NEW BOOKING – (SNR) – MexicoMobility®

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Number of Days

Choose a Different Type of Equipment(Required)

Choose the equipment type you need.

Start by Picking Your Rental Dates

Minimum Rental Length is 3 Calendar days.

Delivery Date(Required)

Date when Rental Begins. *Minimum rental is 3 Calendar days*

Return Date(Required)

Date when Rental Ends. *Minimum rental is 3 Calendar days*

Select your Scooter(Required)

***Click the scooter Button to compare price and see a picture

Travel Scooter

Standard Scooter

Heavy Duty Scooter

Scooter User's Weight in Lbs(Required)

Check weight capacity limits. (KgsX2.2=Lbs)

!!!!!!Minimum Rental Length is 3 Calendar days. Adjust dates to Enable "Next Button"

3 Calendar days Rental Sample (Minimum Length).

Travel 4 Wheels Scooter(Required)

Price: $0.00

*Price per day

Travel Scooter Qty(Required)

Please enter a number from 1 to 4.

**Indicate Quantity

Travel Scooter Delivery & Pick up fee(Required)

Price: $0.00

4 Wheel - 250 lbs Weight Capacity -Fully Disassembles to 4 Pieces.

Rental Total - Travel Scooter(Required)

**Indicate Quantity to Calculate Rental Total. Taxes & Delivery/Pick up Incl.

Your Total Breakdown - Scooter Rental

*Select Quantity to Calculate your Total **Rental total include Taxes and Delivery/Pickup

Travel 4 Wheels Scooter (Required)

Price: $0.00

*Indicate Quantity

Travel Scooter Delivery & Pick up fee(Required)

Price: $0.00

4 Wheel - 250 lbs Weight Capacity -Fully Disassembles to 4 Pieces.

Rental Total - Travel Scooter(Required)

*Taxes & Delivery/Pick up Incl.

!!!!!!USER's WEIGHT NOT COMPATIBLE!!!!. Select a Standard Scooter instead.

Standard 4 Wheel Scooter (Required)

Price: $0.00

**Indicate Quantity

Standard Scooter Delivery & Pick up fee

Price: $0.00

4 Wheel Scooter - 325Lbs Lbs Weight Capacity - Fully Disassembles to 4 Pieces.

Rental Total - Standard Scooter(Required)

*Taxes & Delivery/Pick up Incl.

!!!!!!USER's WEIGHT NOT COMPATIBLE!!!!.

Heavy Duty Scooter (Required)

Price: $0.00

**Indicate Quantity

HD Scooter Delivery & Pick up fee

Price: $0.00

Stylish and high-performing scooter. Weight Capacity: 500 Lbs. Batter Range: 11 Miles. Scooter total weight 150.

Rental Total - HD Scooter(Required)

*Taxes & Delivery/Pick up Incl.

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Wheelchairs

Choose a Wheelchair Type(Required)

Weight Capacity *Standard Wheelchair 300lbs. ** Heavy Duty Wheelchair 500lbs. ***Electric Wheelchair 250lbs. ****Transport Wheelchair 250 lbs

Wheelchair User's Weight in Lbs(Required)

Check weight capacity limits. (KgsX2.2=Lbs)

Standard Wheelchair(Required)

Price: $0.00

*Price Per Day

Standard Wheelchair Qty(Required)

Please enter a number from 1 to 4.

Standard Wheelchair Delivery & Pick up fee(Required)

Price: $0.00

4 Portable-Folds-300lbs capacity.

Rental Total(Required)

**Indicate Quantity to Calculate Rental Total. Taxes & Delivery/Pick up Incl.

Your Total Breakdown - Wheelchair Rental

*Select Quantity to Calculate your Total **Rental total include Taxes and Delivery/Pickup

Standard Wheelchair (Required)

Price: $0.00

*Indicate Quantity

Standard Wheelchair Delivery & Pick up fee(Required)

Price: $0.00

4 Portable-Folds-300lbs capacity.

Rental Total(Required)

*Taxes & Delivery/Pick up Incl.

!!!!!!USER's WEIGHT NOT COMPATIBLE!!!!.

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Transport WC

Transport Wheelchair (Required)

Price: $0.00

*Indicate Quantity

Transport Wheelchair Delivery & Pick up fee(Required)

Price: $0.00

4 The smaller option, more portability than comfort-260 lbs weight capacity.

Rental Total(Required)

*Taxes & Delivery/Pick up Incl.

!!!!!!USER's WEIGHT NOT COMPATIBLE, CHOOSE EITHER A STANDARD OR HD WHEELCHAIR!!!!.

