Action Network

YOUR INFORMATION:

How has COVID affected you? (select all that apply) I have/had COVID A loved one has/had COVID I lost a loved one to COVID I have/had Long COVID COVID has affected me financially I'm concerned about the impact COVID has on my community

How would you like to participate in the COVID Card Exchange? (Select all that apply) * Send cards: I want to sign up to send cards to people who have lost a loved one. Receive cards: I lost a loved one and would like to receive cards. Request cards for someone else: I have a family member who has lost a loved one that I would like to sign up to receive cards.

CONDOLENCE CARD RECIPIENT INFO
If you've lost a loved one and would like to receive cards, or if you'd like to request cards for someone else, please answer the questions below:

What is the name of your lost loved one?

What is the name of the card recipient (if different from your own):

What is the address of the card recipient?

Join the #MarkedByCOVID Card Exchange

Send or receive COVID Condolence Cards