Free Mask Program

Beyond Vision>#BeyondVisionCares>Free Mask Program

Face Mask Request

Beyond Vision is providing free face masks to people with vision loss in Milwaukee County. If you are in need of face masks, please fill out this form and we will mail you a set of masks.

Name*
First Name Last Name
Address*
Street Address Address Line 2 City State
Zip Code*
We are only able to send masks in Milwaukee County at this time. Please select your zip code:
Email*
Phone
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If you are having any accessibility issues, please call 414-778-5800. Let us know what the accessibility issue is and we will process your request.