Water Operator Thank You Campaign
PCOH is encouraging Pennsylvanians to thank your water systems for delivering safe drinking water to homes, schools, child care centers, restaurants, and businesses. Regardless of the fluoridation status of your water system, water operators do an essential job of providing you and your family with safe drinking water.   PCOH will provide you with  blank thank you notes, envelopes, and a prepaid envelope to return your notes back to us. From there, we will address your note and send it on to your water system. We ask that you put your return address on the envelope so that we know which water system to send your note. If you wish to remain anonymous, we ask that you write the name of your water system on the front of the envelope. Please reach out to Amy Tice (info@paoralhealth.org) with any questions. Thank you!
Sign in to Google to save your progress. Learn more
How many people will be writing notes? (Send an estimate if unknown) *
Where will you be distributing the notes? (i.e. type of meeting, event, etc.) *
Please list the name and full address of where we should send the blank notes: *
Please list the deadline you need the materials delivered by: (Please note, we require at least 2 weeks notice) *
Name of person requesting materials: *
Contact information (email and phone) of person requesting materials: *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of PA Coalition for Oral Health. Report Abuse
Google Forms