PPE 2 NEPA: COVID-19
We are working with the Lackawanna Medical Society (LCMS) to collect PPE donations which will be given to local clinics and hospitals in need here in the NEPA area!
Sign in to Google to save your progress. Learn more
Name
Email
Contact Number
Member Classification
School Affiliation
Are you interested in...
Clear selection
If you know of any businesses (nail salons, auto stores, etc.) that we can contact for PPE donations, please list those below. This will be added to an existing master list. (Please add the business name and contact info)
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy