Book our Heavy Duty Transport Chair



Choose Your Rental Dates:


From:

To:





Rates



Weekly:     $149.00

Monthly:     $245.00



Optional Add-ons: 





Cost: $74.95

Back Cushion for Purchase

Back cushion designed to reduce lower back pain and muscle tension when
Seated for long periods of time. Provides extra comfort and support.

(For Purchase Only)


Cost: $74.95






Cost: $49.95

Wheelchair Cushion for Purchase

General use wheelchair cushion, washable cover, moisture resistant
For comfort and help preserve skin integrity.

(For Purchase Only)


Cost: $49.95






Cost: $99.00

Second Floor Delivery Charge
Cost: $99.00






Your Delivery Information

Please enter the delivery location details for the rental.


Name:
Company:
Address:
Phone:
Cell Phone:
Email:


User Information

Please enter the information of the person that will be using the rental item.

User Height:
User Weight:
 

Your Billing Information



Name:
Company:
Address:
Phone:
Email:


Delivery Options

   


Order Details

   
Rental:
Options:

Rental Subtotal:
Shipping:
Tax:
Total:



After agreeing to the terms/conditions and clicking "Rent Now" you will be directed to PayPal for payment where you'll be able to pay with credit card or your paypal account.

I Agree to the Terms and Conditions





ADMINS ONLY:


To add a phone or previous received booking with no payment:
Fill out the customer info above and click the "Instant Book" button below. This will add an order to the system wihtout requiring payment. This process removes the item from the availability calendar on chosen rental dates.


To add a phone or previous received booking with payment:
If you would like to charge the customer for the deposit while taking their booking you may do so by entering their credit card information along with the rest of the billing information and clicking the green "Rent Now" button located above. This will process their payment as well as remove the item from the availability calendar on chosen rental dates.

Notes for this Order: