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Request For Medical Resources

By submitting this application, you agree that it will be reviewed by Medical Bridges. If approved, a standard agreement with specific terms & conditions will be sent to the signatory for consideration and signature. An invoice (excluding shipping cost) will also be sent for your review and funding.

Shipment Sized Desired - Please Check One(Required)
20-Foot Shipping Container ($10,000 processing fee excluding shipping)
40-Foot Shipping Container ($19,000 processing fee excluding shipping)
Multi-line address
Is your company a faith-based organization? (Required)
Yes
No
Is your company a registered U.S. nonprofit? (Required)
Yes
No
Do you have a Employer Identification Number (EIN) or VAT ID?
Yes
No
Overseas Requesting Beneficiary Organization/Facility Address
Facility's Legal Status(Required)
Public
Private
Government
Religious
Other - Please explain below
Is your organization a nonprofit registered in the recipient country? (Required)
Yes
No
Are the services to the community free of charge?(Required)
Yes
No (If no, please explain below what is paid and how the cost is determined.)
Would you like Medical Bridges to provide you with a list of freight forwarders to obtain quotes for shipping costs?
Yes
No

By submitting this application, you acknowledge that it will be reviewed by Medical Bridges. If approved, a standard agreement outlining specific terms and conditions will be sent to the signatory for consideration and signature. An invoice, excluding shipping costs, will also be provided for your review and funding.

As the only accredited medical surplus distributor in Texas and ranked highly on Charity Navigator, Medical Bridges is committed to delivering lifesaving medical aid worldwide. Your sponsorship directly provides essential supplies to healthcare workers, ensuring those in need receive the care they deserve. Partner with us and make a difference today!

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Medical Bridges ® is a registered 501(c)(3) non-profit organization. Contributions are tax-deductible to the extent permitted by law, tax identification number 76-0548161. 

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2706 MAGNET ST. HOUSTON TX 77054   (+1) 713-748-8131

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