Aid Request Form

Note: If your organization is a hand-carry medical mission team and is not seeking full container shipment support you should use this form.

Name of Organization: (required)

Contact Person: (required)

Address of your organization: (required)

Contact E-mail: (required)

Phone Number: (required)

Fax Number:

Website:

Is your organization a registered U.S. non-profit? (required)
YesNo

Is your organization a non-profit registered in the recipient country? (required)
YesNo

Is your organization associated with a religious, social or cultural association? This question will not impact eligibility of the application and is only for reporting purposes. (required)

Please provide some historical information about your organization. (required)

Please list the countries that you are currently active within. (required)

What donated items would you be interested in receiving?
Please remember that a needs list is a required part of this application.
Detail these needs in the space provided below. (required)
Medical Supplies
Medical Equipment
Pharmaceuticals
Books
Educational Supplies
Other

How would your organization use this donation? Who would benefit from it?
Please include pertinent information about where the products will be distributed. (required)

If restricted money is available for your destination, BBF will be happy to discuss that possibility with you. For the majority of shipments, however, it is the applicant's responsibility to cover the cost of international shipping, BBF fees, customs clearance and in-country transportation. How would your organization fund these charges? (required)

Who would be responsible for providing distribution reports, needs assessments, impact statements and statistics, photos, etc. to Brother's Brother Foundation? Please give the name, address and phone number of this person. (required)

Does your organization have experience with container shipments? (required)
YesNo

If yes to the above question, please explain the country or countries to which you have shipped and any issues you may have had. (required)

What are the required tax-exoneration certificates and/or other paperwork necessary to clear customs duty-free? (required)

Thank you for your attention to the application. Donation availability varies throughout the year. For this reason, we can only work with organizations that can receive donations in a timely manner. We will be contacting your organization for further discussion about the application process.

BBF’s Privacy Policy