Mask Bloc 509 Wenatchee Mask Request

MaskBloc509 (Wenatchee)

Please fill out the following form to request FREE masks from MaskBloc509. Small displays of masks and literature are available at the YWCA Thrift (231 N Wenatchee Ave) and Wenatchee Public Library (310 Douglas St). This form may be used used to request stock at these locations, if you notice the displays are low please tell us!
The information you provide in this form is encrypted by jotform for your protection. We use this information only to fulfill your immediate request for masks. We will never sell or distribute your information outside of MaskBloc509 for any reason.
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Preferred contact method
Right now, we are offering:

Household stock-up's where you can specify the amount of masks you'd like to receive in multiple quantities and types.

Individual kits for each person in your household. There are 7 masks of your choice + 7 paper bags to reuse them safely and an instruction sheet on how to do so!
Type of Request
What date are you hoping to have your masks by? (Please allow at least one week from request submission date)
Maskbloc509 is currently offering the following masks, in order of stock availability (meaning the ones we have the most of are displayed first). Select multiple mask types for an assortment:
How many masks in total would you like to receive?
Please provide the address you'd like to meet for in-person drop off, or have your masks mailed to depending on the option you chose above.

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
If you have any notes or would like to ask a question write them here
Please verify that you are human
Special thanks to Minneapolis/Saint Paul and MaskBlocLA whose request forms we inspired ours from.
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MaskBloc509 (Wenatchee)