Referral Program

RECEIVE A 1% STORE CREDIT FOR ANY & ALL NEW CUSTOMER REFERRALS

CREATE AN ACCOUNT SO ALL THE AVAILABLE CREDITS ARE LINKED TO YOUR PROFILE
(IF YOU ALREADY HAVE AN ACCOUNT, YOU CAN SKIP THIS STEP)

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Register

STEP 2: FILL OUT THE FORM BELOW TO GET YOUR CARDS FOR FREE

REFERRAL Program

Our customers love their chairs so much that they can't help but telling other about the mobility, independence, and freedom they experience.

We now give back to those customers a 1% Store Credit for sharing their experience. Fill out the form below and we will ship you Referral Cards to pass out with your name on it.

CUSTOMER NAME: (required)*
First Last
CUSTOMER EMAIL: (required)*
Enter Email Confirm Email
CUSTOMER PHONE NUMBER: (required)*
Format (###) ###-###
How Many Referral Cards Would You Like? (required)*
SHIP MY REFERRAL CARDS TO: (required)*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
I UNDERSTAND, AGREE & COMPLY WITH THE FOLLOWING: (required)*
Please check ALL THE BOXES to ensure you understand the guidelines for our Referral Program.
- I CURRENTLY OWN A FOLD & GO WHEELCHAIR
- MY 1% STORE CREDIT NEVER EXPIRES
- REFERRALS CARDS ARE MAILED TO ME FREE OF CHARGE
- MY CUSTOMER ACCOUNT IS IN GOOD STANDING
- I MAY NOT USE MY STORE CREDIT TOWARDS INSURANCE PAYMENTS
- I WILL NOT RECEIVE A REFUND FOR ITEMS RETURNED USING MY STORE CREDIT
- I MAY NOT USE MY STORE CREDIT FOR NON-WARRANTY PARTS AND OR REPAIRS
- STORE CREDIT ONLY APPLIES WHEN YOU SEND US A NEW CUSTOMER
Did you Create an Account on Our Website? (required)*
Your Account will list all the credits you have available. This makes it simple when you want to place your next order. You can select the coupon code and dollar amount to be applied to your order from your account.