3D Printed PPE Request Form - South West VA Only
This is a volunteer group of 100+ people making donations of free PPE to local healthcare facilities using 3D printing. If your organization is in need of proper PPE for the COVID-19 pandemic, please fill out the questions below. The organizer will get in touch with you shortly after to schedule delivery.

To donate funds to this project, please use the following link: https://bit.ly/2VTOjhu

Inquiries may contact Nathan O'Kane at requests@3DPrintedPPE.org
Who do you represent? *
Your answer
Name of Contact
Your answer
Contact Phone Number *
Your answer
Facility Address *
Your answer
How many face shields with brim do you need?
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Your answer
How many Face Shields without brim do you need?
Captionless Image
Your answer
How many ear savers do you need?
Captionless Image
Your answer
What are the best times to deliver?
Your answer
If you are in need of masks, please refer to this form: https://bit.ly/39gN7cr
Submit
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