Call us at (866) 248-4520

Shared Services Registration Form

Home / Shared Services Registration Form

Shared Services Registration Form - for PPE and Health & Safety Supplies

Brought to you by United Way of Massachusetts Bay and Merrimack Valley. / Presentado por United Way de Massachusetts Bay y Merrimack Valley

Name / Nombre
Organization / Organización*
Billing Address / Dirección de Envio*
City / Ciudad*
State / Estado*
Zip / Código Postal*
Phone / Teléfono*
Email / Correo electrónico*
Are you Tax Exempt / ¿Estás exenta de impuestos?*
# of Delivery Locations / # de lugares de entrega*

Sitemap

Social Media