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Organization PPE Request
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* Indicates required question
Organization Name
*
Your answer
How much do you think is a fair price for one face shield?
*
Your answer
How urgently do you need the PPE?
*
Not urgent at all; will run out of PPE in a month or later
A bit urgent; will run out of PPE in a few weeks
Extremely urgent; will run out of PPE in less than a week
Where do you live?
*
Alabama
Alaska
Arizona
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Colorado
Connecticut
Delaware
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Hawaii
Idaho
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Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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