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
Your answer
Contact Person
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Email Address
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Phone Number
Your answer
Your answer
Who are the masks for?
Type of mask needed
Number of masks requested from PVQA
Your answer
Your answer
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