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SRI COVID-19 Donation Form
Thank you for your interest in donating! Please fill out the form to schedule a pick up/drop off.
Bayreach is a registered 501(c)(3) nonprofit organization. All donations are tax-deductible.
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* Indicates required question
Name
*
Your answer
Email
*
Your answer
Phone number
Your answer
Region
*
Sunnyvale/Cupertino
Mountain View/Los Altos
Saratoga
Other:
What are you donating?
*
Soap
Paper towels
Hand sanitizer
Disinfecting wipes
Handmade masks
Store bought masks
Latex gloves
Thermometers
Hospital gowns
Other:
Required
Method
*
We will send an email confirmation with additional information. If you would like to drop off the supplies, attached is a map with our drop off locations.
https://tinyurl.com/donation-dropoff
Our team picks it up
You drop off
Which location will you drop it off at? (Drop off only)
See map for drop off locations.
https://tinyurl.com/donation-dropoff
Choose
1 (Los Altos)
2 (Sunnyvale)
3 (Saratoga)
4 (Cupertino)
5 (Mountain View)
Time (Drop off only)
MM
/
DD
Time
:
AM
PM
Your address (Pick up only)
Your answer
Would you like a receipt for your donation? Receipts will be emailed after the donation is received.
*
Yes
No
How did you hear about this drive?
Your answer
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