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Need: Face Shields
Description: Requesting face shields for front-line first responders. Must be new, unopened, and in original manufacturer's packaging.
Manufacturer:
Model:
Configuration:
Size: N/A
Quantity: 10000
Need by Date: 04/08/2020
Priority: High
Status: Active
Please provide valid contact information, otherwise we will not be able to follow-up with your report.
Owner’s Full Legal Name:
Signature (re-type name):
Please verify the information below and click submit.
Need by Date: 04/08/20
First Name:
Last Name:
Phone:
Email Address:
Organization:
Report Number: 000000