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 2020-06-05
微表状态异常 - 暂停.
339-970-8550
Total: 341 signed up

Our mask station has completed its mission after delivering 2715 masks to 329 families! Thanks for all of your support and please stay well!

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
名称数量
名称数量

Voluntary Donation
CAAL是501(c)(3)的非盈利组织,捐款免税
$10 (81signed up )
$20 (37signed up )
1000 (1signed up)
25.00 (17signed up)
5.00 (10signed 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。

有问题? 联系我们 微表状态异常 - 暂停.
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