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Pierce County ALERT Request for Materials Form

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  2. Please provide the following information:
  18. Requested Items:
  20. Number requested
  21. Number requested
  22. Number requested
  23. Number requested
  25. Number requested
  26. Thank you!
    Thank you for joining our effort in preparing Pierce County for potential emergencies. We will do the best we can to fulfill your request. If your organization does not receive materials within two weeks of the initial request, please call (253) 798-6595.
    27. Leave This Blank:

  29. This field is not part of the form submission.