INTERNATIONAL > Giving Back > In-Kind Donation Program > Donor Submission Form

Donor Submission Form













Please list the equipment, instruments, and/or disposables that you are willing to donate to urologists or urology institutions in underserved areas of the world. All items must be in working condition. If a matching need is found for your donation, the AUA will arrange and pay for the shipment of materials.

If you would like your items to be donated to a specific cause or location, please indicate that here:








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