Burwood Hand Cleanser Initiative to fight COVID-19
Burwood Distillery
#15, 4127 6th St NE
Calgary, AB T2E 6V5
Sign in to Google to save your progress. Learn more
NOTE: This form is for requests from organizations and charities who would like to place large orders or request donation of hand cleanser ONLY.
\We have received an overwhelming response to this initiative and supplies are limited. We are prioritizing requests based on urgent need. We will continue to produce sanitizer as resources allow. For those looking for hand cleanser for personal use, please check our social media feeds for updates (Twitter: @burwoodspirits & FB & IG: @burwooddistillery)
Name (First & Last) *
Name of Organization *
Email Address *
Phone Number (area code + number) *
Please briefly describe your request. Include approximate # and sizes of bottles needed. *
Pickup or Delivery? *
Other Comments & Questions
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms