I NEED PPE

PPE Assessment of Needs
ProCure Hope is fundraising to procure and distribute critically needed PPE to front line organizations that are not adequately protected. Please complete this form, and we will be back in contact to help you as best we can.
Questions? Email us at info@procurehope.org
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Name of Contact Person *

Email *

Organization Name *

Address *

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City

State

Zip Code

Country

I am a representative of the above organization. THE PPE ARE PROVIDED “AS IS”. PROCURE HOPE DISCLAIMS ALL LIABILITIES, LOSSES, JUDGMENTS, COSTS, DAMAGES, EXPENSES (INCLUDING REASONABLE ATTORNEY’S FEES) ARISING OUT OF OR RELATED TO USE OF THE PPE BY ANY PERSON FOR ANY PURPOSE. NO WARRANTY OR GUARANTY OF ANY KIND IS GIVEN FOR THE DONATED PPE UNDER FEDERAL OR STATE LAW, INCLUDING BUT NOT LIMITED TO, MERCHANTABILITY, FITNESS FOR PURPOSE, WARRANTY AGAINST INFRINGEMENT OF INTELLECTUAL PROPERTY, OR OTHER WARRANTY OF QUALITY, WHETHER WRITTEN, ORAL, EXPRESS OR IMPLIED. By accepting this PPE, the [Donee/Grantee] acknowledges that it has read, understands and accepts the above limitations. *

I Accept

Type of Organization *

Phone Number *

Additional Details *

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