Stryker Surgical Kit Application

* Required

















Do you agree that all of the supplies will be used outside the U.S. and will not be sold or bartered for property or services?
Are you aware of country procedures to clear medical supplies through customs to avoid confiscation and/or paying duties/taxes?
Do you agree to sign our release of liability to receive medical supplies?
Do you agree to notify Project C.U.R.E. if these supplies are lost or stolen prior to their arrival at their final destination?
Do you agree to take part in Project C.U.R.E.'s Post Trip Assessment