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C4C Shipping Label Repeat Donation Request Form

Components for a Cause Shipping Label Repeat Donation Request Form

The Range of Motion Project (ROMP) is a nonprofit organization that provides high-quality prosthetic care to people with amputation who do not have access to this human right. Our permanent clinical operations in Guatemala and Ecuador rely strongly upon components obtained through our Components for a Cause Program (C4C). In this program, partner clinics continually collect gently-used and new components in a dropbox, and then ship these components to the ROMP warehouse in Denver, where the components are sorted, entered into the ROMP inventory management system, and shipped on a regular basis to Guatemala and Ecuador. Some partner clinical opt to set up a Limb Disassembly Day as a way to gather components and bring their staff together in a meaningful service event. ROMP coordinates materials, logistics, and shipping for all partner clinics.

When you have a box or boxes of components ready to ship, please fill out this form to request a UPS shipping label. You will receive the shipping label via email, and you can then print it and affix it to the outside of the box. You can then drop the box at your local UPS drop-off location. Make sure your computer has a good internet connection before you start filling out the form. Once you have submitted this form, you will be sent a confirmation email that describe next steps. If you have any questions, please direct them to Maria Fernanda Pinto, to c4c@rompglobal.org.

NOTE: If you want to cover shipping, we greatly appreciate it! You can ship any boxes directly to ROMP at 1474 S Acoma St, Zip: 80223. Denver, Co.

Is this your first time donating to us?
If you selected "Yes," please go back to the previous page and fill out the 1st time donation form.
First Name *
Last Name *
Country
Address Line 1 *
Address Line 2
City *
State/Province *
Postal Code *

If you have multiple boxes, please fill out the fields below. 

Our Impact Since 2005

  • Prosthetic Devices Delivered

    5,849

  • % increase in walking ability from delivery to 3 month follow up

    49

  • Patient Visits

    19,810

  • % of ROMP patients are working at the 12 month follow up

    72

  • Years Breaking Barriers

    20

  • % of patients reporting living below poverty line of $6.85/day

    94

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