C.A.R.E.(Community Affiliates Reaching Elders) Affiliate Sign-up

Thank you for CARING about seniors in your community. We're Here to H.E.L.P. support!

Please understand that we do receive a high volume of donation requests & although we do the best with the resources we have, we are unable to support every request that we receive.  From everyone at eCARES, thank you for asking us to join you in supporting your local community. Please fill out the information and let's see if we can bring FREE packages to you!

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First Name
Last Name
Email Address
Phone #
Your affiliation/Role
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Community, Organization, Church, Center 

Tell us a bit about yourself

Profile Picture

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The Community Outreach Organization/Program Info 

Approx. how many seniors in need?