Project Application

If you wish to request medical supplies for your next mission, please fill out the form below, or download the PDF version and mail or fax in your application.

All requests must meet the following requirements:

1. There is a minimum processing fee of $80 for each order.
2. A copy of the requesting organization’s 501(c)3 IRS determination letter along with a state sales tax exempt form must be submitted.
3. Payment information must be provided upon submission of supply requests and/or formulary requests.  The credit card will NOT be charged until the order ships to your location.
4. An order generally takes 5 weeks to complete after submitting the supply and formulary request. Orders are completed on a first come first serve basis.
5. Your shipping cost is the exact amount FedEx charges Crosslink Memphis.
6. After trip completion, we request that a project report with pictures is completed..