My Batta donation request form

Provide the complete shipping address, including the recipient’s name if different:

• Name/Attention To:
• Street Address:
• City:
• State/Province:
• ZIP/Postal Code:
• Country:

By submitting this request, you confirm that the My Batta gown is a donation to support patients during their healing journeys and is not a substitute for medical treatment, advice, or professional care.