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
for more information.
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 pick whichever facility that needs it.
Please don't forget to log your mask donations here - https://www.masks4chicago.com/mask-log
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