General Enquiry

Make a general enquiry about our service or organisation.

Note: To register a request for assistance to solve a specific equipment problem you are experiencing, you may prefer to complete the more detailed forms on either our Request an Equipment Service or Register for a Freedom Wheels Assessment pages. The extra details provided on these forms will enable us to register and forward your request directly to our service team. 

General Enquiry Form
  1. Your Name*
    Please enter your first name
  2. Email Address*
    Please enter your email address
  3. Phone Number*
    Please enter your phone number
  4. Message / Enquiry
    Invalid Input
  5. Privacy Statement*
    Please indicate your understanding of this privacy statement by ticking the box!