Urgent Call for Supplies
1.
Do you have any Personal Protective Equipment (PPE) in stock such as: masks, gowns, face shields, respirators, gloves, hand sanitizer, sanitizing equipment, cleaners, cleaning wipes, other essential products?
If yes, please complete this form
Yes
No
2.
Please list the items you can sell, donate and or manufacture:
3.
Do you have the ability and capacity to manufacture any PPE products?
4.
Do you want to donate or sell your products?
Donate
Sell
5.
List what is in stock or and what needs to be manufactured:
6.
How many
7.
How fast can they supplied
8.
Contact name
9.
Company
10.
Email address
11.
Phone number
Current Progress,
0 of 11 answered
