Apply for Support

Please give as much information about the project as possible. This will help us to make our decision.

If you are applying for multiple items please fill in this form, alternatively attach a quotation from your suppliers. Please include all delivery and installation charges, make it clear whether the price includes VAT, and give the name of the Company Rep if applicable.

We need to be sure that this project fits with the requirements and future plans of your organisation. Please ensure that all relevant staff have been made aware of your plans.

We the undersigned have reviewed the application in full and can verify its contents. We understand and accept that MedEquip4Kids does not select, recommend (or supply) the equipment requested by us. Although MedEquip4Kids will liaise with suppliers for the purpose of obtaining quotes, placing orders, arranging delivery and making payment we agree that any contract of supply is directly between the applicant/ hospital/ trust/ organisation and the supplier and accordingly we agree that MedEquip4Kids cannot accept any liability for any failure, defect or malfunction on the part of the equipment supplied. This application is submitted with the understanding that we meet the necessary criteria and declare that the information contained in this application is accurate. We understand that any agreement is made subject to funds being available.