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We offer several different styles of mask to choose from in five different sizes. You can request multiple different models as your household requires.
Masks by Model and Mask Size
For sizing and more info, see our store pages by clicking the links below
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High-quality, *N95 equivalent masks* and *COVID rapid tests* go hand in hand to protect the health of our communities.\n\nh4. Use the links below to request small-sized masks, regular-sized masks, large-sized masks, and/or boxes of COVID rapid tests.","localeDisplayName":"English (United Kingdom)"}},"canEditAnnouncement":false,"siteDefaultLanguageTag":"en-GB","userLanguageTag":"en-US","portalThemeColor":"#0074e0","helpCenterTitleColor":"#ffffff","useDefaultBanner":true,"isBannerAvailable":false,"hasTopBarBeenSplit":false},"portal":{"id":"1","key":"req","projectId":10000,"serviceDeskId":1,"name":"Donate A Mask Requests","description":"","portalBaseUrl":"/servicedesk/customer/portal/1","reqTypes":[{"id":"156","name":"Ask a Question","descriptionHtml":"","callToAction":"Ask a Question","introHtml":"<p>Use this form to ask a question about the any of the forms or the Request Program in general.</p>","icon":10466,"iconUrl":"https://ebsecan.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10466","groups":[1],"key":""},{"id":"157","name":"Request for Groups or Organizations","descriptionHtml":"<p><br class=\"atl-forced-newline\"> This form is for large requests for organizations or groups that will benefit more than 1-2 families.</p>\n<p>You do NOT need to be an incorporated organization to make your request – just have a name for your organization/group that we can use for our reference.</p>\n<p><br class=\"atl-forced-newline\"></p>\n<h2><a name=\"\" target=\"_blank\"></a><font color=\"#666666\">What Can I Request?</font></h2>\n<div class=\"panel\" style=\"background-color: #D6D6C1;border-color: #D6D6C1;border-style: solid;border-width: 15px;\">\n <div class=\"panelContent\" style=\"background-color: #D6D6C1;\">\n <p>We want to ensure those without financial means to purchase masks can continue to look to Donate A Mask to fulfill their needs – so we ask that, if you can afford to purchase your masks, you do so in <b><a href=\"https://shop.evidencebased.ca/collections/request-program\" class=\"external-link\" rel=\"nofollow noreferrer\" target=\"_blank\">our store</a></b>.</p>\n </div>\n</div>\n<h2><a name=\"N95%2CCAN95%2CorEquivalentMasks\" target=\"_blank\"></a>N95, CA-N95, or Equivalent Masks</h2>\n<p>We offer masks in five different sizes. We currently have supplies of:</p>\n<ul>\n <li><a href=\"https://shop.evidencebased.ca/products/medicom-safemask-architect-pro\" class=\"external-link\" rel=\"nofollow noreferrer\" target=\"_blank\">Medicom Architect Pro</a> (small and medium, similar to Eclipse Horizon) - In boxes of 50.</li>\n <li><a href=\"https://shop.evidencebased.ca/products/eclipse-arc-n95-equivalent-masks\" class=\"external-link\" rel=\"nofollow noreferrer\" target=\"_blank\">Eclipse Arc</a> (large) - Individually sealed, in boxes of 25.</li>\n <li>Canadamasq Q100 (XS for 4-11 yo and S for 11+ yo) - Individually sealed, packs of 10 for XS and boxes of 50 for Small.</li>\n <li><a href=\"https://shop.evidencebased.ca/products/ppe-supply-kids-teen-kn95-respirator-masks\" class=\"external-link\" rel=\"nofollow noreferrer\" target=\"_blank\">PPE-Supply Kids/Teen Earloop</a> (for 5+ yo) (Out of stock) - Individually sealed, in packs of 20, black.</li>\n <li><a href=\"https://shop.evidencebased.ca/products/vitacore-childrens-can99e-earloop-respirator\" class=\"external-link\" rel=\"nofollow noreferrer\" target=\"_blank\">Vitacore Kids Earloop</a> (for 3+ yo) - In boxes of 10.