To begin the application process to obtain an AmTryke, either fill out the online form below and submit or download the CombinedWaiverRequestForm and fax, mail, or email to 786.549.2370 or firstname.lastname@example.org. You will be contacted for an appointment with one of our volunteer therapist to schedule a fitting time.
Note that the downloadable file has the National AMBUCS mailing address for submission. Please use our local address for faster service. Mail to HSV TN VALLEY AMBUCS C/O CINDY PERKINS, 9299 SEGERS ROAD, MADISON, AL 35756
Applicants are then added to our WishList until funding is obtained and bikes ordered. We also encourage you to become a member of our organization and volunteer your time and services so that others may enjoy the AmTryke experience! Membership applications are located under the ‘Get Involved’ tab on the main menu.
Download AmTryke Application[pdf http://tanstrat.com/hsvambucs/wp-content/uploads/2011/10/fillable-amtrykerequestform.pdf 490 700]