10,000 masks to be donated while supplies last.
Any funds raised through this campaign will go towards supporting Eixsys Healthcare System. Inc (a 501C3 charity organization) to cover their free clinic’s ongoing operational cost. We encourage you to PLEASE donate any amount if you can.
Only two masks per home address will be given. You must show your driver’s license that matches the address on this form at the pickup location. Duplicate entries not allowed.