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HD Wheelchair

Heavy Duty Wheelchair (Required)

Price: $0.00

*Indicate Quantity

HD Wheelchair Delivery & Pick up fee(Required)

Price: $0.00

4 Resistant and comfortable-Up to 500 lbs capacity. Heavy but portable

Rental Total(Required)

*Taxes & Delivery/Pick up Incl.

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Electric Wheelchair

Electric Wheelchair (Travel Powerchair) (Required)

Price: $0.00

*Indicate Quantity

Electric Wheelchair Delivery & Pick up fee(Required)

Price: $0.00

4 Electric - Folds - Portable-Joystick operated-260 lbs capacity.

Rental Total(Required)

*Taxes & Delivery/Pick up Incl.

!!!!!!USER's WEIGHT NOT COMPATIBLE!!!!.

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Recreational Dual-Seat Scooter

Dual Seat Scooter User's Weight in Lbs(Required)

Max weight Capacity is 400 lbs.

Second Dual Seat Scooter User's Weight(Required)

Set "0" if one user only.

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DUAL TOTAL WEIGHT(Required)

Recreational Dual-Seat Scooter(Required)

Price: $0.00

Recreational Dual-Seat Scooter Qty(Required)

Please enter a number from 1 to 4.

Recreational Dual-Seat Scooter Delivery & Pick up Fee(Required)

Price: $0.00

400 lbs total weight capacity. Up to 2 adults or 1 adult + 2 kids. 40 kms battery range with full charge.

Rental Total(Required)

**Indicate Quantity to Calculate Rental Total. Taxes & Delivery/Pick up Incl.

Your Total Breakdown - Recreational Dual-Seat Scooter

*Select Quantity to Calculate your Total **Rental total include Taxes and Delivery/Pickup

Recreational Dual-Seat Scooter (Required)

Price: $0.00

Recreational Dual-Seat Scooter Delivery & Pick up Fee(Required)

Price: $0.00

400 lbs total weight capacity. Up to 2 adults or 1 adult + 2 kids. 40 kms battery range with full charge.

Rental Total(Required)

**Indicate Quantity to Calculate Rental Total. Taxes & Delivery/Pick up Incl.

!!!!!!USER's WEIGHT NOT COMPATIBLE! MAX WEIGHT CAPACITY 400 LBS. SELECT A STANDARD OR HD SCOOTER or ONE PASSENGER ONLY.

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Rollators

Choose a Rollator/Walker Type(Required)

Rollator Lite

Rollator Heavy Duty

Rollator-Wheelchair Combo

*Rolllator lite 300lbs. Weight Capacity ** Rolator Heavy Duty 500lbs. Weight Capacity ***Rollator-Wheelchair 300lbs. Weight Capacity

Rollator User's Weight in Lbs(Required)

Please enter a number from 31 to 600.

Check weight capacity limits. (KgsX2.2=Lbs)

Rollator Lite(Required)

Price: $0.00

*Price Per Day

Rollator Lite Qty(Required)

Please enter a number from 1 to 4.

Rollator Lite Delivery & Pick up fee(Required)

Price: $0.00

4 Rolling Walker with Seat: Stable, strong and stylish. A comfortable seat, and an under-seat storage pouch.

Rental Total(Required)

**Indicate Quantity to Calculate Rental Total. Taxes & Delivery/Pick up Incl.

Your Total Breakdown - Rollator Rental

*Select Quantity to Calculate your Total **Rental total include Taxes and Delivery/Pickup

Rollator Lite (Required)

Price: $0.00

*Indicate Quantity

Rollator Lite Delivery & Pick up fee(Required)

Price: $0.00

4 Rolling Walker with Seat: Stable, strong and stylish. A comfortable seat, and an under-seat storage pouch.

Rental Total(Required)

*Taxes & Delivery/Pick up Incl.

!!!!!!USER's WEIGHT NOT COMPATIBLE! SELECT A ROLLATOR HEAVY DUTY.

Rollator Heavy Duty (Required)

Price: $0.00

*Indicate Quantity

Rollator HD Delivery & Pick up fee(Required)

Price: $0.00

4 Rolling Walker with Seat: 500 lbs. Weigth Capacity. A comfortable seat, and an under-seat storage pouch.

Rental Total(Required)

*Taxes & Delivery/Pick up Incl.

Rollator-Wheelchair Dual Unit (Required)

Price: $0.00

*Indicate Quantity

Rollator-Wheelchair Dual Unit Delivery & Pick up fee(Required)

Price: $0.00

4 Walker-Wheelchair dual unit: Stylish rolling walker with seat combines the features of a R Rollator and transport chair in one unit.

Rental Total(Required)

*Taxes & Delivery/Pick up Incl.