</li>\n</ul>\n<p>We will select the styles to send you based on availability.</p>\n<p><br class=\"atl-forced-newline\"></p>\n<h2><a name=\"\" target=\"_blank\"></a><font color=\"#666666\">Still Have Questions?</font></h2>\n<p>\uD83D\uDD82 Email <a href=\"mailto:request@donatemask.ca\" class=\"external-link\" rel=\"nofollow noreferrer\" target=\"_blank\">request@donatemask.ca</a> <br class=\"atl-forced-newline\"> <br class=\"atl-forced-newline\"></p>\n<h1><a name=\"AboutYourOrganization\" target=\"_blank\"></a>About Your Organization</h1>\n<h4><a name=\"ContactInfo\" target=\"_blank\"></a>Contact Info</h4>","callToAction":"Request for Groups or Organizations","introHtml":"<p>Use this form to make a request on behalf of an organization or community group.</p>","icon":10485,"iconUrl":"https://ebsecan.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10485","groups":[1],"key":""},{"id":"53","name":"Request for Individuals and Families","descriptionHtml":"<p><br class=\"atl-forced-newline\"></p>\n<div class=\"panel\" style=\"background-color: #F7D6C1;border-color: #F7D6C1;border-style: solid;border-width: 15px;\">\n <div class=\"panelContent\" style=\"background-color: #F7D6C1;\">\n <h3><a name=\"Notice%3AAreyouintheVancouverarea%3F\" target=\"_blank\"></a>Notice: Are you in the Vancouver area?</h3>\n <p>If you are in the Vancouver area, please consider making your request from Masks4EastVan – it's more cost effective for everyone:</p>\n <ul>\n <li><b><a href=\"https://docs.google.com/forms/d/e/1FAIpQLScJSbdwIjR2kwOjQgLikVH2D9yIhBigh8fpcn9nv0hJGPoblA/viewform\" class=\"external-link\" rel=\"nofollow noreferrer\" target=\"_blank\">Masks4EastVan Request Form</a></b></li>\n </ul>\n </div>\n</div>\n<p><br class=\"atl-forced-newline\"></p>\n<h2><a name=\"\" target=\"_blank\"></a><font color=\"#666666\">What Can I Request?</font></h2>\n<h2><a name=\"N95%2CCAN95%2CorEquivalentMasks\" target=\"_blank\"></a>N95, CA-N95, or Equivalent Masks</h2>\n<p>We offer several different styles of mask to choose from in five different sizes. You can request multiple different models as your household requires. <br class=\"atl-forced-newline\"> <br class=\"atl-forced-newline\"></p>\n<h4><a name=\"\" target=\"_blank\"></a><font color=\"#666666\"><ins>Masks by Model and Mask Size</ins></font></h4>\n<p><font color=\"#666666\">For sizing and more info, see our store pages by clicking the links below </font> <br class=\"atl-forced-newline\"> <br class=\"atl-forced-newline\"></p>\n<div class=\"table-wrap\">\n <table class=\"confluenceTable\">\n <tbody>\n <tr>\n <th class=\"confluenceTh\"> </th>\n <th class=\"confluenceTh\">Kids</th>\n <th class=\"confluenceTh\">Small</th>\n <th class=\"confluenceTh\">Regular</th>\n <th class=\"confluenceTh\">Large</th>\n <th class=\"confluenceTh\">Extra-Large</th>\n </tr>\n <tr>\n <td class=\"confluenceTd\">Canadamasq Q100</td>\n <td class=\"confluenceTd\">XS & S</td>\n <td class=\"confluenceTd\"> </td>\n <td class=\"confluenceTd\"> </td>\n <td class=\"confluenceTd\"> </td>\n </tr>\n <tr>\n <td class=\"confluenceTd\"><a href=\"https://shop.evidencebased.ca/products/ppe-supply-kids-teen-kn95-respirator-masks\" class=\"external-link\" rel=\"nofollow noreferrer\" target=\"_blank\">PPE-Supply Kids/Teens Earloop</a> (Out of stock)</td>\n <td class=\"confluenceTd\">✓</td>\n <td class=\"confluenceTd\"> </td>\n <td class=\"confluenceTd\"> </td>\n <td class=\"confluenceTd\"> </td>\n <td class=\"confluenceTd\"> </td>\n </tr>\n <tr>\n <td class=\"confluenceTd\"><a href=\"https://shop.evidencebased.ca/products/vitacore-childrens-can99e-earloop-respirator\" class=\"external-link\" rel=\"nofollow