Donate A Chair - Request a Pick-Up

To request a pick-up of a used wheelchair, please complete the following on-line request form. Please remember to complete all the fields. List of Drop-Off Locations.

If you are located outside of New England, we do not have the ability to pick-up your wheelchair. If you still wish to donate a chair, please ship it to 45 Barber Pond Road, Bloomfield, CT 06002.

If you have an electric chair, please click here.



Required Fields


Name*:


Email Address*:


Information About Your Pick Up Location


Date:


Address of Pick-up:


City:


State*:


Zip:


Phone*:
 


Type of Donation:


Other Comments:


Optional Information


Wheelchair Size:


Wheelchair Seat Width


Wheelchair Seat Depth



You may contact us by email
or by mail at Chariots of Hope,
Main Office, 45 Barber Pond Road, Bloomfield, CT 06002,
by phone at (860) 242-4673 or by fax at (860) 760-6227.

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Website Design by DSI