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Bulk Order Inquiry
Full Name *
Organization / Company Name
Email Address *
Phone Number
Organization Type
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Hospital or Health System
Harm Reduction Organization
University / School
First Responder Agency
Local / State Government
Nonprofit or Community Org
Other
Other (if selected above):
Estimated Quantity Needed
25–49 units
50–99 units
100–249 units
249–499 units
500+ units
Not sure yet
Intended Use / Distribution Plan
Shipping Zip Code or Location
Preferred Delivery Timeline
ASAP (within 2 weeks)
Within 1 month
Within 3 months
Flexible / exploratory
Are you interested in co-branding or customization options?
Yes — please tell me more
No
Would you like to receive a formal quote?
Yes, please send a quote
No, just gathering info for now
Additional Notes or Questions
I understand this is an inquiry only and does not place an order
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