Mask Request Form - White Bear Area Chamber of Commerce
The State of MN is providing a ONE TIME shipment of masks to the White Bear Area Chamber of Commerce.
Please complete this form to request masks for use at your business. The quantity available to your business will depend upon demand.
You will be contacted with confirmation of pickup time and location.
If you have any questions, please feel free to contact the Chamber office at 651.429.8593 or email@example.com.
- Required Field
Company Name *
Contact Name *
City, State, Zip *
Phone Number *
email address *
Number of Employees (Include Full & Part-time) *
Estimated Average Daily Customer Count *
Estimated Number of Masks Needed *
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