Travelers Program Form

PLANNING A TRIP AND WANT TO MAKE A DIFFERENCE?

Whirlwind Travelers Program

Through the Travelers Program, individuals in the USA can purchase Whirlwind products in small volumes and take them as airline baggage on trips to the developing world. Most of Whirlwind's partners buy large volumes of wheelchairs and distribute them through rehabilitation hospitals and other local partners. If you are planning to visit a person who needs a rugged wheelchair in the developing world, this program is for you.

Just fill out the form below and we will get back to you right away!

  • Travelers personal information

  • Wheelchair rider's personal infomation

  • Riders home information