Help Manitoba combat COVID-19 – submission form

If you are a business or individual able to supply products and services in support of Manitoba’s response to Coronavirus disease (COVID-19), please complete this form. Reminder: Please continue to check the MERX web service for bid opportunities as this service is updated regularly. Please note: You may be asked to update this information over time and will be alerted by an email from Smartsheet.

Contact Name*

Company Name

Do you have a business number?*

Yes

Address*

Postal Code*

MB City/Town

Select or enter value

City (if outside of Manitoba)

Phone number*

Email*

Type of Offer*

Manufacturer

Product Supplier

Service Offer

If service offer what type(s)?

Select

Health Products

Select

Other Product/Service Types (text)

Please describe your product or service.

Quantity (if applicable)

Please list the quantities of products you can provide.

Product Ship Time

How long between the order and delivery?

Select or enter value

What can you manufacture?

Select or enter value

Do you manufacture other items?

How long will it take to make the product(s)?

Select or enter value

Manufacture Summary

Are there any other details you'd like to add?

Can someone from the Government of Manitoba meet with you at your location?*

Yes

Would you like to attach any documents?

Please upload any relevant details here.

Drag and drop files here or

Date Submitted*

Send me a copy of my responses

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