send supplies to partner organizations with OHIO mailing addresses. We have outreach workers in regions throughout Ohio. Reach out to admin@thesoarinitiative.org or text/call 937-830-2139 to be connected with one.
1. I consent to only entering a valid Ohio mailing address, as SOAR only ships supplies within the state
2. I understand that SOAR reserves the right to deny my profile or requests at any time based on my answers to this form
Do you agree to the above terms?*

YesNo

Your Organization
What is the name of the organization you are requesting supplies for? *
If your organization is a local branch of a larger subsidiary, please specify the local branch you're a part of
The next question asks for the organization's address. Check the box below if the statement is true, and the address will auto-populate below:

Shipment Details
Which supplies would you llke to order? (Please note we won't always have all supplies available. We will do our best to fill your request. Thank you for understanding.)
How many Naloxone kits would you like to request?*
How many people do you anticipate serving with the requested supplies?*
Did you know that SOAR's Bad Batch Alert (BBA) system can send you texts to let you know when the drug supply in your neighborhood may be unusually unsafe? You can subscribe to the BBA for free at SOAR's website:

https://thesoarinitiative.org/deadly-batch-alerts/
Please use this field below to share feedback on the requesting process or any additional information you might want to include with your submission.*
Please consider donating to SOAR!

We want to continue providing all of our services free of cost. Any and all donations are deeply appreciated, so we can keep serving individuals, personal outreach workers, and harm reduction groups.
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Program Updates