FVHCF Gift in Kind Donation Request

Has your department received donation of equipment?
Fill out the form below and FVHCF can send a tax receipt to the donor.

Any questions please contact us at 604 851 4890 or email us

"*" indicates required fields

1. Site*

2. Department*

3. First name*

4. Last name*

5. Position*

6. Work phone number*

7. Work email*

8. Date of donation*

9. Description of equipment to be donated*

10. Assessed value*

11. Please provide appraisal from 3rd party (ex: assessment from medical supply store)*

Drop files here or

Max. file size: 50 MB.

12. Donor first name*

13. Donor last name*

14. Street address*

15. City*

16. Postal code*

17. Home phone number*

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