noreferrer\" target=\"_blank\">Vitacore Kids Earloop</a></td>\n <td class=\"confluenceTd\">✓</td>\n <td class=\"confluenceTd\"> </td>\n <td class=\"confluenceTd\"> </td>\n <td class=\"confluenceTd\"> </td>\n <td class=\"confluenceTd\"> </td>\n </tr>\n <tr>\n <td class=\"confluenceTd\"><a href=\"https://shop.evidencebased.ca/products/medicom-safemask-architect-pro\" class=\"external-link\" rel=\"nofollow noreferrer\" target=\"_blank\">Medicom Architect Pro</a> (similar to Eclipse Horizon)</td>\n <td class=\"confluenceTd\"> </td>\n <td class=\"confluenceTd\">✓</td>\n <td class=\"confluenceTd\">✓</td>\n <td class=\"confluenceTd\"> </td>\n <td class=\"confluenceTd\"> </td>\n </tr>\n <tr>\n <td class=\"confluenceTd\"><a href=\"https://shop.evidencebased.ca/products/eclipse-arc-n95-equivalent-masks\" class=\"external-link\" rel=\"nofollow noreferrer\" target=\"_blank\">Eclipse Arc</a></td>\n <td class=\"confluenceTd\"> </td>\n <td class=\"confluenceTd\"> </td>\n <td class=\"confluenceTd\"> </td>\n <td class=\"confluenceTd\">✓</td>\n <td class=\"confluenceTd\"> </td>\n </tr>\n </tbody>\n </table>\n</div>\n<p><br class=\"atl-forced-newline\"> <b>Not sure which style to choose?</b> Order a FREE Request Program Sampler Pack either here, or in <a href=\"https://shop.evidencebased.ca/products/request-program-sampler-pack\" class=\"external-link\" rel=\"nofollow noreferrer\" target=\"_blank\">our store</a>. <br class=\"atl-forced-newline\"></p>\n<h2><a name=\"\" target=\"_blank\"></a><font color=\"#666666\">Still Have Questions?</font></h2>\n<p>\uD83D\uDD82 Email <a href=\"mailto:request@donatemask.ca\" class=\"external-link\" rel=\"nofollow noreferrer\" target=\"_blank\">request@donatemask.ca</a> <br class=\"atl-forced-newline\"> <br class=\"atl-forced-newline\"></p>\n<h1><a name=\"AboutYou\" target=\"_blank\"></a>About You</h1>\n<h4><a name=\"EmailAddress\" target=\"_blank\"></a>Email Address</h4>","callToAction":"Request for Individuals and Families","introHtml":"<p>Use this form to make a request for individuals or households.</p>","icon":10497,"iconUrl":"https://ebsecan.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10497","groups":[1],"key":""},{"id":"5","name":"By Email","descriptionHtml":"","callToAction":"By Email","introHtml":"<p>Messages received from your email support channel.</p>","icon":10527,"iconUrl":"https://ebsecan.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10527","groups":[],"key":""},{"id":"159","name":"z- CR Box Filter Replacement Response","descriptionHtml":"","callToAction":"z- CR Box Filter Replacement Response","introHtml":"<p>Use this form if you received a CR Box kit from us</p>","icon":10507,"iconUrl":"https://ebsecan.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10507","groups":[],"key":""},{"id":"162","name":"z- D.A.M. Clean Air CR Box for Teachers","descriptionHtml":"","callToAction":"z- D.A.M. Clean Air CR Box for Teachers","introHtml":"<p>Use this form if you previously requested one CR Box for your classroom</p>","icon":10550,"iconUrl":"https://ebsecan.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10550","groups":[],"key":""},{"id":"161","name":"z- D.A.M. Clean Air CR Box for Teachers","descriptionHtml":"<p><br class=\"atl-forced-newline\"></p>\n<div class=\"panel\" style=\"background-color: #F7D6C1;border-color: #F7D6C1;border-style: solid;border-width: 15px;\">\n <div class=\"panelContent\" style=\"background-color: #F7D6C1;\">\n <p>Note: This page is for those that are invited to place orders for the D.A.M. Clean Air Program. If we did not send you a link to this page, it is probably not meant for you.