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Cloth Mask Order Form
Thanks for your order! You are helping protect our frontline workers and feed hungry families in Little Rock!
Please note: payment must be received before order can be processed.
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Email
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Your email
Select Mask Type:
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Pocket Mask (Best for wearing to work, has a pocket for easy access to add and replace a filter) *Does not include filter
Filter Mask (Best for short term use, like trips to the grocery store or pharmacy)
Child's Size Filter Mask
Required
What design(s) would you like to order? Please enter the design number and quantity. See the photos below for options. (note that some are only available as filter masks) White and lime green also available
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Your answer
Name
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Your answer
Phone Number
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Your answer
Preferred contact method
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Phone
Email
Required
Have you sent $10 per mask (plus $3 per mask shipping fees if applicable) to Venmo @SaraCSullivan or CashApp $SaraCamilleSullivan?
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Yes
Are you available for pickup in Argenta (North Little Rock, Arkansas)?
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Yes
No, I need it shipped
Address for shipping (if applicable) $3 shipping fee per mask.
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Questions and comments
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A copy of your responses will be emailed to the address you provided.
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