COVID-19 Face Mask Request Form
TransPride Pgh. the Pittsburgh Equality Center, and Pittsburgh Lesbian Correspondents blog are teaming up to make sure all members of our trans, GNC, nonbinary, and queer communities in the Pittsburgh region have access to face masks we are now asked to wear when we are in public or leave the home.

We know that it is important to have safe and affirming resources, especially in times of crisis. Working together we hope to connect folx who need masks with folx willing to donate/make them.

We will do our best to honor all requests, but it will depend on supply.

If you can afford to donate in any amount to keep this project going, click here:

For more information, or for links to queer-affirming maskmakers (if you prefer to buy), visit: https://www.pghlesbian.com/lgbtq_facemasks_pgh/

You can email PghMasQUeProjecT@gmail.com if you have questions.

Please fill out this form to request masks:
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Email *
Confirm email address:
Hi. Please tell us your name :-) *
You will be added to the PghMasQUeProjecT announcements email list. The list is only for updates about the project. Your email address will not be used for any other purpose. This is our only means to communicate with recipients so if you unsub, you may miss critical updates or be removed from the distribution. *
Do you or does someone in your household identify as part of the trans and queer community (LGBTQIA)? *
How many adults in your household need masks? Enter a number between 0 and 9: *
How many children (age 3 -18) in your household need masks? Enter a number between 0 and 9 (The CDC recommends that you talk to your doctor about masks for children under 3): *
What neighborhood are you in (e.g., McKeesport, Homewood, Sheraden, Ambridge)?
Please enter the address where we can drop off or mail masks to you.:
Be sure to include apartment numbers, complex names, etc.
Street address:
City:
State
Zip code *
Because this is no-contact for the safety of our volunteers, we cannot  guarantee your bell will be rung or a text sent to inform you of a delivery. Given that, will it be safe to leave the masks in a bag in your lobby/entranceway
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Is it okay to drop off masks at this address?
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Please tell us anything we need to know to deliver your masks, especially if you don't have a house number showing, e.g. "Yellow brick house with green shutters," or "leave baggie as close to front door as possible," or "entrance around right side of house, red door."  If you can't provide an address for drop-off or mailing, please explain here. Note: drop-offs are always no-contact--if you want notification of delivery, say that here and we can text or email after drop-off (volunteers cannot physically hand you your masks).
Can you provide a phone number (for text after delivery or in case of delivery issue)? We ise email for general communication. *
We plan to distribute new masks every month. Please check here if you do NOT want to receive additional masks every month. (If you do take monthly deliveries, but you wish to stop receiving masks at some point, please email PghMasQUeProjecT@gmail.com)
By submitting this form, you acknowledge that we are doing our very best to meet this need. We make no promises, but we urge you to reach out with questions or concerns. *
A copy of your responses will be emailed to the address you provided.
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