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PanFab: Request to obtaining BWH COVID-19 testing booth design
This form is used for those requesting access to the design files for the BWH COVID-19 testing booth. Learn more about this booth on https://www.panfab.org/contact-us.

Please note that these designs are being disseminated for urgent use in medical settings and are not intended for commercial profit.
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Name *
Email *
Phone Number *
Institutional affiliation *
Title (associated with affiliation) *
Who should be the the contact for your organization, if different from yourself? (Name: First, Last)
What is the email address for the contact for your organization, if different from yourself?
What is the phone number for the contact for your organization, if different from yourself?
Would you be willing to sign a liability waiver to receive the phone booth design? *
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