Village of Lisle Form

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Lisle Business Relief Program - PPE Distribution Program

  1. Under the Lisle COVID-19 Business Relief Program, Lisle businesses and not-for-profit organizations can request masks and sanitizer to assist in safely conducting business.

  2. lisle-business-relief-logo.outline

  3. SECTION I. BUSINESS INFORMATION

  4. SECTION II. DECLARATION OF BUSINESS OWNER (APPLICANT)

  5. I certify that the business identified above:*

  6. SECTION III. PPE REQUEST

  7. Please Selected PPE Requested:*

    *1 Package of Masks = 50 Masks, 1 Bottle of Hand Sanitizer = 16.9 oz.

  8. SECTION IV. BUSINESS OWNER (APPLICANT) SIGNATURE

  9. For questions, email lislerelief@villageoflisle.org or call (630) 271-4135.

  10. Leave This Blank:

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