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WFNS Foundation

Neurosurgical Equipment – Donor (Company/Supplier) Submission

Company Information

Company Name:

Contact Person:

Email Address:

Country:

Equipment Details

Equipment Name / Type:

Condition:

Estimated Retail Value (USD):

Offered Price / Donation Value (USD):

Brief Description (optional):

Storage & Transfer Confirmation

The equipment will be stored by the donor until WFNS selects a recipient.

I agree to transfer the equipment upon WFNS notification.

Optional Upload

Photos or specification sheets (optional) – PDF/JPG, max 10MB:

Security Code:

842214