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Face Shield Request Form
This form is for face shield requests for essential workers only. If you'd like to make a donation as well, please follow this link to our GoFundMe:
https://www.gofundme.com/f/maker-faceshields
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Name
*
Your answer
Email
*
Your answer
Phone Number
Your answer
What medical facility will these be going to?
*
Your answer
How many do you need?
*
Your answer
Please describe who you are (ex: are you a medical professional or community member) and why you're requesting these face shields
*
Your answer
How did you hear about us?
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