Request for Cargo Assistance

  • 1 Current: Applicant Information
  • 2 Medical Facility Information
  • 3 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. All cargo is delivered in 40-foot shipping containers. *
Which category best describes the Requestor?
Check all that apply.
Facility 1
Facility 2
Facility 3
Are Funds Currently Available to Pay for the Cargo Container Project Fee in full?
Are Funds Currently Available to Pay the Needs Assessment Deposit Fee in Full?
Will your organization be supporting through government funding?
Will you need to fundraise for this project?
If fundraising, how long do you anticipate it will take to raise the required funds?