</p>\n </div>\n</div>","callToAction":"z- D.A.M. Clean Air CR Box for Teachers","introHtml":"<p>Use this form if you previously requested more than one CR Box for your classroom</p>","icon":10499,"iconUrl":"https://ebsecan.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10499","groups":[],"key":""},{"id":"158","name":"z- D.A.M. Clean Air Request for Teachers","descriptionHtml":"<p>The <b>D.A.M. Clean Air Program</b> provides equipment to teachers to help protect them and their students at school. To be eligible, you must provide your email address associated with your educational institution.</p>\n<p><br class=\"atl-forced-newline\"></p>\n<div class=\"panel\" style=\"background-color: #F7D6C1;border-color: #F7D6C1;border-style: solid;border-width: 15px;\">\n <div class=\"panelContent\" style=\"background-color: #F7D6C1;\">\n <h3><a name=\"ProgramWaitlisted\" target=\"_blank\"></a>Program Waitlisted</h3>\n <p>We have received more requests than we currently have the resources to fulfill. We'd love to continue and even expand the program, but we need more $$! <br class=\"atl-forced-newline\"> <br class=\"atl-forced-newline\"> <b>You can still fill out this form to join our waitlist and we'll keep you updated.</b> <br class=\"atl-forced-newline\"> <br class=\"atl-forced-newline\">Please consider boosting <a href=\"https://twitter.com/DonateMask/status/1695255774782451725\" class=\"external-link\" rel=\"nofollow noreferrer\" target=\"_blank\">this tweet</a> to spread the word!</p>\n </div>\n</div>","callToAction":"z- D.A.M. Clean Air Request for Teachers","introHtml":"<p>Use this form to request resources for use in classrooms.</p>","icon":10482,"iconUrl":"https://ebsecan.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10482","groups":[],"key":""},{"id":"160","name":"z- Testing","descriptionHtml":"<p>The <b>D.A.M. Clean Air Program</b> provides equipment to teachers to help protect them and their students at school. To be eligible, you must provide your email address associated with your educational institution. <br class=\"atl-forced-newline\"> <br class=\"atl-forced-newline\">Teachers can request:</p>\n<ul>\n <li>One <a href=\"https://shop.evidencebased.ca/products/breathe-reusable-mask-kit\" class=\"external-link\" rel=\"nofollow noreferrer\" target=\"_blank\">[breathe] elastomeric respirator</a> per teacher</li>\n <li>One <a href=\"https://shop.evidencebased.ca/products/co2-model-d\" class=\"external-link\" rel=\"nofollow noreferrer\" target=\"_blank\">CO2.click Model D</a> CO2 monitor</li>\n <li>Up to three <a href=\"https://shop.evidencebased.ca/products/corsi-rosenthal-box-kits\" class=\"external-link\" rel=\"nofollow noreferrer\" target=\"_blank\">Corsi-Rosenthal air filtration boxes</a> (CR Boxes) for the classroom</li>\n</ul>\n<p><br class=\"atl-forced-newline\"></p>\n<div class=\"panel\" style=\"background-color: #F7D6C1;border-color: #F7D6C1;border-style: solid;border-width: 15px;\">\n <div class=\"panelContent\" style=\"background-color: #F7D6C1;\">\n <h3><a name=\"ProgramWaitlisted\" target=\"_blank\"></a>Program Waitlisted</h3>\n <p>We have received more requests than we currently have the resources to fulfill. We'd love to continue and even expand the program, but we need more $$! <br class=\"atl-forced-newline\"> <br class=\"atl-forced-newline\"> <b>You can still fill out this form to join our waitlist and we'll keep you updated.</b> <br class=\"atl-forced-newline\"> <br class=\"atl-forced-newline\">Please consider boosting <a href=\"https://twitter.com/DonateMask/status/1695255774782451725\" class=\"external-link\" rel=\"nofollow noreferrer\" target=\"_blank\">this tweet</a> to spread the word!