Mask Request Form
Please enter the following information to request 100% cotton masks. Please remember that we are working with primarily donated fabric and therefore cannot guarantee a certain print or theme is available. We will do our best to accommodate what we can. Donations can be made by following the link below or through Venmo (donations are NOT required to request masks but are always greatly appreciated to allow us to continue providing masks for those in need)

https://www.paypal.com/donate/?token=xTw3mETFxJ8pIxHJ8Qhqubq6UxAYRiqMFYyAFBSi1Tkxpw24ClZ7th3ZI2-cT6uNINrFgG&country.x=US&locale.x=.


Venmo:
@shana-lukinich
Last 4 of phone number: 1526
First Name *
Last Name *
Email *
Phone Number *
Shipping Address *
Street Name & Number
City *
State *
Zip Code *
How many female masks?
Please use the "Other" option to request more than 5 masks
Clear selection
How Many Male Masks?
Please use the "Other" option to request more than 5 masks
Clear selection
How Many Youth Girls Masks?
Please check how many of EACH size is needed.
1
2
3
4
5
XS (2yr-3yr)
S (4yr-6yr)
M (7yr-10yr)
L (11yr-15yr)
How Many Youth Boys Masks?
Please check how many of EACH size is needed.
1
2
3
4
5
XS (2yr-3yr)
S (4yr-6yr)
M (7yr-10yr)
L (11yr-15yr)
Addtional questions or comments
Submit
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