Service Industry Workers of the Ann Arbor Area's KN95 Mask Distribution Form
SIWA3 has graciously accepted an order of KN95 masks from the Washtenaw County Free Mask Program to hand out to local service workers who are currently serving the public. We will be (safely) packaging and delivering masks to workers and, depending on the need, we may designate some pick-up locations as well. These masks are available to people who currently work in a bar, restaurant or café in Washtenaw County (though we are happy to expand the criteria based on need). Please fill out this form if you and your coworkers are in need and help us spread the word!! If you have any questions, please reach out to SIWA32020@gmail.com.
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Are you currently working in a bar, restaurant, or café in Washtenaw County? *
Name: *
Employer: *
Address of employer: *
Position: *
Number of people you need masks for: *
Email: *
Phone number: *
Would you like to get involved with SIWA3's future mutual aid efforts? *
Would you like to learn about workplace organization? *
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