PPE Request Form
Bridgewater State University's Maker space in partnership with the Bizarbot's Robotics team is manufacturing Face shields, Ear protectors, no touch door openers and more. If you need any of these made please fill out the form below. If you need anything else manufacturer please write it in the other box and we will contact you.
* Required
Requester's Name
*
Your answer
Purpose for items or Facility in need
*
Your answer
Contact Phone Number
*
Your answer
Contact Email
*
Your answer
Items
Items Needed?
Face shields
Ear Protectors
No Touch door openers
No Touch door openers (Aluminum, There will be a small charge for these as aluminum is expensive)
Any other item (We can make a large range of items)
Other:
Quantity of Ear Protectors
Your answer
Quantity of face shields
Your answer
Quantity of No Touch Door Openers
Your answer
Other items
Your answer
Other (Any questions or other requests)
Your answer
Submit
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