Occupation Registration Form
New York City essential workers can receive 3-Ply Protective Face Mask with BFE >=95% Non-Medical Grade - 20 Count ships to you for free. Here are the details:

Why:
Help protect the men and women who are still out there working to keep New York City running.

Who:  
NYC workers from the following list (NYPD, FDNY, EMT, Paramedic, USPS Postal Worker, MTA Bus Worker, MTA Subway Worker, LIRR Train Workers)

How:
1.    Fill out the Registration Form and provide validate ID for your job position
2.    We will validate job verification
3.    Redemption code and instructions will be emailed to you
4.    You place the order on the link provided for zero cost (both face masks and shipping are free)
5.    You agree that by redeeming the face masks, you consent that your name (First Name, Last Name Initial), Job Title, Job Location will be used in online Donee listed matching donations.  (Example, John S., Police Officer, 11th Precinct).

These are civilian grade protective face mask with ≥95% Bacterial Filtration Efficiency (BFE). These masks are NOT graded for Medical use. Offer valid while supplies last.
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Email *
First Name *
Last Name *
Shipping Address Line 1 *
Shipping Address Line 2
City *
State (Only Valid for NYC Essential Workers)
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Zip Code *
Phone Number
Occupation *
Required
Job Location (Precinct, Station, Bus/Subway Line, etc)
We respect privacy and will not use the above information other than to ship you the 3-Ply Protective Face Mask with BFE >=95% Non-Medical Grade - 20 Count and what is listed in the Disclaimer below.
Email Proof of Job
After filling out this registration form, please email service@dahliajewels.com with a picture of your valid ID, with your name and the email provided on the form confirming your occupation.  Once verified, we will send to you via email the redemption code and link to redeem your free 3-Ply Protective Face Mask with BFE >=95% Non-Medical Grade - 20 Count.  Offer valid while supplies last.
Disclaimer
You agree that by redeeming the 3-Ply Protective Face Mask with BFE >=95% Non-Medical Grade - 20 Count, you consent that your name (First Name, Last Name Initial), Job Title, Job Location will be used in online Donee listed matching donations.  (Example, John S., Police Officer, 11th Precinct).
A copy of your responses will be emailed to the address you provided.
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