微表 COVID-19 Mask Request / Donate Form for Lexington Residents
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COVID-19 Mask Request / Donate Form for Lexington Residents

COVID-19 Mask Request / Donate Form for Lexington Residents
CAAL COVID19Support.WeForm.net 5 days ago
339-970-8550
Total: 341 signed up
来自朋友的分享 - Joe

You may request or donate FREE face masks for emergency by submitting this form organized by the Chinese American Association of Lexington (CAAL).
更多信息

Type*
I want to donate (12signed up )
我想请求紧急口罩(限Lexington居民地址) (329signed up )

Items
名称 剩余数量
名称 剩余数量

Voluntary Donation
CAAL是501(c)(3)的非盈利组织,捐款免税
$10 (81signed up )
$20 (37signed up )
5.00 (10signed up)
1000 (1signed up)
25.00 (17signed up)
100 (7signed up)
50 (3signed up)
8 (1signed up)
60.00 (1signed up)
Your Input:

公开留言
Will be public to share with.


您的姓名*

您的Email*

您的电话*

您的微信号

您的地址

支付方式*
Please select the payment method to pay
Credit CardPayPal
PayPal 汇款给朋友或家人
支票
Venmo

您可以登录查看账户余额。

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