Household Cloth Mask Request

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

MakeIt Labs is organizing volunteers to make cloth masks for household use as part of our COVID-19 Response. These are to be made available to households within a 30 mile radius of MakeIt Labs. Please fill out this form to let us know how many masks you will need for your household.
We are offering these as a public service, but will gratefully accept donations to MakeIt Labs, or materials to help the cause. Details for how to donate can be found on our covid-19-response WIKI page.
https://sites.google.com/a/makeitlabs.com/wiki/covid-19-projects

Email *

Name *

Address *

Phone number

How many masks do you need?

Clear selection

Are you able to pick the mask up from MakeIt Labs in Nashua NH?

Yes

Maybe

Clear selection

Comments

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of MakeIt Labs. Report Abuse

Forms