Shumsky PPE | Survey

1-800-414-8946

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.

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