Make-At-Home Face Shield Kits Interest Form

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By filling out this form, you are requesting to pick up a face shield kit from BJ and commit to making 18 face shields at home.

Full Name *

Email Address *

Are you a BJ member? *

Yes

Would you like to request a make-at-home kit? *

Yes

No, I will just be making a donation.

Are you connected with healthcare professionals who can accept donations of face shields? *

Yes

Other:

Consider making a donation to offset the costs of the materials for the kits. Your contribution will help our community make 450 shields!

Visit https://www.bj.org/give/ and select the SASJ Fund from the drop down menu. Questions? Email Larissa at lwohl@bj.org.

Anything else?

Submit

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