COVID Foundation - New Supplier Information
Thank you for contacting the COVID Foundation about offering Personal Protective Equipment (PPE).

Once you've submitted your information, our Supply team will be in touch with next steps.

By submitting your information, you agree to allow the COVID Foundation to disclose the information you provide to us. This will allow us to fulfill our mission of providing essential medical supplies to those who need it most.  
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Company Registered Business Name *
Company trade name (DBA name), if different
Website *
Street Address 1 *
Street Address 2
City *
State *
Postal/ZIP Code *
Country *
Your Name *
Your Job Title *
Your E-mail Address *
Your Phone Number *
WeChat ID
Other messenger platform ID (please indicate platform)
What is your preferred contact method? *
What types of PPE can you supply?
Is your company a manufacturer or distributor of Personal Protective Equipment (PPE)? *
How long has your company been in business? *
How long has your company sold or manufactured PPE? *
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