Request for WF Materials
Here you can request Wheelchair Foundation materials. Please fill out the form, using the address you would like the items shipped to. Then, enter the quantities of the items you would like. This request will be emailed to us, and we will get your materials out to you. Fields marked with a red asterisk (*) are required.

NOTE: International shipping can be expensive, so we are not always able to fulfill requests from countries outside the USA.

Contact Information
First Name *
Last Name *
Street Address (Line 1)
(Please no P.O. Boxes)
 *
Street Address (Line 2)
City *
State/Province *
Zip/Postal Code *
Country
Phone Number *
Email Address *
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Receive our e-newsletter? Yes    No

Event Details
Event Date
Event Location
Event Contact Info
Event Description

Request Details
Item View Download Quantity Needed
Newsletter View View Download Download
Brochure
     Generic View View Download Download (311 KB)
     Rotary View View Download Download (555 KB)
     Knights of Columbus View View Download Download (1.61 MB)
DVD
     Generic View View  
     Rotary View View  
     Knights of Columbus View View  
Donation Forms
     Generic View View Download Download (50 KB)
     Rotary View View Download Download (46 KB)
     Knights of Columbus View View Download Download (52 KB)

Other Information
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