YWCA Quad Cities IOWA EMPOWERMENT CENTER Immediate Needs Form

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Please fill out this form with a basic outline of your needs. We will do our best to fulfill your request, and will contact you to arrange a pick up time. Items can be picked up at the YWCA's Iowa Empowerment Center at 1115 Mississippi Ave, Davenport, IA. Items listed are subject to availability. At this time, YWCA Quad Cities does not actively provide shelter, but we are happy to refer you to another organization. We are unable to ensure availability via other organizations.

PLEASE NOTE: While we do our best to monitor this form daily, there is no guarantee that someone will return your inquiry in less than 48 hours. If it is an emergency, please call 911.

The Iowa Empowerment Center is open Monday - Thursday 900am - 330pm. Please call 563.340.0310 to make an appointment.

Name *

Phone Number *

Email Address *

IMMEDIATE NEEDS *

Food

Clothing

Diapers/Wipes

Toiletries

Other:

If clothing or diapers are needed, please let us know what size(s).

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