Monetary Charitable Contribution Request Form
When To Use the Monetary Charitable Contribution Request Form
Business Conduct Standards Brochure

Monetary Charitable Contribution Request Form
To download a Word version of the Monetary Charitable Contribution Request Form, click on the link at the bottom of this section.

MSD's charitable contribution request forms are formatted with MicroSoft's form tool. To complete the request form:

• Move to each field that needs to be completed by using the Tab button or a moving your curser to the next field.
• If the field is a box, then just click on the appropriate box to place an "x" in the box.
• If the field is a gray text area (it is empty white space in a printed version of the form), simply start typing in the requested information.
• If you need to unlock the form to add information that does not have a box or text field: (1) select "View" on the top menu bar, (2) select "Toolbars", (3) select the "Forms" toolbar. Once the toolbar is added, click on the icon that looks like a padlock so it is no longer highlighted. You can then type anywhere on this document. If you click on the padlock again, you may lose the information you entered in a box or text field - so avoid unlocking the document until you have completed all of the form fields and then do not re-lock it.

Submit the form according to the directions on the form. To avoid any delays in reviewing your request, please be sure to complete the request form and provide all of the requested information and documents.

If you have any questions about the request form or MSD's charitable contribution program and practices, send an email to MSD's Charitable Contributions Manager at MSDCharitableContributions@medtronic.com. The current Charitable Contributions Manager's name and phone number are available on at the Charitable Contributions home page in the Charitable Contributions Manager section.

Please read the rest of this page before completing a request form to make sure you have all of the information that you need before you complete the form.

Download Monetary Charitable Contribution Request Form

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When To Use the Monetary Charitable Contribution Request Form
Use the Monetary Charitable Contribution Request Form when the requested charitable contribution does not seem to fit into any of the other types of request forms and the Community Charitable Contribution Request Form is not appropriate because the requester and/or recipient is a Customer or affiliated with a Customer.

An example of monetary charitable contribution is a request to fund the purchase of spine or neurosurgery related textbooks for a state university’s neurosurgery department library.

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Business Conduct Standard Brochure
MSD's Compliance office has a "Charitable Contributions Program" brochure that provides answers to common questions people have.

To order the brochure, you need access to MySpineTools.com. If you do not have access, you can ask your local MSD sales representative for the brochure or send an email to MSDCharitableContributions@medtronic.com and ask for the brochure

If you have access to MySpineTools.com, the brochure can be ordered on MySpineTools.com by selecting "Resources" from the top navigation bar and then, from the Overview page, select "Click here to order available literature and video for customer use." The brochures are under the Sales Division category. The Item # for the brochure is LITCCBR4.

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