Organization Request for Handmade Masks and other crafted PPE items
Let us know how people can help. If you have multiple locations (in different cities, states, etc.), you can either fill out this form multiple times, or get in touch with us as
masks4humanity@gmail.com
.
Thank you for what you are doing. (These items are being made by people across the country at no financial cost to you.)
* Required
Email address
*
Your email
Organization Name
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Who needs these masks
Your answer
Organization Type
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Choose
Healthcare Provider (Hospital, Urgent Care, Medical Office)
Senior Care
First Responder and Public Safety
Shelter Services (Homeless/Domestic Violence)
Other Essential Workers (Grocers, Custodians, Pharmacists, Mail Carriers, Food Supply Chain workers, Gas Attendants, Bank Clerks, Sanitation workers)
Community Organization
Other Public Officials (administrators, clerks)
Other
City
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Your answer
State
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Your answer
Zipcode
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Your answer
Address
*
Provide exact address for delivery. Example: Amazing Organization, 123 Main Street, Floor 3, City State, Zip
Your answer
Do you have a website you want to point people to for sign ups or other important info?
Your answer
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