Pick Up Request Form
Welcome to the Masks4Chicago.com mask pick-up request form.

Here are the new guidelines for the pick up process:

- Please be aware that pickup will be every Saturday, unless noted by the driver.
- The deadline to sign up for pickup will be 5:00PM CST
- For pickup outside of Chicago, IL (suburbs) - in the event that there are less than 2 locations for pickup, you will
be notified whether there will be pick up on your area or not.
- All pickups not fulfilled will roll over to the following Saturday.

Please contact Monica at monica@geeksagogo.com for more information.
Name *
Address (Street, State, Zip Code) *
Best number to contact you - *
Can I text you in this phone number? *
No. of masks being picked up. *
Did you fill out the fulfillment form? *
Please don't forget to log your mask donations here - https://www.masks4chicago.com/mask-log
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