Alert

Lorem ipsum
Okay
Logo

Mask Bloc Sunset SF Request Form

Complete this form if you would like to request free masks. As of January 2025 we stock: -N95, white & teal blue -KN95, white -Kids KF94, black & white **Right now we can only deliver to addresses in San Francisco. **It may take 1-2 weeks for us to fulfill your request. We are a tiny, all-volunteer group. **We have a secure pickup location on the northeast side of SF. If you can pick up your masks, please let us know! Pickup may considerably speed up request fulfillment. Your mask request can be for: - an individual - family/household - community distribution - small event - small organization If you find this form and are outside of San Francisco, please check https://maskbloc.org/ for your local bloc! If you're able, please consider donating funds. Every amount helps us purchase more masks to distribute: https://www.paypal.com/donate?campaign_id=9PH4GPMKBRZ5U Thank you!

Are you filling the form out as a...
Where are you located?
(If not SF, we may be able to refer you to a local mask bloc)
Contact Information
Email & phone number


Address
Physical address where we can mail or deliver the masks, including unit number if applicable. Please provide specific instructions for where we can securely deliver to the address provided i.e. inside a building lobby, on the front porch, etc. Please be specific; the more detail you share, the quicker we can fulfill your request.
  • {name}
What kind of masks do you need?
We currently have N95, KN95 and kids KF94. You may select multiple options!
How many masks do you need?
Please specify an amount of each type of mask chosen.


Anything else you would like to add?
(If you're not in the Bay Area, please let us know your closest city so we may refer you to a local mask bloc.)


Confirm Contact Info
*I have supplied contact information and an address above so Mask Bloc Sunset SF can reach me about delivery.*

Do not submit passwords through this form. Report malicious form