PURCHASE ORDER FORM
Step 1: WELCOME
Purchase Options
Contact Information
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Hand Sanitizer
Sanitizer Donation
Help protect front line workers!
Donate 1L of hand sanitizer
to front line workers in Ottawa.
Manufactured by local distilleries according to World Health Organization guidelines.
Amount
0
1
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3
4
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PPE Gloves
PPE Gloves Donation
$15/box of 50
Help protect front line workers!
Donate one box of 50 gloves
to help keep front line workers in Ottawa safe.
Amount
0
1
2
3
4
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PPE Masks
PPE Masks Donation
$15
Help protect front line workers!
Donate disposable masks
to help keep front line workers in Ottawa safe.
Amount
0
1
2
3
4
x
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One-Time Gift towards Respond Ottawa Ministry
Amount
$15.00
$50.00
$25.00
Message (Optional)
Anonymous Gift?
Respond Ottawa is so thankful for your support.
Your Tax Receipt for the gift portions will be emailed to you in the new year.
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