Health Care Providers Face Shield Delivery Request
Please register your need for 3D Face Shields. We will handle delivery on a need basis. Feel free to continue to request more as your needs change. Thank you for being on the front lines against COVID-19!
Email address *
Organization Name
Your answer
Contact Name
Your answer
Contact Phone Number
Your answer
Number of 3D Face Shields Requested
Your answer
NY State Location
Non NY State Location
Your answer
Delivery Address
Your answer
How Urgent is Your Need?
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