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Scooter Donation Program
 
TopMobility.com donates a limited number of scooters and power chairs to non-profit organizations that support the veterans, senior citizens and people with physical disability.
 
Donation Request Form
 
Non-profit organization name:
Tax Exempt ID:
Purpose of the donation:
Date needed:
Contact person:
Phone number:
Fax number:
Email address:
Internet site:
Description of the project or event and a brief overview of your organization:
Change Text


Please enter the code shown
 
 
The volume of requests is significant and we are unable to respond to or support all submissions. If we are able to fulfill your request, you will be notified within four weeks after the date that your request was received. It is important to note that we do not donate to political organizations, organizations that discriminate or individuals. We reserve the right to refuse any submission.
 
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