</p>\n </div>\n</div>\n<p>If you would also like some masks and tests, please fill the <a href=\"https://ebsecan.atlassian.net/servicedesk/customer/portal/1/create/157\" class=\"external-link\" rel=\"nofollow noreferrer\" target=\"_blank\">Request for Organizations</a> form after submitting this one and mention the request number for the first one. Thanks!</p>","callToAction":"z- Testing","introHtml":"<p>Testing</p>","icon":10550,"iconUrl":"https://ebsecan.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10550","groups":[],"key":""}],"reqGroups":[{"id":1,"name":"Requests"}],"orderMapping":{"1":[53,157,156],"104":[159],"103":[158]},"kbs":{"kbEnabled":true,"kbLink":{"appLinkId":"25351d45-ee5f-3a67-8db4-253179156f8b","appLinkName":"System Confluence","appLinkUrl":"https://ebsecan.atlassian.net/wiki","spaceKey":"REQ","spaceName":"Requests","spaceUrl":"https://ebsecan.atlassian.net/wiki/spaces/REQ","isServer":false},"labels":[],"projectKey":"REQ","serviceDeskId":1,"kbLinkDomainURLs":["https://ebsecan.atlassian.net"]},"createPermission":true,"portalAnnouncement":{"portalId":1,"canEditAnnouncement":false,"canAdministerProject":false,"portalProjectKey":"REQ","userLanguageHeader":"","userLanguageMessageWiki":"","defaultLanguageHeader":"","defaultLanguageMessage":"","defaultLanguageDisplayName":"English (United States)","isUsingLanguageSupport":false,"translations":{}},"canViewCreateRequestForm":true,"isProjectSimplified":false,"mediaApiUploadInformation":{"token":"eyJhbGciOiJIUzI1NiJ9.eyJpc3MiOiJjMDRlZTJhZS1kY2MzLTQ2MjgtOGVhZi1iZDM4ZDNlZjZiOGYiLCJhY2Nlc3MiOnsidXJuOmZpbGVzdG9yZTp1cGxvYWQ6KiI6WyJyZWFkIiwiY3JlYXRlIiwidXBkYXRlIl0sInVybjpmaWxlc3RvcmU6Y29sbGVjdGlvbjp1cGxvYWQtdXNlci1jb2xsZWN0aW9uLTEyNjAzNjkwMDYiOlsicmVhZCIsImNyZWF0ZSIsInVwZGF0ZSJdLCJ1cm46ZmlsZXN0b3JlOmNodW5rOioiOlsicmVhZCIsImNyZWF0ZSJdfSwiZXhwIjoxNzc4NDIyNzA0LCJuYmYiOjE3Nzg0MjE1MDQsImFub25JZCI6ImFub24tdXNlciIsImh0dHBzOi8vaWQuYXRsYXNzaWFuLmNvbS9hcHBBY2NyZWRpdGVkIjpmYWxzZX0.Wri4tFdrCJ3wmaGtUAVehjtFb8RdXxQO9DGaiPxE3rs","targetCollection":"upload-user-collection-1260369006","endpointUrl":"https://api.media.atlassian.com","clientId":"c04ee2ae-dcc3-4628-8eaf-bd38d3ef6b8f","tokenDurationInMins":20},"categories":{"categoriesSupported":true,"categories":[]}},"reqCreate":{"id":53,"projectId":10000,"issueType":{"id":"10045","name":"Request"},"form":{"name":"Request for Individuals and Families","descriptionHtml":"<p><br class=\"atl-forced-newline\" /></p>\n<div class=\"panel\" style=\"background-color: #F7D6C1;border-color: #F7D6C1;border-style: solid;border-width: 15px;\"><div class=\"panelContent\" style=\"background-color: #F7D6C1;\">\n<h3><a name=\"Notice%3AAreyouintheVancouverarea%3F\"></a>Notice: Are you in the Vancouver area?</h3>\n<p>If you are in the Vancouver area, please consider making your request from Masks4EastVan – it's more cost effective for everyone:</p>\n\n<ul>\n\t<li><b><a href=\"https://docs.google.com/forms/d/e/1FAIpQLScJSbdwIjR2kwOjQgLikVH2D9yIhBigh8fpcn9nv0hJGPoblA/viewform\" class=\"external-link\" rel=\"nofollow noreferrer\">Masks4EastVan Request Form</a></b></li>\n</ul>\n</div></div>\n<p><br class=\"atl-forced-newline\" /></p>\n<h2><a name=\"\"></a><font color=\"#666666\">What Can I Request?</font></h2>\n\n<h2><a name=\"N95%2CCAN95%2CorEquivalentMasks\"></a>N95, CA-N95, or Equivalent Masks</h2>\n\n<p>We offer several different styles of mask to choose from in five different sizes. You can request multiple different models as your household requires.