As part of Santen’s commitment to vision care and patients’ wellness and quality of life, Santen offers sponsorships and donations to support endeavors that further an educational, scientific, or health-related charitable purpose.

Types of programs/events that are supported by Santen USA include, but are not limited to:

・Research and Scientific Meetings and Exhibits
・Medical Congresses
・Charitable Donations

To request a Santen sponsorship, please complete the following form and submit the required documents for consideration. 
Requests must be submitted at least 60 days before any program or event start date to be considered.


Fields marked with an asterisk (*) are required

Contact Person

Recipient Information

*Required Documents

Please upload the following documents which are required. Note that only fully completed forms submitted with all required attachments below will be considered.

UPLOAD: (Format: .doc, .docx, .pdf, .txt/ Max file size: 1 MB)

・Cover letter on organization’s letterhead with signature and title of applicant
・Detailed description of program or event
・Completed Form W-9
・Completed 501 (c)(3) for charitable donation requests