KC Cares - PPE requests
Kerala Club has obtained face shield and n95 masks for distribution to front line healthcare workers in our community.  Please fill out the form below and some one will contact you shortly to arrange pickup.  
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Name *
Telephone *
Email Address: *
Work information (position/company) *
Type of PPE requesting:
I acknowledge that I am a healthcare worker and that I will not use these equipment for personal use and will not be resold. *
必填
Preferred pickup location: *
必填
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