\n<br class=\"atl-forced-newline\" /> <br class=\"atl-forced-newline\" /></p>\n\n<h4><a name=\"\"></a><font color=\"#666666\"><ins>Masks by Model and Mask Size</ins></font></h4>\n<p><font color=\"#666666\">For sizing and more info, see our store pages by clicking the links below </font>\n<br class=\"atl-forced-newline\" /> <br class=\"atl-forced-newline\" /></p>\n\n<div class='table-wrap'>\n<table class='confluenceTable'><tbody>\n<tr>\n<th class='confluenceTh'> </th>\n<th class='confluenceTh'>Kids</th>\n<th class='confluenceTh'>Small</th>\n<th class='confluenceTh'>Regular</th>\n<th class='confluenceTh'>Large</th>\n<th class='confluenceTh'>Extra-Large</th>\n</tr>\n<tr>\n<td class='confluenceTd'>Canadamasq Q100 </td>\n<td class='confluenceTd'> XS & S </td>\n<td class='confluenceTd'> </td>\n<td class='confluenceTd'> </td>\n<td class='confluenceTd'> </td>\n</tr>\n<tr>\n<td class='confluenceTd'><a href=\"https://shop.evidencebased.ca/products/ppe-supply-kids-teen-kn95-respirator-masks\" class=\"external-link\" rel=\"nofollow noreferrer\">PPE-Supply Kids/Teens Earloop</a> (Out of stock) </td>\n<td class='confluenceTd'>✓</td>\n<td class='confluenceTd'> </td>\n<td class='confluenceTd'> </td>\n<td class='confluenceTd'> </td>\n<td class='confluenceTd'> </td>\n</tr>\n<tr>\n<td class='confluenceTd'><a href=\"https://shop.evidencebased.ca/products/vitacore-childrens-can99e-earloop-respirator\" class=\"external-link\" rel=\"nofollow noreferrer\">Vitacore Kids Earloop</a> </td>\n<td class='confluenceTd'>✓</td>\n<td class='confluenceTd'> </td>\n<td class='confluenceTd'> </td>\n<td class='confluenceTd'> </td>\n<td class='confluenceTd'> </td>\n</tr>\n<tr>\n<td class='confluenceTd'><a href=\"https://shop.evidencebased.ca/products/medicom-safemask-architect-pro\" class=\"external-link\" rel=\"nofollow noreferrer\">Medicom Architect Pro</a> (similar to Eclipse Horizon)</td>\n<td class='confluenceTd'> </td>\n<td class='confluenceTd'>✓</td>\n<td class='confluenceTd'>✓ </td>\n<td class='confluenceTd'> </td>\n<td class='confluenceTd'> </td>\n</tr>\n<tr>\n<td class='confluenceTd'><a href=\"https://shop.evidencebased.ca/products/eclipse-arc-n95-equivalent-masks\" class=\"external-link\" rel=\"nofollow noreferrer\">Eclipse Arc</a></td>\n<td class='confluenceTd'> </td>\n<td class='confluenceTd'> </td>\n<td class='confluenceTd'> </td>\n<td class='confluenceTd'>✓</td>\n<td class='confluenceTd'> </td>\n</tr>\n</tbody></table>\n</div>\n\n<p><br class=\"atl-forced-newline\" />\n<b>Not sure which style to choose?</b> Order a FREE Request Program Sampler Pack either here, or in <a href=\"https://shop.evidencebased.ca/products/request-program-sampler-pack\" class=\"external-link\" rel=\"nofollow noreferrer\">our store</a>.\n<br class=\"atl-forced-newline\" /></p>\n<h2><a name=\"\"></a><font color=\"#666666\">Still Have Questions?</font></h2>\n<p>\uD83D\uDD82 Email <a href=\"mailto:request@donatemask.ca\" class=\"external-link\" rel=\"nofollow noreferrer\">request@donatemask.ca</a>\n<br class=\"atl-forced-newline\" /> <br class=\"atl-forced-newline\" /></p>\n<h1><a name=\"AboutYou\"></a>About You</h1>\n<h4><a name=\"EmailAddress\"></a>Email Address</h4>","callToAction":"Request for Individuals and Families","intro":"<p>Use this form to make a request for individuals or households.</p>","instructions":"<p><br class=\"atl-forced-newline\" /></p>\n<div class=\"panel\" style=\"background-color: #F7D6C1;border-color: #F7D6C1;border-style: solid;border-width: 15px;\"><div class=\"panelContent\" style=\"background-color: #F7D6C1;\">\n<h3><a name=\"Notice%3AAreyouintheVancouverarea%3F\"></a>Notice: Are you in the Vancouver area?</h3>\n<p>If you are in the Vancouver area, please consider making your request from Masks4EastVan – it's more cost effective for everyone:</p>\n\n<ul>\n\t<li><b><a href=\"https://docs.google.com/forms/d/e/1FAIpQLScJSbdwIjR2kwOjQgLikVH2D9yIhBigh8fpcn9nv0hJGPoblA/viewform\" class=\"external-link\" rel=\"nofollow noreferrer\">Masks4EastVan Request Form</a></b></li>\n</ul>\n</div></div>\n<p><br class=\"atl-forced-newline\" /></p>\n<h2><a name=\"\"></a><font color=\"#666666\">What Can I Request?