Wilkes Harm Reduction Collective

Participant ID Information

This creates your anonymous ID. Use "X" for middle initial if you don't have one.

First Initial *

Middle Initial *

Last Initial *

Birth Year *

County of Residence *

Your Participant ID Preview

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You're All Set!

Here's your access code for the vending machine.

Your Access Code

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Enter this code at the machine.
Take a screenshot to save it!