Request for Cargo Assistance

  • 1 Current Applicant Information
  • 2 Medical Facility Information
  • 3 Funding
  • 4 Complete
If not affiliated with an organization please type "Self".
If located in the United States, this would be 1.
* Please note, under agreements with our donors, Project C.U.R.E. is unable to deliver items within the U.S. and its territories. Project C.U.R.E. does not send individual medical supplies or equipment. 
Which category best describes the Requestor?
Check all that apply.