Grants and Donations Funding Agreeement

[Name of Recipient Organization]

[Address]

[Proof of Non-Profit Status, such as Registration Number, if applicable]

[Date]

Re: [Type of Donation or Contribution, such as Funding to Support Research, Educational Grant, etc.]

Dear [Name of Representative of Recipient Organization],

We have received your request from [Recipient] for [identify relevant details of the requested financial funding, donation of equipment, or other] to be used for the purpose of [describe purpose].

[Company]understands that [Recipient] is involved in [describe activities, such as scientific medical research in a specified field, care and treatment of patients, etc.], and will use the support for the performance of these activities. [Recipient] confirms that it is entitled to receive the funding, and that the receipt of the support does not violate any applicable rules, laws, regulations or organizational policies.

[Recipient] agrees that the support is reasonable and appropriate to fulfill the stated purposes and is not excessive or above fair market value.

[Company] has evaluated the request and will provide the funding, as it is intended to [state purpose, for example support medical research, advance medical science or education, further patient and public education, or support charitable or other philanthropic purposes]. [Company] and [Recipient] agree that the support is not being given in exchange for the use, recommendation, prescription, or influence on the use of [Company] products, or with regard to the value or volume of business generated between the parties.

To ensure appropriate transparency, [Recipient] agrees that [Company] support must be clearly disclosed at all relevant times and in all relevant materials.

[For financial contributions: [Company] will wire the specified amount to the general account number of [Recipient], as follows:

Account Number:

Bank Giro Number:

Name of Bank:

Name of Account Holder:

Address of Bank Account Holder:

IBAN:

BIC (Swift Code):

Communication of Use:]

[For donations of equipment: Provide details on the supply or delivery of equipment.]

Please confirm your agreement with and acceptance of the details in this agreement by signing below, and returning the signed agreement to me.

Kind regards,

[Company]

______

Name of authorized representative

______

Signature

______

Date

[Recipient]

______

Name of authorized representative

______

Signature

______

Date