Supporting 3D Printed Medical Production Request Form (Face Shields, Masks, Ventilators, etc)
IC3D is a 3D printing company that is working to support the medical industry PPE and other equipment during this time of the COVID-19 pandemic. There are currently numerous open source designs for various 3D printed items each with different levels of risk. We are currently focusing on FACE SHIELDS while monitoring MASKS and other items as more analysis is being done to ensure safety.

If you would like to help fund the production of 3D printed PPE to protect against the COVID-19 pandemic or other items, please fill out the contact form below and we will contact you immediately.
Email address *
First Name *
Your answer
Last Name *
Your answer
Email *
Your answer
Organization *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
Country *
Your answer
Phone Number *
Your answer
Optional Message
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of IC3D. Report Abuse