捐赠物资-Donated Items
If you want to donate items, please enter the information here.

注：如果您希望收到捐赠单位感谢信，请留下地址。Please leave your home address if you wish to receive the thank you letter from the recipient.
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Email *
是否允许受赠方知道您的名字? -- Permission to share your name with the recipient? *
Required
捐赠人名字 (Name of Donor) *
是否在莱克新屯7-疫情捐赠群 *
捐赠人微信号- Wechat of Donor *
捐赠人电话- Phone of Donor
捐赠人地址- Address of Donor
物资名称 （每次只选一项。如果有多种物品，请每种物品登记一次）- Item Name *
数量 (Amount) *
如果在寄送途中，请填预计到达时间 -Estimated Arrival Time
MM
/
DD
/
YYYY
备注（如果是特殊物品，请在此标明）-Special Note
A copy of your responses will be emailed to the address you provided.
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