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* Select your industry

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* What steps are you taking to reopen (or reconfigure) your business to ensure safety?

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* Does your company need any of the following to reopen? (check all that apply)

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* When do you anticipate returning to work?

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* Care to share or elaborate on any of your responses?

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* Would you be interested in participating in a dialogue with RELYCO and other businesses about safety and communication? (If yes, please make sure to give us your contact info below.)

To thank you for your participation, we'll donate 100 face shields to our local hospitals for each company that participates.

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* Contact Information (optional)

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