Working to keep your family safe

Disaster Supplies Starter Kits Order Form

Please fill out the form below to place an order for Disaster Supplies Starter Kits using cash or check. Orders with a credit card are taken over the phone at the number below.

First name:
Last name:
Address:

City:
State:
Zip:
Primary phone:
Alternate phone:
E-mail:
Re input e-mail:
Method of Payment:	(credit card orders are taken over the phone)
Number of Kits:	X $25 per Kit (plus $8.40 shipping per kit)
Total Payment Sent:	$
Please make certain that your contact information is correct. Required fields are in red. Mail Payment to: American Red Cross Northern Vermont Chapter 29 Mansfield Ave. Burlington, VT 05401 ATTN: Jennifer Russell Kits will be shipped upon receipt of payment.

For more information about this page or to place an order by phone, please contact Jennifer Russell at jrussell@nvtredcross.org or (802) 660-9130, ext. 113.

Northern Vermont Chapter — 29 Mansfield Ave. — Burlington, VT 05401
In VT: 800-660-9130 — Outside VT: 1-802-660-9130
Fax 802-660-9136