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AWB PPE Connect submission form
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* Indicates required question
Email
*
Your email
Business name
Your answer
Your name
*
Your answer
Your cell number or direct phone number (not for publication)
*
Your answer
Would you like to be included in the AWB PPE Connect directory?
*
Yes
No
What Type of PPE can you offer? (check all that apply)
*
Face masks (disposable)
Face masks (cloth)
Rated masks (i.e. N95, KN95, FFP2)
Plastic gowns
Face shields
Sneeze guards
Gloves
Hand sanitizer
Sanitizing wipes
Ear guards
Thermometers
Thermal scanners
Eye protection
Other:
Required
What is your MOQ? (Minimum Order Quantity) Enter the minimum quantity of PPE you are willing to sell/ship of any PPE you offer.
Your answer
What is your weekly production capacity?
Your answer
How many RFQs (Request for Quote) can you handle per day?
Your answer
To whom would you like RFQs to be sent?
Name to receive RFQs
*
Your answer
Email address to receive RFQs
*
Your answer
City
*
Your answer
State
Your answer
Zip
*
Your answer
Are you also a distributor?
Yes
No
Clear selection
If you answered Yes to Distributor, where was your product manufactured?
Washington
Elsewhere in the United States
Another country
Clear selection
What is your average response time to purchase inquiries?
24 hours or less
24-48 hours
48-72 hours
Within one week
More than one week
Clear selection
Submit
Clear form
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