Face Mask Request Form
Beginning May 1, Illinois residents over the age of two will be required to wear a face-covering in public spaces where they cannot maintain a six-foot social distance. To help Northfielders meet this requirement, the Village is securing free face masks for Northfield residents in batches of 2,000. We will continue to secure additional masks as needed and will do everything we can to fill orders as soon as masks become available to us.

Please only request the masks that your family needs so we can serve others in need. There is a limit of four free masks per household.

Details:
- According to the Chicago manufacturer, size small works well for children, medium fits best for most adults, and large fits over N95 masks or wide faces.
- Size selections are final - there will be no order modifications or exchanges.
- A limited number of each size has been secured and will be provided on a first-come-first-served basis. We will continue to secure additional masks as needed and will do everything we can to fill orders as soon as masks become available to us.
- Masks are a basic cotton surgical mask that is washable and reusable. They have a pouch for optional insertable filters (not provided). You can purchase filters here: www.amazon.com/carbon-filter-face-mask/s?k=carbon+filter+face+mask .
First and Last Name *
House Number *
Street
Email Address *
Phone Number *
Mask #1 *
Mask #2 *
Mask #3 *
Mask #4 *
Before submitting, please confirm your sizes! Size selections are final, there will be no order modifications or exchanges.
A member of the Village team will drop your masks off at your front door in the coming days. We will continue to secure additional masks as needed and will do everything we can to fill orders as soon as masks become available to us. Please be patient, we have thousands of masks to procure and deliver. Stay well!
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