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Free White Cane Program

Thank you for your interest in the Free White Cane Program... Please fill out the required information below to receive your free cane. For questions regarding the Free Cane Program email us at

Required field(s) are indicated by an *.
* Birth Date:

Cane Sizing


By requesting this white cane I acknowledge that:
  • I am blind or visually impaired.
  • This cane is for my personal use.
  • It is more than six months since a previous request for a white cane.
  • OR, I am requesting a white cane on behalf of a child under the age of 18.
By selecting the checkbox below marked "I Accept", you acknowledge that you have reviewed and agree to all of the statements above.