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Oxygen Concentrators

Select an Oxygen Device(Required)

Stationary Oxygen Concentrator

Portable Oxygen Concentrator

CPAP Machine

Stationary Oxygen Concentrator(Required)

Price: $0.00

*Indicate Quantity

Stationary Oxygen Concentrator Qty(Required)

Please enter a number from 1 to 4.

Oxygen Concentrator Delivery & Pick up fee(Required)

Price: $0.00

Rental Total(Required)

**Indicate Quantity to Calculate Rental Total. Taxes & Delivery/Pick up Incl.

Stationary Oxygen Concentrator (Required)

Price: $0.00

*Indicate Quantity

Oxygen Concentrator Delivery & Pick up fee(Required)

Price: $0.00

Rental Total(Required)

*Taxes & Delivery/Pick up Incl.

Portable Oxygen Concentrator (Required)

Price: $0.00

*Indicate Quantity

Portable Oxygen Concentrator Delivery & Pick up fee(Required)

Price: $0.00

Rental Total(Required)

*Taxes & Delivery/Pick up Incl.

CPAP Machine (Required)

Price: $0.00

**Indicate Quantity

CPAP Machine Delivery & Pick up fee(Required)

Price: $0.00

Rental Total(Required)

*Taxes & Delivery/Pick up Incl.

Next Button Enables Once a 3 day length or Longer Rental Period is Chosen.

NEW BOOKING- (02-2.0)

Select your oxygen device or CPAP machine, rental dates and pay now!

1Rental Period & City

2Select a Oxygen Device / add mobility aids

3Rental Location

4Profile Information & Payment

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Number of Days

Delivery Date(Required)

Date when Rental Begins. *Minimum rental is 3 Calendar days*

Return Date(Required)

Date when Rental Ends. *Minimum rental is 3 Calendar days*

Select an Oxygen Device(Required)

Stationary Oxygen Concentrator

Portable Oxygen Concentrator

CPAP Machine

Stationary Oxygen Concentrator (Required)

Price: $0.00

**Indicate Quantity

Oxygen Concentrator Delivery & Pick up fee

Price: $0.00

4 Wheel - 250 lbs Weight Capacity -Fully Disassembles to 4 Pieces.

Rental Total(Required)

**Indicate Quantity to Calculate Rental Total. Taxes & Delivery/Pick up Incl.

Stationary Oxygen Concentrator (Required)

Price: $0.00

**Indicate Quantity

Oxygen Concentrator Delivery & Pick up fee(Required)

Price: $0.00

Rental Total(Required)

**Indicate Quantity to Calculate Rental Total. Taxes & Delivery/Pick up Incl.

Portable Oxygen Concentrator (Required)

Price: $0.00

**Indicate Quantity

Portable Oxygen Concentrator Delivery & Pick up fee(Required)

Price: $0.00

Rental Total(Required)

**Indicate Quantity to Calculate Rental Total. Taxes & Delivery/Pick up Incl.

CPAP Machine (Required)

Price: $0.00

**Indicate Quantity

CPAP Machine Delivery & Pick up fee(Required)

Price: $0.00

Rental Total(Required)

**Indicate Quantity to Calculate Rental Total. Taxes & Delivery/Pick up Incl.

City of Service(Required)

Choose your rental destination. If not listed, then we cannot provide your rental.

Add a Mobility Scooter, Wheelchair or Walker/Rollator?(Required)

Get a reduced rate on your second item rental.

Add a CPAP Nasal Mask?(Required)

AVAILABLE NASAL MASKS ONLY

4 Wheel - 250 lbs Weight Capacity -Fully Disassembles to 4 Pieces.

CPAP Nasal Mask with Headgear (Required)

Price: $0.00

**Indicate Quantity

Add a CPAP Tubing?(Required)

***If your tube has a heating device, you ll need a standard tubing****

4 Wheel - 250 lbs Weight Capacity -Fully Disassembles to 4 Pieces.

CPAP Tubing (Required)

Price: $0.00

**Indicate Quantity

Describe Your Mobility Disability(Required)

This information Help us to assign the best equipment to fullfil your needs

Used a Scooter before?(Required)

User's Weight in Lbs(Required)

Check weight capacity limits. (KgsX2.2=Lbs)

Please enter a number from 31 to 600.

Select your Scooter(Required)

***Click the scooter Button to compare price and see a picture

Travel Scooter

Standard Scooter

Heavy Duty Scooter

4 Wheel - 250 lbs Weight Capacity -Fully Disassembles to 4 Pieces.

Travel 4 Wheels Scooter (Required)

Price: $0.00

**Indicate Quantity

!!!!!!USER's WEIGHT NOT COMPATIBLE!!!!. Select a Standard Scooter instead.

