Donations and Grants Enquiry Form

If your organisation would like to request a donation or grant from Pfizer UK, please complete the form below.

Upon submission, Pfizer will undertake an assessment of your request and respond to you in a timely manner.

Note: This form is for donations and grants requests only. To contact Pfizer for any other purpose, including reporting of adverse events, medical information requests or data protection enquiries, please call 01304 616161. Note that any adverse events reported to Pfizer should also be reported to the MHRA. See https://yellowcard.mhra.gov.uk for further information.

Required fields

REQUESTOR'S INFORMATION

Title

Full name

Contact email address

Contact telephone number

ORGANISATION INFORMATION

Name of healthcare organisation that will be the recipient of the donation or grant

Address line 1

Address line 2

City

Postcode

DONATION OR GRANT INFORMATION

Select the donation or grant that you would like to request

If you have discussed potential delivery of the selected programme with a Pfizer Account Manager, please enter the Account Manager's name.

What is the proposed start date of the project?

What is the proposed end date of the project?

By clicking the Submit button below, you confirm your agreement to (i) Pfizer’s processing of your personal data, including its international transfer, in accordance with the Pfizer Cookie Policy and Privacy Policy; and (ii) Pfizer’s Website Terms of Use.

Please note that submitting your request for a donation or grant does not constitute a guarantee of support. donations and grants are awarded on a ‘first come, first served’ basis, subject to availability and any stated criteria.