Deathray Protection Free Mask Request
After you fill out this mask request, I will contact you to go over details and availability before the order is completed. If you would like to contact me directly or schedule a pickup at Deathray HQ please contact Rick at
Email address *
Have you requested a mask before?
How many masks would you like? *
Please enter the number of masks
Your answer
What color(s) would you like to order?
Product options
Please specify any customizations needed (kids size, large, custom size, etc) or special color requests
Your answer
Contact info
Your name *
Your answer
Mobile number (if txt message is needed)
Your answer
Preferred contact method *
Shipping Costs & Donations
If you are unable to pay for shipping I will send masks at no charge. Estimated shipping costs can be sent directly to me via PayPal or Venmo. Donations are also appreciated and help continue this free service for others.
Venmo: DeathRayRick or
Shipping Address *
(Street number, State, zip)
Your answer
Additional Comments
Your answer
Thanks you for being safe
Never submit passwords through Google Forms.
This form was created inside of Death Ray Laser Systems. Report Abuse