National MS Society: Survey - MNM Equipment Exchange

MNM Equipment Exchange

1.

Items will be deleted from the equipment board after 90 days, or until seller notifies the chapter a sale has been made. Your equipment will be posted to the exchange board within one week. Please use this form to send your information.

If you have previously registered, please login here to prepopulate your information.

*

Name:

Title	First Required	Middle Required	Last Required

*

Email: Required

Street 1:

*

City/State/ZIP:

City Required	State/Province Required	ZIP/Postal Code Required

*

Phone Number: Required

Email Format:

Remember me. What's this?

Please enter a username and password that you can use when you return. You can use this password to update your information or receive personalized content.

*	Username: Required	5 to 60 characters
*	Password: Required	5 to 20 characters
*	Confirm Password: Required

*2.

Question - Required - Select a category for your item:

*3.

Question - Required - Item name:

*4.

Question - Required - Give a brief description, including age of item, color, size, condition and any other relevant info about use:

(Maximum response 255 chars, approx. 5 rows of text)

*5.

Question - Required - Asking price:

*6.

Question - Required - Is this price negotiable?

*7.

Question - Required - How would you like to be contacted? (This information will appear along with your item listed.)

	Email
	Phone
	Mail
	I have no preference.

National Multiple Sclerosis Society

Accessibility Navigation:

Site Search:

Resource Navigation:

Primary Navigation:

Breadcrumb Navigation:

Section Navigation:

MNM Equipment Exchange

MNM Equipment Exchange

Footer Navigation: