1.800.661.9915

The wonder chairs for those with disabilities.

Referral Program

H_RewardsSmllNothing is more gratifying than when we receive referrals and positive feedback from others. In appreciation, we offer a reward program to thank all registered Chill-Out Chair or Freedom Concepts adaptive bike owners who refer new customers to us. If you have registered your chair or bike, and recommend a Chill-Out Chair or one of our adaptive bikes to a customer – and it results in a sale, you will receive a check for $250.00!

***Please note, the referral program is a one-time-only incentive and offered to families in gratitude for referring other families. The offer is not open to funders, medical equipment dealers, and/or any organizations. In certain cases, exceptions may be made.

Please fill out the following form and upon confirmation, a check will be in the mail. Once again, thank you for your support.


I Would Like To Participate In The Referral Program


MY CONTACT INFORMATION

My First Name (required)

My Last Name (required)

My Email (required)

I Currently Own A: (please check one)
ChairBike

My Serial # is: (required)




MY REFERRAL'S INFORMATION

My Referral's First Name (required)

My Referral's Last Name (required)

My Referral's Email (required)

My Referral's Phone Number(required)

My Referral's Address (required)

My Referral's city (required)

My Referral's State/Province (required)

My Referral's Zip/Postal Code (required)

Addtional Information:

Please Type The Following Characters In The Box Below:
captcha

 

 

Having trouble? Give one of our Customer Service Coordinators a call, toll-free, at 1.800.661.9915