Please fill this form out only if you're a health care provider or work for one that has approved the use of fabric masks. We will do our best to distribute donations, as long as supplies last. If you have questions, please e-mail us at
With elastic behind ears
With ties behind head
With elastic behind head
Ability to put filter in
What is the best way to get the masks to you?
Have them shipped to you
Any other information? (# of masks, etc)
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