PPE Order Inquiry Form
We have created the following inquiry form to expedite the procurement process for PPE. Below is a list of products we regularly have on the ground in the US. Please indicate the quantity of each product desired as well as any special instructions or details for your order request. Zaymat offers PPE well beyond this list so if you have any specific needs beyond the products please indicate this on the form. If you have questions and would like to speak with someone directly please contact Jeff Blumental at jeff.blumental@zaymat.com
Please select your partner group.
*
Please Select
State of Utah, contract number #MA3558
State of Maryland, State PO 001B1600266
Full Name
*
First Name
Last Name
Organization
*
E-mail
*
example@example.com
Phone Number
*
Format: (000) 000-0000.
Available items
Quantity and allocation discounts are available. A Sourcing Specialist will be in touch to discuss your savings.
Product Request
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( X )
Procedure Style Mask
Level 1
$
0.28
Quantity
KN95 Masks
CDC Approved
$
1.95
Quantity
N95 Mask
$
3.18
Quantity
Face Shields
$
2.25
Quantity
Isolation Gown
Level 1
$
2.86
Quantity
Isolation Gown
Level 3
$
2.95
Quantity
Isolation Gown
Level 4
$
2.98
Quantity
Say Gown
Non Surgical
$
2.86
Quantity
Nitrile Gloves
Select Size
$
0.17
Glove Size
Quantity
Small
Medium
Large
X-Large
Foot Covers
$
0.26
Quantity
Boot Covers
$
0.34
Quantity
Bouffant
21"
$
0.26
Quantity
Bouffant
24"
$
0.30
Quantity
Preservation Kits
with swab
$
3.50
Quantity
Pulse Oxometer
$
2.00
Quantity
Safety Glasses
$
3.95
Quantity
Hand Sanitizer
Select an option
$
4.00
Sanitizer Options
Quantity
Price
6.6 oz. (cap) 80% liquid
$
4.00
8 oz. (pump) 70% GEL
$
2.90
2L (cap) 80% liquid
$
18.00
2L (Pump Spray) 80% liquid
$
20.00
24 oz. (cap) 70% GEL
$
13.00
34 oz. (cap) 70% GEL
$
18.00
No Touch Hand Sanitizer Dispenser
$
34.85
Quantity
Special Instructions
Please indicate any additional requirements for your order request as well as any other PPE products you are looking to purchase.
Shipping Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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