Mutual Aid Request Form

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Please select any Sanitary Items needed and quantities below you are in need of. The items needed will be outside of the UPUA office on the 3rd floor of the HUB at the entrance facing offices 315/316. Please put a personal marking to ensure that you know which bag is yours without needing to put your name or other identification.

Packages should be ready within 2 business days. Please keep an eye out for an email.

Email *

What Mutual Aid is Needed? *

KN-95 Masks

Regular Surgical Masks

Tampons (Light)

Tampons (Regular)

Tampons (Super)

Toothbrushes

Toothpaste

Pads

Disposable Razors

Shampoo

Deodorant

Bar Soap

Required

What quantity of each item do you need? (i.e. 1 toothbrush, 7 regular tampons, and 3 bar soaps) *

What marking would you like on the bag to pick it up? (i.e. 9649, Giani, or :) so we know what bag is yours) *

Submit

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