Medical Equipment Donation
Thank you for considering donating your functional respiratory equipment. Please complete this form so that we can best anticipate your donation.

Feel free to contact us with any questions, suggestions or concerns.

Eric Cheng
eric@rtwb.ca
Interim Respiratory Equipment Manager
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Equipment Information
Equipment name *
Equipment details *
Brief description of the items being donated.
Donation details
Release of Liabilities Wavier required *
Recognition name
Please leave blank if donation is anonymous
Publicity
Corporate (e.g. website); Personal (e.g. linkedin)
Tax Receipt *
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