PPE Demand Registration for USA Essential Workers
Welcome to the Marketplace.city's Personal Protective Equipment (PPE) & COVID-19 materials intake form. This information is to help State and Local government articulate their demand for PPE and be matched with available supply. Our goal is to make our government partners more agile and responsive as their needs evolve. There are no fees for using this service.

You may be contacted by Marketplace.city or a government official to confirm your request, but your information will not be sold or shared with suppliers without your written consent.

For any questions please email: hello@marketplace.city
Email *
First Name *
Last Name *
Organization *
US City *
State *
Phone Number *
Please indicate your estimated AVERAGE MONTHLY USAGE of the following PPE:
None
1-1,000
1,000-5,000
5,000-10,000
Greater than 10,000
NA
NIOSH N95
KN95
Gowns
3 Ply Surgical Masks
Face Shields
Sanitizing Wipes
Infrared Thermometers
Booties
Surgical Gloves
COVID-19 Test Kits
Clear selection
Please list any additional supply needs and estimated average monthly usage below:
How soon do you need PPE? If your need is urgent, please enter today's date. *
MM
/
DD
/
YYYY
THANK YOU!


You can expect to hear from us within 7 days of submission. We will confirm your exact quantities needed and connect you to suppliers or other buyers in your area if interested in pooling a purchase. If you listed today as your delivery date, we will be in contact ASAP to address your immediate need. Any questions email: hello@marketplace.city
A copy of your responses will be emailed to the address you provided.
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