Product Request - IATP Makers

Use the form below to order a product from the IATP Maker Program.

Products are designed and built free of charge for eligible Illinois residents as a long term customer loan.

Item Request

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First Name

Last Name

Phone Number

Are you an IATP Employee?

Yes

Please select department Please select department

Product Shipment Options

Pick Up

Delivery

Shipping Address

City

State/Province

Zip/Postal

Shipping Address

Same as Main Contact?

Yes

First Name

Last Name

Phone Number

County

*The Maker Program is offered to Illinois residents only.

If you are human, leave this field blank.