Crossroads Face Mask Order Form

These are Standard adult sized masks. If you are interested in youth sized masks, please let Courtney know. If there is enough interest, we will have them available for pre-sale.
After submitting the form, please contact Courtney via email courtney@allentownpresbyterian.org to coordinate a time to pick up your masks. Masks are available for pick up at Crossroads 10am-2pm Tuesday, Wednesday, and Thursday.

Name

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

Quantity and Payment

1 Mask ($7) 2 Masks ($14) 3 Masks ($21) 4 Masks ($28) 5 Masks ($35) 6 Masks ($42) 7 Masks ($49) 8 Masks ($56) 9 Masks ($63) 10 Masks ($70)

Amount

If you are interested in purchasing more than 10 Masks, please contact Courtney via email: courtney@allentownpresbyterian.org

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

These are Standard adult sized masks. If you are interested in youth sized masks, please let Courtney know. If there is enough interest, we will have them available for pre-sale.
After submitting the form, please contact Courtney via email courtney@allentownpresbyterian.org to coordinate a time to pick up your masks. Masks are available for pick up at Crossroads 10am-2pm Tuesday, Wednesday, and Thursday.

Please Fix the Following

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