4 Wheel Scooter - 325Lbs Lbs Weight Capacity - Fully Disassembles to 4 Pieces.

Standard 4 Wheel Scooter (Required)

Price: $0.00

**Indicate Quantity

!!!!!!USER's WEIGHT NOT COMPATIBLE!!!!.

Stylish and high-performing scooter. Weight Capacity: 500 Lbs. Batter Range: 11 Miles. Scooter total weight 150.

Heavy Duty Scooter (Required)

Price: $0.00

**Indicate Quantity

Choose a Rollator/Walker Type(Required)

*Rolllator lite 300lbs. Weight Capacity ** Rolator Heavy Duty 500lbs. Weight Capacity ***Rollator-Wheelchair 300lbs. Weight Capacity

4 Rolling Walker with Seat: Stable, strong and stylish. A comfortable seat, and an under-seat storage pouch.

Rollator Lite (Required)

Price: $0.00

**Indicate Quantity

!!!!!!USER's WEIGHT NOT COMPATIBLE!!!!.

4 Rolling Walker with Seat: 500 lbs. Weigth Capacity. A comfortable seat, and an under-seat storage pouch.

Rollator Heavy Duty (Required)

Price: $0.00

**Indicate Quantity

4 Walker-Wheelchair dual unit: Stylish rolling walker with seat combines the features of a R Rollator and transport chair in one unit.

Rollator-Wheelchair Dual Unit (Required)

Price: $0.00

**Indicate Quantity

!!!!!!USER's WEIGHT NOT COMPATIBLE!!!!.

Choose a Wheelchair Type(Required)

*Transport 250lbs. Weight Capacity **Standard 300lbs. Weight Capacity ***Heavy Duty 500lbs. Weight Capacity ****Electric 300lbs. Weight Capacity

4 Portable-Folds-300lbs capacity.

Standard Wheelchair (Required)

Price: $0.00

**Indicate Quantity

!!!!!!USER's WEIGHT NOT COMPATIBLE!!!!.

4 The smaller option, more portability than comfort-260 lbs weight capacity.

Transport Wheelchair (Required)

Price: $0.00

**Indicate Quantity

!!!!!!USER's WEIGHT NOT COMPATIBLE!!!!.

4 Resistant and comfortable-Up to 500 lbs capacity. Heavy but portable

Heavy Duty Wheelchair (Required)

Price: $0.00

**Indicate Quantity

4 Electric - Folds - Portable-Joystick operated-260 lbs capacity.

Electric Wheelchair (Travel Powerchair) (Required)

Price: $0.00

**Indicate Quantity

!!!!!!USER's WEIGHT NOT COMPATIBLE!!!!.

Renter Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Phone(Required)

(Country code + Phone number)

Country(Required)

Travel Scooter Delivery & Pick up fee(Required)

Price: $0.00

Standard Scooter Delivery & Pick up fee(Required)

Price: $0.00

HD Scooter Delivery & Pick up fee(Required)

Price: $0.00

Rollator Delivery & Pick up fee(Required)

Price: $0.00

Wheelchair Delivery & Pick up fee(Required)

Price: $0.00

Electric Wheelchair Delivery & Pick up fee(Required)

Price: $0.00

Cart Total

Total to pay in USD

Credit / Debit Card(Required)

Paypal Checkout(Required)

American Express

Discover

MasterCard

Visa

Maestro

4848484848484848 Card Number 01/27 Expiration Date 111 Security Code Cardholder Name

Read Terms & Conditions Before Completing Reservation!(Required)

I agree to the

Terms and Conditions

| Privacy Policy

READ Cancellation Policy above!

NEW BOOKING - (WC 2.0)

Select your Wheelchair type, rental dates and pay now!

1Rental Period & City

2Select a Wheelchair / Add oxygen

3Rental Location

4Profile Information & Payment

This field is hidden when viewing the form

Number of Days

Delivery Date(Required)

Date when Rental Begins. *Minimum rental is 3 Calendar days*

Return Date(Required)

Date when Rental Ends. *Minimum rental is 3 Calendar days*

Choose a Wheelchair Type(Required)

Weight Capacity *Standard Wheelchair 300lbs. ** Heavy Duty Wheelchair 500lbs. ***Electric Wheelchair 250lbs. ****Transport Wheelchair 250 lbs

Wheelchair User's Weight in Lbs(Required)

Please enter a number from 31 to 600.

