Item Request - LHC Members Only
This service is only offered to current members of the La Habra Collaborative. If would like to request resource items for your organization, please complete this form. We will get back to you to let you know if we are able to fulfill your request. We require a 10-day notice prior to the date you need the items. 

*Disclaimer: Filling out this form does not guarantee that we will be able to meet the request. 
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Email *
First and Last Name of Contact *
Phone number in case Scott needs to reach you:
Position
Organization *
Please select needed resources: *
Required
Estimated quantity needed: *
When do you need items by? (10 day notice required) *
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