Order Form

Mask proceeds will be donated to Aloha United Way.
Thank you for supporting a very worthy cause.
~UHFCU MASK SALE~
  • Proceeds Benefit AUW - Up to $3.29 Per Mask Sold
  • Adjustable Ear Loops
  • Adjustable Nose Bridge
  • Ultra Comfortable Polyester/Spandex Fabric
  • Washable/Reusable
  • Includes Two (2) PM2.5 Activated Carbon Filters
  • FREE SHIPPING to Hawai`i Mailing Addresses
Price:
1 for $8.50 $7.00
3 for $25.00 $16.00

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is your Email & Phone Number?
Note: This helps us identify who you are. Don't worry! We won't contact you unless absolutely necessary.

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* 4. Please provide your mailing address.
Note: Your masks will be mailed here.

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* 5. Choose your mask design:

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* 6. How many masks would you like to order?

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* 7. I would like to contribute additional funds to the Aloha United Way (Enter dollars below)
Please do not include sensitive data such as member number.

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* 8. Please debit my UHFCU (Savings or Checking) account:

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* 9. Check here to indicate that you understand:
  1. Please allow at least 1-2 weeks for processing and delivery.
  2. Your account will be debited at the time the masks are shipped to you at the address you specified above.
  3. Orders shipped to a mainland address will be charged an additional $1 shipping fee. No International orders.
  4. Due to the nature of these items, all sales are final (no refunds).
  5. This mask is not intended for medical purposes.
Thank you!

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* 10. Any other comments or special instructions?  If you would like a receipt, please leave your e-mail address.

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