Lock Code Request Form

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Formulario de solicitud de código de bloqueo

Email *

You will receive an email with the Lock Code to the email address you provided above.

Recibirá un correo electrónico con el código de bloqueo en la dirección de correo electrónico que proporcionó anteriormente.

When will you return the wheelchair?
*

¿Hasta cuándo usarás la silla de ruedas?

Time

I understand that I will have to return the wheelchair and lock it back into the shed. *

Entiendo que tendré que devolver la silla de ruedas y cerrarla con llave en el cobertizo.

Yes, I understand that I will have to return the wheelchair and lock it back into the shed.

I will fill out the return form once I have returned the wheelchair, which will be a link in the email that gives me the code. *

Completaré el formulario de devolución una vez que devuelva la silla de ruedas, que será un enlace en el correo electrónico que me da el código.

Yes, I understand that I will have to send an email back once I have returned the wheelchair.

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