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Email : firstname.lastname@example.org
Call 1-800-627-1787 (514-822-1112), ext. 129 or 1-866-798-4742
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Requests for more than one kits may require additional delivery time. It is strongly recommended that requests for kits be made at least 3 weeks prior to date of departure overseas.
Additional carriers specified on next page
(Someone must be available to receive and sign for the kit when delivered.)
Applicant/carrier must fully investigate customs procedures and adhere to policies of the country of destination to ensure safe passage through customs. HPIC is not responsible for customs clearance, foreign customs charges or taxes.
The kits(s) must be checked in at Canadian customs and travel to final destination without layover in another country.
HPIC is diligent in following where our medicines/supplies are distributed and how people are being treated and healed. We require details about your upcoming project to enable us to serve you better and share our partnership with others. We expect to receive your Report, and photos, upon completion of your mission.
The medicines and medical supplies provided in the kit include prescription products, therefore, a physician or dentist currently licensed in Canada (who knows the carrier) is required to sign the following endorsement. A photocopy of current year's provincial license must be included.
Please take a quick moment to review your answers.
The undersigned applicant accepts the following conditions and agrees to implement them or ensure that they are implemented: