Donation to benefit your organization directly (US & Canada Only)

Home > Donation Request > Donation to benefit your organization directly (US & Canada Only)

Name*
*
Organization Details
If you are an individual please type NA
Telephone*
Email*
What services does your organization offer?
Does your organization engage in street outreach activities?
- Yes
- No
Is this your organization’s primary activity?
- Yes
- No
Does your organization have a client intake process?
Are you or your team familiar with menstrual cups?
What items are you requesting for donation? (Tick all that apply)
- Model 0
- Model 1
- Model 2
- Demonstration Kits
- Educational Materials
How will the DivaCup be distributed?
Does your organization have access to medically trained staff?
(not a requirement for donation)
Does your organization provide toiletries such as soap and menstrual care products
(Please note that the DivaCup has to be cleaned with non-scented, oil free fragrance free soap 2-3 times a day during use)
Are there members of your organization/cause who are willing to receive a (20 min) DivaCup Q&A session over the phone/Zoom with one of our DivaCares team members?
Do those you care for have access to showers/washroom facilities at all times?
Is your organization open to sharing media (pictures, videos, blogs) with DivaCares for the purposes of promoting your initiatives on our social media channels?
- Yes
- No

222 McIntyre Dr,
Kitchener, ON
N2R 1E8

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