Organization Intake
Is your facility, organization or essential business in need of masks?
Please complete this form and our Intake Coordinator will follow up. Our masks are made by volunteers using donated materials and are free of charge.

Please note we are located in New Hampshire and we are concentrating our efforts on the Seacoast NH / Southern Maine area. We give priority to facilities and organizations in need within this community. We are not currently delivering masks to individuals.

Please make sure the contact information is accurate and complete. If we are unable to reach to appropriate contact person, we will be unable to deliver masks promptly. The contact must be someone able to speak on behalf of the facility.

If you have any questions, please contact us at
Name of your organization *
Type of Organization *
Location (City, State) *
Your Name *
Are you allowed to speak on behalf of this organization? *
Contact Name (if different from you)
Phone Number
Is your need IMMEDIATE?
Clear selection
How many masks do you need?
Mask Type *
Mask Delivery Address
Are you available to pick up masks at one of our hubs? *
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