</font></h2>\n\n<h2><a name=\"N95%2CCAN95%2CorEquivalentMasks\"></a>N95, CA-N95, or Equivalent Masks</h2>\n\n<p>We offer several different styles of mask to choose from in five different sizes. You can request multiple different models as your household requires.\n<br class=\"atl-forced-newline\" /> <br class=\"atl-forced-newline\" /></p>\n\n<h4><a name=\"\"></a><font color=\"#666666\"><ins>Masks by Model and Mask Size</ins></font></h4>\n<p><font color=\"#666666\">For sizing and more info, see our store pages by clicking the links below </font>\n<br class=\"atl-forced-newline\" /> <br class=\"atl-forced-newline\" /></p>\n\n<div class='table-wrap'>\n<table class='confluenceTable'><tbody>\n<tr>\n<th class='confluenceTh'> </th>\n<th class='confluenceTh'>Kids</th>\n<th class='confluenceTh'>Small</th>\n<th class='confluenceTh'>Regular</th>\n<th class='confluenceTh'>Large</th>\n<th class='confluenceTh'>Extra-Large</th>\n</tr>\n<tr>\n<td class='confluenceTd'>Canadamasq Q100 </td>\n<td class='confluenceTd'> XS & S </td>\n<td class='confluenceTd'> </td>\n<td class='confluenceTd'> </td>\n<td class='confluenceTd'> </td>\n</tr>\n<tr>\n<td class='confluenceTd'><a href=\"https://shop.evidencebased.ca/products/ppe-supply-kids-teen-kn95-respirator-masks\" class=\"external-link\" rel=\"nofollow noreferrer\">PPE-Supply Kids/Teens Earloop</a> (Out of stock) </td>\n<td class='confluenceTd'>✓</td>\n<td class='confluenceTd'> </td>\n<td class='confluenceTd'> </td>\n<td class='confluenceTd'> </td>\n<td class='confluenceTd'> </td>\n</tr>\n<tr>\n<td class='confluenceTd'><a href=\"https://shop.evidencebased.ca/products/vitacore-childrens-can99e-earloop-respirator\" class=\"external-link\" rel=\"nofollow noreferrer\">Vitacore Kids Earloop</a> </td>\n<td class='confluenceTd'>✓</td>\n<td class='confluenceTd'> </td>\n<td class='confluenceTd'> </td>\n<td class='confluenceTd'> </td>\n<td class='confluenceTd'> </td>\n</tr>\n<tr>\n<td class='confluenceTd'><a href=\"https://shop.evidencebased.ca/products/medicom-safemask-architect-pro\" class=\"external-link\" rel=\"nofollow noreferrer\">Medicom Architect Pro</a> (similar to Eclipse Horizon)</td>\n<td class='confluenceTd'> </td>\n<td class='confluenceTd'>✓</td>\n<td class='confluenceTd'>✓ </td>\n<td class='confluenceTd'> </td>\n<td class='confluenceTd'> </td>\n</tr>\n<tr>\n<td class='confluenceTd'><a href=\"https://shop.evidencebased.ca/products/eclipse-arc-n95-equivalent-masks\" class=\"external-link\" rel=\"nofollow noreferrer\">Eclipse Arc</a></td>\n<td class='confluenceTd'> </td>\n<td class='confluenceTd'> </td>\n<td class='confluenceTd'> </td>\n<td class='confluenceTd'>✓</td>\n<td class='confluenceTd'> </td>\n</tr>\n</tbody></table>\n</div>\n\n<p><br class=\"atl-forced-newline\" />\n<b>Not sure which style to choose?</b> Order a FREE Request Program Sampler Pack either here, or in <a href=\"https://shop.evidencebased.ca/products/request-program-sampler-pack\" class=\"external-link\" rel=\"nofollow noreferrer\">our store</a>.\n<br class=\"atl-forced-newline\" /></p>\n<h2><a name=\"\"></a><font color=\"#666666\">Still Have Questions?