Check weight capacity limits. (KgsX2.2=Lbs)

Standard Wheelchair (Required)

Price: $0.00

**Indicate Quantity

Standard Wheelchair Delivery & Pick up fee(Required)

Price: $0.00

4 Portable-Folds-300lbs capacity.

Rental Total(Required)

**Indicate Quantity to Calculate Rental Total. Taxes & Delivery/Pick up Incl.

Standard Wheelchair (Required)

Price: $0.00

**Indicate Quantity

Standard Wheelchair Delivery & Pick up fee(Required)

Price: $0.00

4 Portable-Folds-300lbs capacity.

Rental Total(Required)

**Indicate Quantity to Calculate Rental Total. Taxes & Delivery/Pick up Incl.

!!!!!!USER's WEIGHT NOT COMPATIBLE!!!!.

Transport Wheelchair (Required)

Price: $0.00

**Indicate Quantity

Transport Wheelchair Delivery & Pick up fee(Required)

Price: $0.00

4 The smaller option, more portability than comfort-260 lbs weight capacity.

Rental Total(Required)

**Indicate Quantity to Calculate Rental Total. Taxes & Delivery/Pick up Incl.

!!!!!!USER's WEIGHT NOT COMPATIBLE!!!!.

Heavy Duty Wheelchair (Required)

Price: $0.00

**Indicate Quantity

HD Wheelchair Delivery & Pick up fee(Required)

Price: $0.00

4 Resistant and comfortable-Up to 500 lbs capacity. Heavy but portable

Rental Total(Required)

**Indicate Quantity to Calculate Rental Total. Taxes & Delivery/Pick up Incl.

Electric Wheelchair (Travel Powerchair) (Required)

Price: $0.00

**Indicate Quantity

Electric Wheelchair Delivery & Pick up fee(Required)

Price: $0.00

4 Electric - Folds - Portable-Joystick operated-260 lbs capacity.

Rental Total(Required)

**Indicate Quantity to Calculate Rental Total. Taxes & Delivery/Pick up Incl.

!!!!!!USER's WEIGHT NOT COMPATIBLE!!!!.

City of Service(Required)

Choose your rental destination. If not listed, then we cannot provide your rental.

Describe Your Mobility Disability(Required)

This information Help us to assign the best equipment to fullfil your needs

Add an Oxygen Device?(Required)

If yes, you will be ask for more details later in the form.

Select an Oxygen Device(Required)

Stationary Oxygen Concentrator

Portable Oxygen Concentrator

CPAP Machine

4 Wheel - 250 lbs Weight Capacity -Fully Disassembles to 4 Pieces.

Stationary Oxygen Concentrator (Required)

Price: $0.00

**Indicate Quantity

4 Wheel - 250 lbs Weight Capacity -Fully Disassembles to 4 Pieces.

Portable Oxygen Concentrator (Required)

Price: $0.00

**Indicate Quantity

4 Wheel - 250 lbs Weight Capacity -Fully Disassembles to 4 Pieces.

CPAP Machine (Required)

Price: $0.00

**Indicate Quantity

Add a CPAP Nasal Mask?(Required)

AVAILABLE NASAL MASKS ONLY

4 Wheel - 250 lbs Weight Capacity -Fully Disassembles to 4 Pieces.

CPAP Nasal Mask with Headgear (Required)

Price: $0.00

**Indicate Quantity

Add a CPAP Tubing?(Required)

***If your tube has a heating device, you ll need a standard tubing****

4 Wheel - 250 lbs Weight Capacity -Fully Disassembles to 4 Pieces.

CPAP Tubing (Required)

Price: $0.00

**Indicate Quantity

Deliver to(Required)

Hotel name(Required)

Address to Deliver(Required)

Street Address

How did you find us?(Required)

Any special Need?(Required)

Indicate any special need or concern.(Required)

Add a Rollator/Walker?(Required)

*Rollator rental rates as an ADDON item are reduced compared with as a primary rental item.

Pay With:(Required)

Choose Payment Method

Choose a Rollator/Walker Type(Required)

*Rolllator lite 300lbs. Weight Capacity ** Rolator Heavy Duty 500lbs. Weight Capacity ***Rollator-Wheelchair 300lbs. Weight Capacity

4 Rolling Walker with Seat: Stable, strong and stylish. A comfortable seat, and an under-seat storage pouch.

Rollator Lite (Required)

Price: $0.00

**Indicate Quantity

!!!!!!USER's WEIGHT NOT COMPATIBLE, CHOOSE A ROLLATOR HD!!!!.

4 Rolling Walker with Seat: 500 lbs. Weigth Capacity. A comfortable seat, and an under-seat storage pouch.

Rollator Heavy Duty (Required)

Price: $0.00

**Indicate Quantity

4 Walker-Wheelchair dual unit: Stylish rolling walker with seat combines the features of a R Rollator and transport chair in one unit.

