Hand-Sanitizers Manufacturing Exchange – Supplier Form

This form is intended for SUPPLIERS OF INGREDIENTS, COMPONENTS & SERVICES

Please Complete & SUBMIT below.

  • NOTE: This information is required of all manufacturers requesting that the Exchange assist them in being matched with supplies of ingredients and other inputs required to manufacture hand-sanitizers.

  • 1. COMPANY INFORMATION:

  • 2. Products/Services Being Offered:

    What does your company supply for the making of hand-sanitizers (please check):

  • 3. For Suppliers of Ethanol, Isopropyl Alcohol and Other Active Ingredients:


    (a) What is your weekly capacity to supply?:

  • Or

    Are you only able to provide a single shipment ?

  • (b) What is Your Means of Shipping Ethanol or IPA to a Manufacturing Facility (please check more than one if applicable)?

  • *Non-Active ingredients include Humectants/moisturizers (Glycerol, Aloe), Rheology Modifiers (Carbomer or equivalent thickeners) – consult the list of Alternative Rheology Modifiers here.
  • IMPORTANT NOTE: By Submitting this Form you are agreeing that the Hand-Sanitizer Manufacturing Exchange can share this information and contact information to facilitate matching manufactures and suppliers, to assess shortages of manufacturing ingredients, components and services (including advising governments of same), as well as any other purpose related to the current COVID-19 Health Emergency.