Cville Craft Aid Order Request Form

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At this time, we are only able to take requests from businesses and organizations that are working with the public, elderly individuals, and individuals that are immunocompromised. Thank you for deferring to those that really need them first! Please note that your name and any sensitive information your provide is private and will not be shared with anyone except our administrative team.

Please select the nature of your request *

Business or Organization

Individual - Elderly

Individual - Immunocompromised.

What is your business or organization's name? (If you are an individual please list "N/A.") *

What is your affiliation to the business or organization (i.e. Director, Supply Coordinator, etc.)? (If you are an individual please list "N/A.") *

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