Rollator-Wheelchair Dual unit (Required)

Price: $0.00

**Indicate Quantity

!!!!!!USER's WEIGHT NOT COMPATIBLE, CHOOSE A ROLLATOR HD!!!!.

Renter Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Phone(Required)

(Country code + Phone number)

Country(Required)

Oxygen Concentrator Delivery & Pick up fee(Required)

Price: $0.00

Portable Oxygen Concentrator Delivery & Pick up fee(Required)

Price: $0.00

Rollator Lite Delivery & Pick up fee(Required)

Price: $0.00

Rollator HD Delivery & Pick up fee(Required)

Price: $0.00

Rollator-Wheelchair Delivery & Pick up fee(Required)

Price: $0.00

CPAP Machine Delivery & Pick up fee(Required)

Price: $0.00

Cart Total

Total to pay in USD

Credit / Debit Card(Required)

Paypal Checkout(Required)

American Express

Discover

MasterCard

Visa

Maestro

4848484848484848 Card Number 01/27 Expiration Date 111 Security Code Cardholder Name

Read Terms & Conditions Before Completing Reservation!(Required)

I agree to the

Terms and Conditions

| Privacy Policy

READ Cancellation Policy above!

NEW BOOKING-(R 2.0)

Select your Rollator type, rental dates & pay now!

1Rental Period & City

2Select a Rollator / Add oxygen or Rollator

3Rental Location

4Renter Information & Payment

This field is hidden when viewing the form

Number of Days

Delivery Date(Required)

Date when Rental Begins. *Minimum rental is 3 Calendar days*

Return Date(Required)

Date when Rental Ends. *Minimum rental is 3 Calendar days*

Choose a Rollator/Walker Type(Required)

Rollator Lite

Rollator Heavy Duty

Rollator-Wheelchair Combo

*Rolllator lite 300lbs. Weight Capacity ** Rolator Heavy Duty 500lbs. Weight Capacity ***Rollator-Wheelchair 300lbs. Weight Capacity

Rollator User's Weight in Lbs(Required)

Check weight capacity limits. (KgsX2.2=Lbs)

Please enter a number from 31 to 600.

Rollator Lite (Required)

Price: $0.00

**Indicate Quantity

Rollator Lite Delivery & Pick up fee

Price: $0.00

4 Rolling Walker with Seat: Stable, strong and stylish. A comfortable seat, and an under-seat storage pouch.

Rental Total(Required)

**Indicate Quantity to Calculate Rental Total. Taxes & Delivery/Pick up Incl.

Rollator Lite (Required)

Price: $0.00

**Indicate Quantity

Rollator Lite Delivery & Pick up fee

Price: $0.00

4 Rolling Walker with Seat: Stable, strong and stylish. A comfortable seat, and an under-seat storage pouch.

Rental Total(Required)

**Indicate Quantity to Calculate Rental Total. Taxes & Delivery/Pick up Incl.

!!!!!!USER's WEIGHT NOT COMPATIBLE! SELECT A ROLLATOR HEAVY DUTY.

Rollator Heavy Duty (Required)

Price: $0.00

**Indicate Quantity

Rollator HD Delivery & Pick up fee(Required)

Price: $0.00

4 Rolling Walker with Seat: 500 lbs. Weigth Capacity. A comfortable seat, and an under-seat storage pouch.

Rental Total(Required)

**Indicate Quantity to Calculate Rental Total. Taxes & Delivery/Pick up Incl.

Rollator-Wheelchair Dual Unit (Required)

Price: $0.00

**Indicate Quantity

Rollator-Wheelchair Dual Unit Delivery & Pick up fee(Required)

Price: $0.00

4 Walker-Wheelchair dual unit: Stylish rolling walker with seat combines the features of a R Rollator and transport chair in one unit.

Rental Total(Required)

**Indicate Quantity to Calculate Rental Total. Taxes & Delivery/Pick up Incl.

!!!!!!USER's WEIGHT NOT COMPATIBLE!!!!.

City of Service(Required)

Choose your rental destination. If not listed, then we cannot provide your rental.

Describe Your Mobility Disability(Required)

This information Help us to assign the best equipment to fullfil your needs

Add an Oxygen Device?(Required)

If yes, you will be ask for more details later in the form.

