Kits4Life Sponsor/CRO Donation Offer Form


Thank you for participating in the Kits4Life program.


Please use the Kits4Life Sponsor/CRO Donation Form if your organization is a Kits4Life participant, has approved trial donations, and has arranged donation fulfillment and shipping.


Otherwise, please return to Kits4Life home page to learn more about Kits4Life and how to participate.

 

Study Sponsor/CRO Contact Information

 
 
 
 
 
 
 
 
 
 
Phone
 
Phone
 
 

Donation Information

 

What items do your study kits contain?

 

Other than equipment, what study items are you donating that are NOT contained in study kits?

 

Does this donation contain equipment?

 

Please describe the number of items you are offering, whenever possible.

 

Select the option(s) that best describes the expiry date of the donations. You can add more details as needed by using the comment box or by uploading an inventory list with expiration dates.

 

Has your company already approved this donation?

 
 
 

Providing pictures of the product, inventory lists or lab manuals can speed the donation vetting process.

Drop your files here
 

Shipping Information

 

Select the option that best describes your estimate of how soon donation shipments can begin.

 

What is the approximate date this study (or studies) will end?

 
mm/dd/yyyy
 

Can your company or organization cover the cost of shipping?

 

Approximately, how many study sites may have donations from this study?

 

In what region/countries are the study sites?

 
 
 

Please use this space to add any additional comments about your donation offer.