COVID-19 Medical Equipment and Supplies Request Form
MyBioGate is committed to connecting Chinese healthcare resources with the rest of the world. To ease the extreme sourcing difficulty, we are building an online platform for people in need to quickly find reliable medical device supplies from China. If you need assistance finding supplies to help protect from and fight the virus, please submit your request. We will contact you about the product as soon as possible.
Email *
First Name *
Last Name *
Phone
Company Name *
Company Websit/ Profile *
Job Title *
Your affiliation with the purchasing company
Company Category *
Business registration
Tax ID
What brands have you represented/ cooperated with before?
Main sales channels
Does your company have an import/ export license? *
Import port/shipping country *
Will you be able to import or you need import agent handling customs? *
Certification requirement
Delivery options
Clear selection
What is the estimated demand frequency and quantity if it’s not one-time purchase?
Desired delivery date
MM
/
DD
/
YYYY
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