Face Mask Request Form
PVQA has partnered with the South Bay Area Modern Quilt Guild (SBAMQG) to serve our community during the COVID-19 pandemic by making cloth masks for donation to health care workers, essential workers, and vunerable populations in Santa Cruz County. We do not provide medical grade masks. We do not sell masks.
We offer 3 options:
1) Standard size mask (8 1/2" x 6")
2) Large size mask (8 1/2" x 7")
3) Child size mask (7" x 4 1/2")
Name of Organization
Who are the masks for?
Front line health care providers
Health care clinics
Residential/assisted living facilities
Homeless service providers
Public health or social service providers
Hospice/home health care providers
Essential service workers—grocery stores, pharmacies, post office
Type of mask needed
Standard size mask (8 1/2" x 6")
Large size mask (8 1/2" x 7")
Child size mask (7" x 4 1/2")
Number of masks requested from PVQA
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