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Is adventure in your DNA?

Apply to win an Extreme Motus
All-Terrain Wheelchair!

Nature is wheelchair accessible!

If you live with a mobility disability or have a child or adult family member with a mobility disability living in your household,

apply below for a chance to win an

Extreme Motus All-Terrain Wheelchair!

Fill out the form below for your chance to win!

Age

Under 18

18+

Preferred Contact Method

Phone Call

Text

City of residence (US residents only)

State of residence

Who are you entering this giveaway for?

Myself, I have a disability.

My child who has a disability and is under 18 years old.

An adult family member living in my household who has a disability.

Please add any information you're comfortable sharing about your or your family member's disability.

How can we find you or your family member on social media? Enter your handle, e.g., @yourusername.

Tell us how you or your family member would benefit from an Extreme Motus All-Terrain Wheelchair. Please be as detailed as possible as this will be taken into consideration when choosing the winner.

Would you be willing to share your story on the 2LIV4 Tribune?

Yes

By checking this box, I attest that I have read and agree to the Official Rules of the 2LIV4/Extreme Motus giveaway found here:Official Rules

Your Signature (use your finger, mouse, stylus, etc.)

Thank you for entering! Good luck!

This giveaway has ended. Follow us on social for the announcement of the winner!

EIN: 82-3851795

101 University Blvd, Suite 370
Denver, CO 80206

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Is adventure in your DNA?

Apply to win an Extreme Motus All-Terrain Wheelchair!

Nature is wheelchair accessible!

Fill out the form below for your chance to win!

Apply to win an Extreme Motus
All-Terrain Wheelchair!