BIKUR CHOLIM GMACH - MEDICAL EQUIPMENT FREE LOAN


Bikur Cholim's Medical Equipment Gmach loans out wheelchairs, walkers, crutches and various types of medical supplies free of charge to patients and families of all ages.
EQUIPMENT - CHOOSE UP TO FOUR ITEMS






Self







Spouse











Enter "none" if none.

Enter "none" if none
PERSON USING ITEM(S)



TERMS AND AGREEMENT

Please carefully read and agree to the following terms.  By doing so, you agree that failure to adhere to these terms may result in the loss of your entire deposit and or a $500 restocking fee.