Request PPE
Are you a health professional in the Toowoomba/Surrounds area? Put down your need for PPE in this form here. This is for organisations rather than for personal use.
What is your name?
What organisation/company are you representing?
What's your best contact email?
What's your best contact phone?
How many face shields would you like to request? Specify style if you have a preferred design (Donated)
How many door-openers would you like to request? (Donated)
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How many fixed door openers would you like to order? ($5 cost price by Ellipsis Media)
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Are you able to help our small local businesses cover their costs for producing these items?
Clear selection
Would you like to request something specific made by 3D printers or laser cutters? Add info here with design files.
What priority is your need?
Clear selection
Do you need them by a particular time/date?
Do you need these delivered, and if so, what is the address?
Any more information you'd like to tell us?
Submit
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