Quotation request for mobility equipment

As you are special for us, very soon one of our advisors will contact you during office hours: Monday to Friday from 9:00 a.m to 6:00 p.m. Saturday from 9:00 a.m. to 3:00 p.m.

In case of emergency you can call, send text message or WhatsApp +52 1 (998) 2400770.

GENERAL INFORMATION

Full name*

Email*

Phone number*

City*

Arrival* (Select the date by clicking on the calendar)

Hotel*

REQUIRED EQUIPMENT

Select the desired equipment

Select type of scooter

Size

Quantity

Days

User weight (pounds)

Select type of chair

Type

Quantity

Days

User weight (pounds)

Select type of chair

Type

Select size

Quantity

Days

User weight (pounds)

Type

Quantity

Days

User weight (pounds)

Type

Quantity

Days

User weight (pounds)

Type

Quantity

Days

User weight (pounds)

Select type of accessory

Type

Type of accessory

Quantity

Days

Also

Quantity

Days

Type of accessory

Quantity

Days

Also

Quantity

Days

REQUIRE ADDITIONAL INFORMATION OF:

Scooter:

REQUIRE ADDITIONAL INFORMATION OF:

Oxygen:

Transportation (Airport to Hotel):

REQUIRE ADDITIONAL INFORMATION OFF:

Amphibious wheelchair package: Beach wheelchair + Floating chair

*Required

RESERVATION POLICIES

The rates that will be provide in your quotation has a expiration day, please make sure you make your reservation before the expiration of it.
A reservation is considered complete, once the corresponding charge has been covered and you have a reservation coupon with your confirmation number mentioned there.