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1199SEIU Face Mask and Glove Distribution
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1199SEIU has been on the forefront of fighting for much needed protections during this vulnerable time. Our union has a very limited supply of face masks and gloves available to Personal Care Attendants on a first come first served basis.
To obtain 20 masks and/or 25 gloves please complete the form below.
First Name
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Last Name
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Your answer
Street Address
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Your answer
Apartment, Unit, or Floor number
Your answer
City / Town
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Your answer
State
*
Your answer
Zip code
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Your answer
Cell Phone
*
Your answer
Home Phone
Your answer
Email Address
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Your answer
Please mail me:
*
Face Masks (approximately 20)
Gloves (approximately 25)
Both
Glove size (Note: we cannot guarantee glove size)
*
Small
Medium
Large
I don't need gloves
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