Local Companies Helping Local Healthcare and Essential Services
First Name *
Last Name *
Email Address *
Phone Number *
Are your PPE supplies for donation, purchase/procurement or both?
Do you have immediate inventory?
If ‘No’, then when will inventory be available?
PPE Product Supply Description (Tell us what PPE supplies you have?)
Please leave this field empty.
Please note all information is confidential and will only be used for the intended purpose of this initiative.