ACMS Mask Request
I am an active full paid member of:
Allegheny County Medical Society
Cell phone number
To contact you if there is a change in the distribution schedule.
Please indicate your acceptance:
The masks are provided as a community service and ACMS makes no representation or warranty with respect to the quality or fitness for a particular purpose. Fit Tests are being performed as a community service, by CIH Services, Inc. and ACMS makes no warranty with respect to their ability to do so and the recipient weighs and discharges ACMS from any liability therefore.
Yes, I accept the above terms and conditions.
A copy of your responses will be emailed to the address you provided.
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