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Submit Your Request

House of M Beauty has manufactured 2-ounce Hand Sanitizers and imported a limited number of
Face Masks for Medical Facilities & Community Organizations 

Please complete and submit this form to request Emergency Supplies for your Medical Facility or Community Organization. All requests will be reviewed as quickly as possible.
Please Note: All fields are required. Please submit this form using the latest versions of Microsoft Edge, Chrome, Firefox and Safari browsers.

Emergency Supplies Request Form


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