Charity Enquiry Form

This form is for community support groups and not-for-profit organisations which are aligned with Sigma’s core values in relation to health and wellbeing.

 

Before making an application, be sure to read our information about how to make an impression. Please provide the following information about your organisation.

 

Organisation

Address

Contact

From which part or parts of Sigma are you requesting support?

Tell us in a few sentences why you believe your proposal is relevant to Sigma’s pharmaceutical wholesaling or retail pharmacy network.

Please tell us which brand.

Tell us how your organisation will engage with our pharmacy network

What kind/s of community support are you looking for?

Please provide details of your application by responding to the questions below:

Tell us in a few sentences why you believe your proposal is relevant to Sigma’s pharmaceutical wholesaling or retail pharmacy network.

Tell us what you expect the costs and benefits of your proposal to be and how do we keep track of the outcomes

Tell us what success looks like

Please upload any supporting documentation (.pdf,.doc,.docx)

Please leave this field empty.