SBBC Mask Distribution Request
These medical masks are made in China, which are certified by the Chinese government although not FDA-certified.
Sign in to Google to save your progress. Learn more
Email *
Name *
Phone Number *
Recipient Address *
Pickup or Delivery (Please choose one) *
Who are these masks for? *
If this is for an essential service provider or exceptional case, please write the name of the service or give a short description. (Write N/A if otherwise) *
Clear form
Never submit passwords through Google Forms.
This form was created inside of South Bay Bible Church. Report Abuse