Donate Medical Equipment
Upload Equipment Photo *
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Equipment Name *
Condition *
Select Condition
Like New
Good
Functional
Needs Repair
Description
Estimated Value (optional)
Full Name *
Email *
Phone
Pickup Address (Canada Only) *
Preferred Pickup Date *
Preferred Time
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Morning (8AM–11AM)
Afternoon (1PM–4PM)
Evening (5PM–8PM)
Special Instructions
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