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SPECIAL ORDER REQUEST for PPE

If you would like to submit a PPE order exceeding $1,000 or the maximum order limit,
please complete all pertinent information below and submit the form.

A Shumsky representative will respond within 1 business day.

All questions marked with an * are required.

* Full Name


* Email Address


* Phone Number (include area code)


* Type of product(s) you are interested in


* Quantity needed


Budget



For larger purchase quantities and other Personal Protective Equipment (PPE),
please contact programs@shumsky.com.




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