Disposable Masks form Please enable JavaScript in your browser to complete this form.Anita Rochelle Boutique & Fine ArtsOrder for Disposable Mask(s)Name *FirstLastEmail *Phone *Shipping Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDisposable Face Masks *Two Masks $4 plus $2 handlingFour Masks $8 plus $2 handlingOne Box with 10 Masks $20 plus $4 handlingThe masks will be shipped via the United States Postal Service. Expected delivery is:Local 2 to 4 days; Out of state 3 to7 days.Donation (Optional) I know masks are hard to come by. I hope my support to provide them offers some relief during these trying times.Because of my own financial situation as a small business, I was limited on the number of masks I could initially order. I am selling the masks at cost. If you would like to donate for me to continue this community service, please do. Any amount is appreciated.Enter dollar amount without the $ sign.Total Amount$ 0.00Comment or QuestionA copy of this order will be sent to you via email.If you do not receive the email within the next 5 minutes, please check your SPAM folder.Click Submit and you will be directed to pay online. The order will be processed once payment is confirmed.PhoneSubmit
