Free N95 masks Application Form

The free masks come from the N95 Supply Chain Association and are supported by these brands,Shining Star, AOK, RESPOKARE, UNIAIR, Harley, Dr.Mask, Benehal, BESTG, SANQI 3Q, GIKO, BYD, Zhong Yi, YICHITA, NASK, FANGTIAN.

Apply online

Fill in the detailed requirements of yourself or the organization institution.

Confirm information

We will confirm the needs and identity information, and determine whether it is a priority donation object. We will not call you for any purpose or request information other than this form.

Shipping

Deliver directly through our partner suppliers or brands at no cost and absolutely free.

Notice

Donated masks will carry advertising posters from suppliers or brands.
The package or mask will contain the words donate.
Once the demand is verified, we will assign the application form to a matching partner supplier.
Once shipment is confirmed, your information may be made public.
We do not guarantee that every application will be approved.
Donations are only possible if you accept these terms.

Name *

First

Last

Organization / Business name

Shipping Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Phone *

Email *

Website / URL

N95 brands and models required

These N95 mask are our cooperative brands. Shining Star, AOK, RESPOKARE, UNIAIR, Harley, Dr.Mask, Benehal, BESTG, SANQI 3Q, GIKO, BYD, Zhong Yi, YICHITA, NASK, FANGTIAN.

Minimum quantity (piece) *

Industry / Occupation / Application *

Demand information *