We must collect minimal info in order to keep account for our records. Patients and/or Requestors info will not be used for any other purpose.
By submitting this form you hold harmless 411 MAG Ministries and/or it's Agents and Community Partners. We are not responsible for defects, equipment recalls, weight and height limitations. This is a first come first serve ministry. Thanks! We Kan Help Will Contact You Soon !.