Select an Oxygen Device(Required)

Stationary Oxygen Concentrator

Portable Oxygen Concentrator

CPAP Machine

4 Wheel - 250 lbs Weight Capacity -Fully Disassembles to 4 Pieces.

Stationary Oxygen Concentrator (Required)

Price: $0.00

**Indicate Quantity

4 Wheel - 250 lbs Weight Capacity -Fully Disassembles to 4 Pieces.

Portable Oxygen Concentrator (Required)

Price: $0.00

**Indicate Quantity

4 Wheel - 250 lbs Weight Capacity -Fully Disassembles to 4 Pieces.

CPAP Machine (Required)

Price: $0.00

**Indicate Quantity

Add a CPAP Nasal Mask?(Required)

AVAILABLE NASAL MASKS ONLY

CPAP Nasal Mask with Headgear (Required)

Price: $0.00

**Indicate Quantity

Add a CPAP Tubing?(Required)

***If your tube has a heating device, you ll need a standard tubing****

4 Wheel - 250 lbs Weight Capacity -Fully Disassembles to 4 Pieces.

CPAP Tubing (Required)

Price: $0.00

**Indicate Quantity

Renter Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Phone(Required)

(Country code + Phone number)

Country(Required)

Oxygen Concentrator Delivery & Pick up fee(Required)

Price: $0.00

Portable Oxygen Concentrator Delivery & Pick up fee(Required)

Price: $0.00

CPAP Machine Delivery & Pick up fee(Required)

Price: $0.00

Cart Total

Total to pay in USD

Credit / Debit Card(Required)

Paypal Checkout(Required)

American Express

Discover

MasterCard

Visa

Maestro

4848484848484848 Card Number 01/27 Expiration Date 111 Security Code Cardholder Name

Read Terms & Conditions Before Completing Reservation!(Required)

I agree to the

Terms and Conditions

| Privacy Policy

READ Cancellation Policy above!

NEW BOOKING-(S 2.0)

Select your Scooter type, rental dates and pay now!

1Rental Period & City

2Select a Scooter / Add oxygen or Rollator

3Rental Location

4Renter Information & Payment

This field is hidden when viewing the form

Number of Days

Delivery Date(Required)

Date when Rental Begins. *Minimum rental is 3 Calendar days*

Return Date(Required)

Date when Rental Ends. *Minimum rental is 3 Calendar days*

Select your Scooter(Required)

***Click the scooter Button to compare price and see a picture

Travel Scooter

Standard Scooter

Heavy Duty Scooter

Scooter User's Weight in Lbs(Required)

Check weight capacity limits. (KgsX2.2=Lbs)

Please enter a number from 31 to 600.

Travel 4 Wheels Scooter (Required)

Price: $0.00

*Price per day **Indicate Quantity

Travel Scooter Delivery & Pick up fee

Price: $0.00

4 Wheel - 250 lbs Weight Capacity -Fully Disassembles to 4 Pieces.

Rental Total - Travel Scooter(Required)

**Indicate Quantity to Calculate Rental Total. Taxes & Delivery/Pick up Incl.

Travel 4 Wheels Scooter (Required)

Price: $0.00

*Price per day **Indicate Quantity

Travel Scooter Delivery & Pick up fee(Required)

Price: $0.00

4 Wheel - 250 lbs Weight Capacity -Fully Disassembles to 4 Pieces.

Rental Total - Travel Scooter(Required)

**Indicate Quantity to Calculate Rental Total. Taxes & Delivery/Pick up Incl.

!!!!!!USER's WEIGHT NOT COMPATIBLE!!!!. Select a Standard Scooter instead.

Standard 4 Wheel Scooter (Required)

Price: $0.00

**Indicate Quantity

Standard Scooter Delivery & Pick up fee

Price: $0.00

4 Wheel Scooter - 325Lbs Lbs Weight Capacity - Fully Disassembles to 4 Pieces.

Rental Total - Standard Scooter(Required)

**Indicate Quantity to Calculate Rental Total. Taxes & Delivery/Pick up Incl.

!!!!!!USER's WEIGHT NOT COMPATIBLE!!!!.

Heavy Duty Scooter (Required)

Price: $0.00

**Indicate Quantity

HD Scooter Delivery & Pick up fee

Price: $0.00

Stylish and high-performing scooter. Weight Capacity: 500 Lbs. Batter Range: 11 Miles. Scooter total weight 150.

Rental Total - HD Scooter(Required)

**Indicate Quantity to Calculate Rental Total. Taxes & Delivery/Pick up Incl.

City of Service(Required)

Choose your rental destination. If not listed, then we cannot provide your rental.

Describe Your Mobility Disability(Required)

This information Help us to assign the best equipment to fullfil your needs

Have you used a Scooter/Powerchair before?(Required)

Add an Oxygen Device?(Required)

If yes, you will be ask for more details later in the form.