</font></h2>\n<p>\uD83D\uDD82 Email <a href=\"mailto:request@donatemask.ca\" class=\"external-link\" rel=\"nofollow noreferrer\">request@donatemask.ca</a>\n<br class=\"atl-forced-newline\" /> <br class=\"atl-forced-newline\" /></p>\n<h1><a name=\"AboutYou\"></a>About You</h1>\n<h4><a name=\"EmailAddress\"></a>Email Address</h4>","icon":10497,"iconUrl":"https://ebsecan.atlassian.net/rest/servicedeskapi/requesttype/icon/type/SD_REQTYPE/id/10497","key":""},"fields":[{"fieldType":"text","fieldId":"email","fieldConfigId":"","label":"Email confirmation to","description":"","descriptionHtml":"","required":true,"displayed":true,"presetValues":[]},{"fieldType":"text","jiraFieldType":"summary","fieldId":"summary","fieldConfigId":"","label":"Summary","description":"","descriptionHtml":"","required":true,"displayed":false,"presetValues":["Your mask 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Info"}]},{"type":"paragraph","attrs":{"localId":"46b446ab-1a20-4233-90be-b92431989620"},"content":[{"type":"text","text":"We use this information for statistical purposes – it helps us understand our impact, apply for funding, and program planning in general. Please answer on behalf of those that will be benefiting from the items in this request."}]},{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":48},"layout":"default","localId":"50f964ac-8f2d-4227-9125-3c6edce89c2a"}}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":47},"layout":"default","localId":"2c99b2d5-6dbe-40b0-994d-582bf26a9bb3"}},{"type":"paragraph","content":[]},{"type":"paragraph","content":[]}]}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":63},"layout":"default","localId":"21b4dbe0-73b9-42d6-879a-a344e158d7cb"}},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":71},"layout":"default","localId":"cd95a4be-163e-45ca-ac2d-d8e2f1b28669"}},{"type":"rule"},{"type":"heading","attrs":{"level":1,"localId":"68eff376-3f27-4b23-be6c-171778a46929"},"content":[{"type":"text","text":"Request Details"}]},{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":66.66},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":59},"layout":"default","localId":"225f9045-7083-4cca-89b2-b5f4f70cb9a1"}},{"type":"paragraph","content":[]}]},{"type":"layoutColumn","attrs":{"width":33.33},"content":[{"type":"paragraph","attrs":{"localId":"11d0c17e-89bd-43e2-a723-22cfa863ca0e"},"content":[{"type":"text","text":"We’ve got plenty of masks, so just tell us what you would like – no need to worry about depriving others!"}]}]}]}]},{"version":1,"type":"doc","content":[{"type":"rule"},{"type":"heading","attrs":{"level":2,"localId":"42e6985c-c18a-47b1-a515-c0590267d98b"},"content":[{"type":"text","text":"Mask Sampler Packs"}]},{"type":"paragraph","attrs":{"localId":"e0c24646-3086-4cd1-9b27-14af9a39f6b3"},"content":[{"type":"text","text":"The "},{"type":"text","text":"Request Program Sampler Pack","marks":[{"type":"link","attrs":{"href":"https://shop.evidencebased.ca/products/request-program-sampler-pack"}}]},{"type":"text","text":" is meant for those that want to try the models of masks before picking – it contains each of the 4 models of masks that we offer."}]},{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":69},"layout":"default","localId":"bb765b22-e0df-46dd-814b-a5bda81e171c"}}]},{"version":1,"type":"doc","content":[{"type":"rule"},{"type":"heading","attrs":{"level":2,"localId":"4bd80a21-e29a-4376-b71b-be355074c4c8"},"content":[{"type":"text","text":"Small or Kids Masks"}]},{"type":"layoutSection","content":[{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"extension","attrs":{"extensionKey":"question","extensionType":"com.thinktilt.proforma","parameters":{"id":28},"layout":"default","localId":"e6f9773f-8c06-4d24-bbe2-cde2947608c3"}},{"type":"paragraph","content":[]}]},{"type":"layoutColumn","attrs":{"width":50},"content":[{"type":"paragraph","attrs":{"localId":"33efa017-3c4d-4f23-ac81-cafc250ba3e3"},"content":[]},{"type":"bulletList","content":[{"type":"listItem","content":[{"type":"paragraph","attrs":{"localId":"58210f8f-02ae-41fa-92ad-955e6ed6d769"},"content":[{"type":"text","text":"(Currently out of stock) PPE-Supply Kids/Teen is made for children 5+ years 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