Afya Luggage for Life Application

Delivering a Afya Luggage for Life duffel bag is an extremely valuable and rewarding experience. It combines travel, philanthropy, and heart.

One duffel bag of supplies changes and saves lives!

Please complete the Afya Luggage for Life application below.

Your Information

Visit Information

If duffel is shipped, shipping fee is additional (price varies by shipping location)

Trip Information

Shipping Information for Bag Delivery in US (if applicable)

Billing:

Upon completion of this form, you will be redirected to the donation form.

Upon completion of this document, please attach a list of requested materials including consumable/disposable supplies, single use items, durable medical goods, electrical biomedical equipment & surgical tools.

I understand that submitting this application does not guarantee The Afya Foundation will fulfill on all items requested on this request. Afya relies on medical supplies donations from partner organizations. We will strive to include the majority of your requested items in your shipment.

Afya does not ship any pharmaceutical medications.

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