Get Stryker Donation Request Form

The Stryker Donation Request Form is designed to facilitate the process of requesting charitable product donations from Stryker. This guide provides step-by-step instructions to help users complete the form accurately and efficiently, ensuring all necessary information is provided.

Follow the steps to successfully complete the Stryker Donation Request Form.

1. Press the ‘Get Form’ button to access the Stryker Donation Request Form and open it for editing.
2. Enter the name of your organization in the designated field. Please ensure this is the official name of the applicant organization.
3. Provide a brief description of the intended use for the donation. This should include a letter from your institution confirming that there will be no cost to patients.
4. Fill in the mailing address, city, state, and zip code of the organization to ensure accurate correspondence.
5. Supply the organization’s tax identification number, attaching the IRS exemption notice (501c3) as required.
6. List the contact person's name and title, including their phone and fax numbers, as well as an email address for contact purposes.
7. For mission trips, include the names of all surgeons involved with the trip in the specified section.
8. In the product description section, include the item number, description, and quantity of products being requested. If applicable, attach a proposal to support your request.
9. Review the donation terms and conditions carefully to confirm your understanding and acceptance.
10. Complete the certification section by filling in your organization's name, the authorized representative's name and title, and then provide a signature and date.
11. Once all sections are completed, save your changes. You may then download, print, or share the completed form as needed.

Complete your Stryker Donation Request Form online today to take the first step in securing your charitable product donation.