Select an Oxygen Device(Required)

Stationary Oxygen Concentrator

Portable Oxygen Concentrator

CPAP Machine

4 Wheel - 250 lbs Weight Capacity -Fully Disassembles to 4 Pieces.

Stationary Oxygen Concentrator (Required)

Price: $0.00

**Indicate Quantity

4 Wheel - 250 lbs Weight Capacity -Fully Disassembles to 4 Pieces.

Portable Oxygen Concentrator (Required)

Price: $0.00

**Indicate Quantity

4 Wheel - 250 lbs Weight Capacity -Fully Disassembles to 4 Pieces.

CPAP Machine (Required)

Price: $0.00

**Indicate Quantity

Add a CPAP Nasal Mask?(Required)

AVAILABLE NASAL MASKS ONLY

CPAP Nasal Mask with Headgear (Required)

Price: $0.00

**Indicate Quantity

Add a CPAP Tubing?(Required)

***If your tube has a heating device, you ll need a standard tubing****

4 Wheel - 250 lbs Weight Capacity -Fully Disassembles to 4 Pieces.

CPAP Tubing (Required)

Price: $0.00

**Indicate Quantity

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STAND-N-RIDE SCOOTER(Required)

STAND-N-RIDE SCOOTER

Personal Transporter for NON-DISABLED ADULT USERS ONLY!

For user's weighting 260 lbs or less ONLY. Smooth, Quiet, Non-Intrusive. 15 MPH Top Speed. 20 miles battery range. Removable Seat for Free Standing operation.

Deliver to(Required)

Hotel name(Required)

Address to Deliver(Required)

Street Address

How did you find us?(Required)

Any special Need?(Required)

Indicate any special need or concern.(Required)

Add a Rollator/Walker?(Required)

*Rollator rental rates as an ADDON item are reduced compared with as a primary rental item.

Pay With:(Required)

Choose Payment Method

Choose a Rollator/Walker Type(Required)

*Rolllator lite 300lbs. Weight Capacity ** Rolator Heavy Duty 500lbs. Weight Capacity ***Rollator-Wheelchair 300lbs. Weight Capacity

4 Rolling Walker with Seat: Stable, strong and stylish. A comfortable seat, and an under-seat storage pouch.

Rollator Lite (Required)

Price: $0.00

**Indicate Quantity

!!!!!!USER's WEIGHT NOT COMPATIBLE, CHOOSE A ROLLATOR HD!!!!.

4 Rolling Walker with Seat: 500 lbs. Weigth Capacity. A comfortable seat, and an under-seat storage pouch.

Rollator Heavy Duty (Required)

Price: $0.00

**Indicate Quantity

4 Walker-Wheelchair dual unit: Stylish rolling walker with seat combines the features of a R Rollator and transport chair in one unit.

Rollator-Wheelchair Dual Unit (Required)

Price: $0.00

**Indicate Quantity

!!!!!!USER's WEIGHT NOT COMPATIBLE!!!!.

Renter Name(Required)

First Last

Email(Required)

Enter Email Confirm Email

Phone(Required)

(Country code + Phone number)

Country(Required)

Rollator Lite Delivery & Pick up fee(Required)

Price: $0.00

Rollator HD Delivery & Pick up fee(Required)

Price: $0.00

Rollator-Wheelchair Delivery & Pick up fee(Required)

Price: $0.00

Portable Oxygen Concentrator Delivery & Pick up fee(Required)

Price: $0.00

Oxygen Concentrator Delivery & Pick up fee

Price: $0.00

CPAP Delivery & Pick up fee(Required)

Price: $0.00

Cart Total

Total to pay in USD

Credit / Debit Card(Required)

Paypal Checkout(Required)

American Express

Discover

MasterCard

Visa

Maestro

4848484848484848 Card Number 01/27 Expiration Date 111 Security Code Cardholder Name

Read Terms & Conditions Before Completing Reservation!(Required)

I agree to the

Terms and Conditions

| Privacy Policy

READ Cancellation Policy above!

NEW BOOKING – (SNR)

Pay less booking early! Up to 30% off if you book 3 months ahead!

NEW BOOKING - (SNR 2.0)

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ULTIMATE FAST BOOKING (2.0) NOV-2024 + DUAL SEAT (FOOTER)

Start by Picking Your Rental Dates

3 Calendar days Rental Sample (Minimum Length).

Your Total Breakdown - Scooter Rental

Wheelchairs

Your Total Breakdown - Wheelchair Rental

Transport WC

HD Wheelchair

Electric Wheelchair

Recreational Dual-Seat Scooter

Your Total Breakdown - Recreational Dual-Seat Scooter

Rollators

Your Total Breakdown - Rollator Rental

Oxygen Concentrators

NEW BOOKING - (SNR 2.0)

NEW BOOKING- (02-2.0)

NEW BOOKING - (WC 2.0)

NEW BOOKING-(R 2.0)

NEW BOOKING-(S 2.0)