Mask Order Form Our Volunteers are here for you.If you or your organisation cannot afford to purchase facemasks, we are here to help. We are all volunteers and receive no support, so would greatly appreciate any amount you are able to contribute as a donation. Please be aware that due to the volume of requests that it may take several days to process. We would very much appreciate whatever financial support you can give. This allows us to buy further fabric to supply our volunteers. If you have not received your masks, please contact us before you submit another request. Note: We are currently experiencing a high volume of requests so are expecting delays. You may wish to find a local mask maker using the Masks for Aussies map. If you can afford masks, please purchase from a social enterprise! For Tasmanian residents and organisations, please put your request through the Tassie Face Mask Project. Contact Name* First Last Organisational contact name preferredEmail* Phone*Organisation Type*HospitalAged Care FacilityRegistered Health ProviderOther OrganisationIndividualOrganisation NameAddress* Street Address Address Line 2 Suburb Australian Capital TerritoryNorthern TerritoryNew South WalesQueenslandSouth AustraliaTasmaniaVictoriaWestern Australia State / Territory Post Code Delivery Options*I am able to pick up the requestI am able to reimburse delivery costsTypes of Mask requested*2 layer cloth utility face maskOther Mask / Cap DescriptionRequester CommentsAdd any information that would assist us with the nature of your requestNumber of Masks Requested*Please enter a number from 1 to 500.Enter total quantity requested. *If requesting different-sized masks (e.g. combination of adult- and child-sized masks), provide details in comment box. *If requesting high volumes, please contact us directly.All requests for masks over 50 will be verified with a telephone call. Total $ 0.00 Number of Masks Requested*Consent* I understand and agree that these utility masks are not intended to replace PPE.