Thank you for visiting our website!

If you have any additional comments, questions and concerns, or would like more information on Easter Seals services, please contact us with the form below. Your e-mail will be answered within 24 hours.

Please contact Easter Seals Southeast Wisconsin at:

Milwaukee Main Line: (414) 449-4444
Waukesha Main Line: (262) 547-6821
Toll Free Line: (800) 470-5463
TTY: (414) 571-9212

Generations Center
(Administrative Offices)
2222 S. 114th Street
West Allis, WI 53227
Phone: 414-449-4444
Fax: 414-571-5568

If you are looking for information or have questions about donating resale items to Easter Seals Wisconsin Donation Center, click here.

Please enter your contact information below. Required fields are marked with an asterisk.

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


	Title:
*	First Name: Required
*	Last Name: Required
*	Email Required
	Street 1:
	Street 2:
	City:
	State / Province:
*	ZIP / Postal Code: Required
	Country:
	Phone Number:
	Yes, I would like to receive email from Easterseals
	Keep me logged in. What's this? Remembers your login information for your convenience. Use only on trusted, private computers. Privacy Policy

*2.

Question - Required - How did you learn about our Web site?

Question - Not Required - I am a primary caregiver for a child/children:

Question - Not Required - I am a primary caregiver for an aging parent:

Question - Not Required - I have a disability or someone close to me has a disability:

Question - Not Required - Someone close to me or a family member is living with autism:

Question - Not Required - I am/was in the United States Armed Forces or someone close to me is/was:

*8.

Question - Required - Questions/Comments

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