wheelchair Requests

Brand new wheelchairs are donated to you free of charge. The wheelchairs are paid for by public donations and profits from our shop.


Please complete & Submit the form below

By submitting a request for a wheelchair, you agree to our
terms and conditions.

Name *
Name
Phone *
Phone
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Enter in pounds. Only numerical values.
Photos and Videos upload
REQUIREMENTS: 1- Upload at least 3 photos 2- Upload at least 1 Video 3- Name all files with your pet's and your full name. Example: Pugly and Christina Ring 4- Photos and Videos are what's going to make your pet's fundraising a success. Make sure photos/videos you are uploading are clear and in focus.
Instructions are pictured below.
Ship to Address *
Ship to Address
Veterinarian Letter upload
We need a letter from your veterinarian to verify if your pets condition can be helped with the use of a wheelchair. REQUIREMENTS: 1- File Name Example: Pugly/Christina Ring - Vet Letter 2- File name must include your pets name and your full name and the words "Vet Letter". 3 - Vet letter must include your pets condition and confirm the type of chair your pet needs.
test
 

By submitting a request for a wheelchair, you agree to our terms and conditions.

 
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