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Local Face Mask Seller Submission Form
Local Face Mask Sellers
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* Indicates required question
Company / Seller Name
*
Your answer
Company / Seller Website and/or contact info to be publicly listed (Email address or Phone # is fine as well)
*
Your answer
Location: Town, State
*
Your answer
Is this company / seller using a 1 mask donated for every 1 mask sold model?
*
Choose
Yes
No
They're using a similar system (*Please describe below in "Other Notes" section.)
Is this Seller accepting bulk orders or smaller orders only?
*
Accepting bulk orders
Accepting smaller orders only
Your Name
Your answer
Your Email Address
Your answer
Other Notes
Your answer
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