If you are an organisation with the ability to donate and ship any of the medical equipment on this list to the Medical University of Lodz warehouse in Poland, please complete the form.

This form is a declaration of intent to help us understand the potential scale of donations. Submission does not constitute any formal commitment to supply goods. Once our team has reviewed your submission, we will contact you to discuss next steps and confirm logistics. Following this, agreements will be made.

Ukraine appeal
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Product 1 (complete to let us know the first product type you would like to donate) 


Product 2 (complete if you have more than one product type to donate)


Product 3 (complete if you have more than two product types to donate)


Product 4 (complete if you have more than three product types to donate)


Product 5 (complete if you have more than four product types to donate)


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