Do you need a wheelchair?

    Terms and Conditions:

    (Please read the following carefully and click on the agree button below, for your application to be processed.)

    • The Beneficiary and caregiver agree to present medical papers as required for selection and screening purposes. All medical documents will be kept confidential.

    • The Beneficiary/ direct caregiver agrees to pick up, sign receipts for the wheelchair received, and to be photographed with the wheelchair. Photography copyright belongs to "Wheels for Life" and will be used for documentation purposes of this programme.

    • Upon selection, "Wheels for Life" will provide a new wheelchair to the Beneficiary in perfect working condition. Any repairs and customization thereafter is the responsibility and at the cost of the Beneficiary.

    • In the rare occasion that a Donor requests to meet with the Beneficiary, the Beneficiary will be notified and the meeting will take place on mutual terms.

    • The Beneficiary has not received any other wheelchair in the last three years or any other funds from any other external source to purchase wheelchair(s).

    • The Beneficiary can accept a second wheelchair or funding to purchase a second wheelchair from another source only in the event such second wheelchair is an upgraded, or motorized wheelchair, or in the event the wheelchair provided has become unusable due to any defect, breakage or malfunctioning of such wheelchair.

    I AGREE