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COVID-19 Assistance Request

IL-COC has put together a PPE Task Force to assist members with the location and acquisition of much-needed PPE supplies. Fill out the form below to submit your request directly to the Task Force.

They will follow up with you as soon as possible.

Order Number

Name *

Company *

Phone *

Email *

I am a member of IL-COC Chapter(s):

Alpha Chicago Heritage Corridor Iroquois/Kankakee Lake McHenry NW Metro South Chicago South Suburban Three Rivers

Items Needed

Gloves Hospital Gowns Cloth Masks Surgical Masks N95 Masks Other (specify below)

Other Items Needed

Urgency of Request

Supplies Running Low

Desperate Need

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