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GRANT APPLICATION

TB Vets Grant Application

First Name

Last Name

Position

Name of Organization / Foundation

Registered Charity No.

Phone Number

Street Address

City

Postal Code

Province

Name of Hospital / Health Centre where equipment will be used

Provide a brief overview of your hospital or health centre and the patients you serve.

Describe or list your annual fundraising events or initiatives.

Name/Model and Description of how the equipment will be used

Cost of respiratory equipment to be acquired

Explain why the acquisition of this respiratory equipment is a priority.

Describe how this respiratory equipment will benefit patients and approximately how many patients annually.

Explain if this is acquisition being cost-shared with your foundation of any other organization.

If your TB Vets grant is approved, how will you publicize this contribution:

Attach a quote of the proposed acquisition:

Provide a photo of the proposed acquisition:

Grant Application Agreement

Within three months of receiving the grant, you agree to provide an authorized patient and health professional testimonial with photographs for use by TB Vets. Form responses may also be used and/or quoted for marketing purposes.

Donate To TB Vets Now

Donate

GRANT APPLICATION

TB Vets Grant Application

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Donate To TB Vets Now

Donate

GRANT APPLICATION

TB Vets Grant Application

Find us on social media

Subscribe to Updates from the Frontlines

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