Apply for Water

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We are thrilled to partner with social service agencies to help get water to those who need it most.If you would like to receive water to distribute, please fill out the contact form in full and let us know how many bottles you’d like. Please, no phone calls or faxes.

Due to the high demand for water, requests will exceed availability. Please be considerate and ask in moderation. First priority will go to front line service providers.

Please submit one request form for each of your programs.


Organization or Company*

General Organization Email

Your Full Name*

Your Direct Email*

Executive Director's Email

Charitable Number*

Phone Number*

Fax

Street Address*

City*

Province*

Postal Code*


Number of Bottles Requested*


How you will be distributing the bottles?*

We will contact you directly for pickup information.