Rent or Buy Medical Supplies, Durable Medical Equipment, Power Chairs, and Scooters in Orange County, California

WELCOME TO UNIVERSAL MOBILITY “Preferred Vendor Disney Resorts, Anaheim, CA”

	REQUIRED FIELDS**
	Members of Anaheim Visitors Bureau And Anaheim Chamber of Commerce
	Deliver To
	Type of Equipment to Rent
	Arrival Date**
	Departure Date**
	Name**
	Address**
	City**
	State**
	Zip Code**
	Phone#**
	Mobile Phone
	E-mail Address
	Height: **	5’0” – 5’7” 5’7” – 6’7”
	Weight:**	under 300 lbs 300 lbs – 450 lbs

	DELIVERY ADDRESS
	Same As Above
	Name of Hotel, Cruise line, other **
	Address
	City
	Zip Code
	Phone#
	Special Instructions


	Confirmation Policy: Please complete the above form.; we will contact you to complete your transaction and provide you with a confirmation number Age Requirement: You must be at least 18yrs of age to rent a mobility scooter from Universal Mobility. Delivery Fees: NO PICK-UP OR DELIVERY FEES. Cancellation Fees: We request a 48 hour notice for cancellation. We do not charge cancellation fees. Scooter Rental for Craft and Hobbies World Fair Scooter Rental for Society of Decorative Painters