Protective Mask Donation for Food & Beverage Workers
Interest signup form to be considered for disposable protective mask donations. We want to keep our Food & Beverage Workers essential in providing food to the community healthy and safe. This also helps to ensure the safety of the general public.

(Our masks are specifically non-N95 type. We want to ensure N95/KN95 masks goes to healthcare professionals that are working with patients.)
Sign in to Google to save your progress. Learn more
Email *
Company or Organization Name *
Your name or representative’s name *
Phone number *
Email *
What is the average number of employees working per day that needs masks? *
Brief description of why masks are needed. *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy