Susan Mast ALS Foundation
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Loan Closet Equipment Reservation Request

This page is for use by ALS patients/caregivers to request reservation of an inventory item.

    * Indicates information that must be provided before submitting request.
      For ease of entry, you may simply copy and paste the desired item from previous page list.

    Enter item description as shown on inventory listing.

    ** Note:  Selected items may require Clinic approval before issuance.  If the item you are requesting falls into that category, we will notify you.  As such, delivery time may be delayed as necessary to obtain required approval.

    Indicate the date the item is needed by.

    ​Note:  Please contact our offices to arrange date that item is to be picked up or for delivery details.
Submit
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  • Home
  • About Us
    • What is ALS?
    • Our Staff
    • Board of Directors
    • Contact Us
    • Our story through videos
    • Testimonials
    • FAQs
  • Support Services
    • ALS Clinics
    • Support Groups
    • Respite Services
    • Psychological Support
    • Jim's Voice
    • MyTurn Project Fund >
      • Grant information and application
    • Brian's Locker >
      • Inventory
    • Home Visits
    • ALS Connections
    • Caregiver Training
  • Events
    • 2020 Events >
      • Third Party Events >
        • Fricano's Cars for Care
  • Store
    • Susan Mast Apparel >
      • Bracelets
    • Joe's Brother Coffee
  • Donate
    • Giving Tuesday
    • MEALS for ALS Families
    • Tribute Donation
    • MyTurn Project Donation
    • General Donation
  • Volunteer
    • PedALS 2020 Volunteer
    • Wish List >
      • Fulfilled Wishes
  • Blog