Home Demonstration Form

Request a demonstration at your home

 
 

Safe Hands Mobility
347-349 Cheriton Road
Folkestone
Kent    CT19 4BP
tel: 01303 274 574

Safe Hands Mobility
4 Albion Road
Birchington
Kent    CT7 9DN
tel: 01843 848 208

 

 

Home Demonstration Request Form
Please be sure to complete the items marked with an asterisk*
We will respond as quickly as possible.

*Your name:
 *email address:
Postal Address:
Town:
County:  
Postcode:
*Telephone:
*Interested In:
More details of
your requirements:
 
 

All personal information given to us is treated as confidential and we make every effort to ensure we comply with the Data Protection Act 1998 - see our Privacy Policy