COVID-19 Relief for Baltimore Hospitality Workers

COVID-19 Relief for Baltimore Hospitality Workers
Name*

First NameLast Name
Phone**
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Email*
example@example.com
Current mailing address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Shop/Worksite/Company*
Other Shop/Worksite/Company
YesNo
YesNo
Photo of work ID or other proof of work in the hospitality industry.
Number of people in household:*
HalalVegetarian
You will be contacted with further information and details for pick-up.
Should be Empty: