Multisport Wheelchair Enquiry Form
Motivation Australia is a not for profit disability
and development organisation that works in
partnership with local organisations to
enhance the quality of life of people with
mobility disabilities in the Asia Pacific region.
Much of our work includes the provision of
appropriate wheelchairs, focusing on three
key areas: products, services and training. For more information about
Motivation Australia, visit www.motivation.org.au.
The Multisport Wheelchair is an entry level sports wheelchair with a removable toe-guard, enabling
participants and funders to purchase a single low cost chair, for use by multiple players in a range of
sports and activities. The wheelchair is strong and durable, and comes with an anti-tip wheel adding
safety and confidence for the participant. The camber on the self-propelling wheels enables quick and
easy propulsion and fast reactive turning.
The Multisport was designed by The Motivation Charitable Trust (based in the UK) to help develop
grassroots wheelchair sports in low-income countries. Motivation Australia supplies the Multisport in
Australia, using the profits generated to support our development programmes. By ordering a Multisport
Wheelchair you are supporting wheelchair users living in challenging contexts in the Asia Pacific region.
To request a quote, please complete the form below. If you would simply like more information, visit
www.motivation.org.au and click on Products, or contact our administrator on [email protected]
1. Your details: Complete the following so that we can arrange a quote, including domestic freight.
Your name:
Position:
Company / organisation:
Email:
Contact phone number:
Delivery
address:
(please include postcode)
2. How many of each size are you interested in?
Size
Colour
Quantity of each size
Adult Size Seat Widths (26”rear wheels):
Small 300 mm
Green
Medium 350 mm
Red
Large 400 mm
Blue
X Large 450 mm
Black
Junior Size Seat Width (24”rear wheels):
300mm
Please note: Domestic freight is
calculated on each individual
order and will vary depending on
the quantity of wheelchairs and
delivery location. The full cost of
freight will be added to your
quote.
Silver
3. How did you hear about Motivation
Australia?
Thank you for your enquiry. We will get back to you with a quote as soon as possible.
Contact Motivation Australia PO Box 17 Willunga SA 5172 Australia, +61 (0)8 8556 6703 [email protected] www.motivation.org.au
Board David Constantine MBE, James Davidson, Dr Deb Hartley, Dr Ruth Marshall, Chris Miller, Kylie Mines, Eric Russell MBE,
Dr Lloyd Walker,
Ambassador Kelly Vincent MLC
The Motivation Australia Development Organisation inc. is an Incorporated Association in South Australia (A39386);
and a member of ACFID and ACFID Code of Conduct Signatory. ABN: 55 935 512 893