Sales Lead Form

DESIGNS BY LOURNI

FACE MASK ORDER FORM

Please complete the following information for your face mask order. Orders will

take at least one (1) week to complete due to demand. All face masks are $10.00

each.

Date

MM

/

DD

/

YYYY

Name

Email

Phone

Choose your item

Duck bill style mask

Surgical style mask

Color of mask

Pricing

Verification

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