Business Interest in Stop the Spread
Thank you for your interest in mobilizing your business to help us #StoptheSpread.

We'd like to understand where your capacity and talent can best be deployed. Right now, we're focusing on manufacturing and distribution of critical medical devices and healthcare products. However, we'd love to hear about any way you are helping #StoptheSpread of COVID-19 and have included an additional field at the end of the survey for you to tell us about your efforts.

We'll get in touch with you as soon as we can.

Learn more at:
Email address *
Contact name *
Company/organization name *
Position at company/organization *
Phone number
Please tell us what your company/organization is doing (or attempting to do) to help stop the spread of COVID-19. *
What critical need is your company or organization focused on? *
What support does/will your organization need to help you accomplish your goals in the fight against COVID-19? *
Does your organization require funding, either in the form of a grant, loan, investment, or working capital injection, to accomplish your goals? Select all that apply. *
If your organization requires funding - Does your company have an open investment vehicle?
Clear selection
If "Yes" - What is the investment vehicle that you currently have open? Select all that apply:
If your organization requires funding - What is your total estimated funding need? Please enter the amount in USD ($).
If your organization requires funding - Are you able to accept investments from a U.S. entity?
Clear selection
Is there anything else you would like us to know about your company/organization not captured above?
How did you hear about Stop the Spread?
Thank you!
Never submit passwords through Google Forms.
This form was created inside of stopthespread. Report Abuse