'It is our mission to make surplus and recycled medical supplies, durable medical equipment and related items/activities available to needy populations around the world in order to improve the health and quality of life of the recipients and to empower the recipients to live with increased dignity, independence, and hope.'
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Application for Supplies/Equipment from Sharing Resources Worldwide
Recycling Resources...Restoring Hope

Please submit this application at least 4 - 6 weeks before your actual departure/loading date. You will be notified of your application approval within 1 week of application submission. An appointment with either Lisa or Mary can then be arranged to pick up the items needed. All groups receiving a shipping container of supplies are asked to pay a $350 fee to SRW for the cost of gathering, storing, sorting and packing the inventory. This is due before the shipment is loaded from our dock. Smaller volumes may be assessed on a sliding scale appropriate to volume.
If you prefer to fax or mail your request to SRW please click here to download our form.

Name of group/institution overseas that will receive this donation:


Overseas Contact Person Information

Contact person's name:
Contact person's address:
(at least list the city)
Contact person's country:
Contact person's phone:
Contact person's e-mail:
Contact person's other contact method:

Name of the US organization requesting material:

This organization is:

501 (c) 3 non profit
(A copy of determination letter will need to be provided.)
Faith affiliated group
Name:
Other
Name:

Organization Contact Person Information

Contact person's name:
Contact person's address:
Contact person's phone:
Contact person's e-mail:
Contact person's fax:

Other Information

How will supplies be transported to the destination?
What is the date of departure?
What is the approximate weight or volume of supplies needed?
Who is determining this supply list?
What is the title of the person determining the supply list?
What are the qualifications of the person determining the supply list?
How will supplies be distributed? Please provide a brief summary of the project.
Please list the supplies needed. Be aware that supplies are available on an as is basis. Please indicate if you cannot use expired products. Indicate any other relevent restrictions on items you are requesting from SRW.
Please note, SRW does not supply medications of any sort, but may know of groups who do supply medications. Please feel free to inquire if that is a part of your need.

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 4417 Robertson Rd, Madison, WI 53714
Fax: 608-437-7662
E-mail:
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