WOULD YOU LIKE TO REQUEST MASKS FOR YOUR SERVICE TEAM OR SPECIAL SITUATION? PLEASE FILL OUT THE FORM BELOW AND I WILL GET BACK TO YOU ASAP TO DISCUSS YOUR REQUEST.

I can’t promise I will be able to fulfill all requests, but I will try! You will be added to the list and masks will be distributed based on priority and then place in line.

Handmade mask request form

Name

First Name

Last Name

Number of Masks Requested

How many masks are you requesting?

Which best describes you?

I am a medical, food, postal, or other essential worker who is in need of masks for me and/or my team.

I am an individual who can't afford the $15 donation for each gift mask and would like to request masks for myself and/or others

What is the name of the organization and city, state you'd like the masks sent to?

If this would be for personal use, write "personal" instead of an organization name.

Anything else you would like me to know?