COVID-19 Response Form - Distilled Spirits Council of the United States

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COVID-19 Response Form

COVID-19 Spirits Industry Resource Connection

The purpose of this form is to connect distillers with related industry suppliers to combat COVID-19.

Contact Email*
Company/Distillery Name*
Company/Distillery Address*
Street Address Address Line 2 City State Zip/ Postal Code
Point of Contact*
First Last
Point of Contact Phone (OPTIONAL)
Who are you currently offering sanitizer to?*
- Select All
- First responders (police, EMTs, firefighters, etc.)
- Medical (hospitals or doctors, nurses, etc.)
- My community, as donation
- My community, for sale
- Other
If you answered other above, please explain who you're offering sanitizer to
Do you have everything you need to continue to produce and distribute hand sanitizer or do you need supplies or logistics support?*
If you answered NO above, please use the checkboxes below to let us know what supplies and/or logistics support you need.
What supplies do you need?
- Ethanol
- Hydrogen peroxide
- Glycerine
- Bottles / containers
- Other
If you answered other above, please explain what other supplies you need.
What help with distribution do you need?
- Transportation help
- Delivery help - to a single location
- Delivery help - to multiple locations
- Drivers, trucks, or trailers
- Warehouse storage or staff
- Other
If you answered other above, please explain what other distribution or transportation support you need.
How is your hand sanitizer packaged?*
- Individual containers
- Commerical / bulk packaging
How much sanitizer are you able to produce weekly?
What groups are you interested in working with?
- Providing donations to health and safety organizations
- Other retailers (to sell)
- Government entities
- Other
If you answered other above, please explain what other groups you are willing or already working with.
May we publicly share your willingness to help?*
- Yes, please publicly display my company or distillery
Distilleries or companies who are willing to help can opt to display their information, including location and contact information, on distilledspirits.org. You can also opt-out, and request that DISCUS contact your company privately.
Are you willing to be connected with others to share or sell your sanitizer?
- Yes, please indicate that I'm looking to be connected
Distilleries or companies who are willing to help can specifically opt to be listed as looking to connect with community organizations, distributors, retailers, and anyone who needs or wants to purchase sanitizer. Don't want to be connected? No problem! Just leave this box un-checked.

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Distilled Spirits Council of the United States is the national trade association representing producers and marketers of distilled spirits sold in the United States.