Step 1:Please Fill Out The Form Completely
E-mail
*
Person's Name Reserving
*
First Name
Last Name
Patient's height
*
Patient's weight
*
Best phone # while in Myrtle Beach
*
Delivery Address
*
Dates Needed:
*
**PLEASE NOTE : All rental reservations require 48 hours notice. For rentals being requested within 48 hours, please call 843-446-8723 for availability.
Please Select The Rental You Need:
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2 Day Beach Wheelchair Rental ($50 per day + 9% Tax)
$
109.00
3 Day Beach Wheelchair Rental ($50 per day + 9% Tax)
$
163.50
4 Day Beach Wheelchair Rental ($50 per day + 9% Tax)
$
218.00
5-7 Day Beach Wheelchair Rental ($225 Weekly + 9% Tax)
$
245.25
Total
$
0.00
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Please Read Before Paying
*
I understand that reservations require 48 hour notice and no refunds will be given for equipment reserved requesting deliveries within this time frame.
All deliveries are guaranteed by check in time (3pm) and equipment must be at the pickup location by check out time. (11am)
I also acknowledge that I have read and agree to the Wheelchair and Scooter Rentals of Myrtle Beach terms and conditions.
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