Is your company able to assist in the production of critical supplies? The government needs to know.

The administration is seeking volunteers who can donate and provide and/or produce large-scale quantities of critical supplies to help the nation respond to the COVID-19 pandemic.

Please complete this brief survey about your production ability. Due to the urgency of the request for information, we are attempting to receive responses ASAP. 

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* Contact Information:

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* Which of the following supplies can you provide and/or produce within two weeks? (Check all that apply.)

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* For each supply checked, please specify the product model number and include the quantity.

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* For each supply checked, please include the city and state of the facility that would produce and/or provide the supply.

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* Are there any supplies or other provisions that you could donate to the nation’s COVID-19 pandemic response?

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* Who should be the point of contact for any follow-up requests from the Administration?

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