Equipment Donation FormClick Here to See a List of Accepted Items Name * First Name Last Name Email * Phone * (###) ### #### Street Address (For Tax Donation Receipt) * Address 1 Address 2 City State/Province Zip/Postal Code Country Equipment Interested in Donating * Wheelchair Walker Rollator Commode Toilet Riser Seat Hoyer Lift Shower Tub Seat Hospital Bed Crutches Other If "Other", Please Specify How did you hear about Wheel it Forward? * Word of Mouth Facebook LinkedIn Instagram Nextdoor Other If you selected "Other" above, please elaborate Message How will we get the equipment from you? * I will drop it off in Stamford Please pick it up from me Please call me to discuss Thank you so much for offering to donate equipment to our library. Our goal is to respond to your reachout on the same day, or by the next business day at the latest. Pick-up may be available on a case by case basis. Please call (203) 652-8600 with any concerns and leave a brief message.
