Mask request form for medical or community based organizations
At this time, we are supporting local health and community service organizations to consolidate our efforts. Our guild is volunteer service only, as we are available. We are assembling masks as quickly as possible.

If you are interested in a mask for yourself or family member, instructions for making a mask are available online. We link to a few options on our website, www.southsarasotamodernquiltguild.com.
Sign in to Google to save your progress. Learn more
Email *
Organization name *
What organization will benefit from this mask donation?
Contact person *
Who may we contact at the organization for followup?
Phone number *
Address *
Organization's address, where we would be delivering the mask donation.
Number of masks - Adult *
Number of masks - Child/Pediatric
Tie/Elastic preference *
Elastic is known to contain latex. Also, it is in relatively short supply for us to supply all masks with elastic. Please choose whether elastic or fabric/ribbon ties would be acceptable.
Pocket preference *
A pocket would allow someone to add a filter to the mask (we don't provide recommendations of filter options).
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms