Face Shield Order Form
If you need five or fewer face shields, we would be happy to supply them to you! We are no longer taking large orders since it is more time and cost-efficient to buy from large manufacturers. We will email you when and where to pick them up. Most orders will be ready within a couple days of when you place them. If you have any questions, please email covid19@team2052.com

NOTE: This form is for full face shields (headband and shield). If you only need the clear plastic shields for replacement, fill out this form instead: https://forms.gle/HwUuXDvyzeBcXDbk9
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Email *
Contact Name (First Last) *
Contact Phone Number *
Are you able to pick up your order from Mounds View, MN? (address will be sent when your order is ready for privacy reasons) *
Delivery Address (we prefer that you pick up if possible, but if you can't we will deliver or look into shipping it for you)
Description of where shields will be used (e.g. ICU, general clinic, nursing home, etc.) *
Quantity (we are only filling orders of five or fewer shields) *
Other comments
A copy of your responses will be emailed to the address you provided.
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