Small Business Donation Application

Are you a small business that needs help getting masks dfor your workers? Let us help you!

If you are a small business, we provide all products at a 25% discount to you when customers donate/purchase for you, and at a discount when you order directly.

For direct orders, please email info@givingmasks.com

Small Business Submission Request

What is the name of your business?*
Business Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
What type of masks do you need?*
- Surgical Masks
- KN95 Respirators
- N95 Respirators (for Medical Staff Only)
- Reusable Masks
How many masks do you need?*
Why do you need masks?*
Upload Photos (optional)
Drop files here or

Accepted file types: jpg, gif, png, Max. file size: 128 MB.
Upload a photo of your team, the work you do or your logo.
Your Info
Your Name*
First Last
Your Phone
Your Email*
Business Owner Info (Optional)
Name
First Last
Phone
Email

Small Business Submission Request

Your Info

Business Owner Info (Optional)

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