Reservation Request

For same-day rentals please call: 1-833-696-6253

Rental Info

My Products*

Product Name

$ Free Quantity

Product Name

$ Free Quantity

Scooters & Strollers

3-Wheel PrideTop Speed: 4.70 mph Drive Range: 15.90 miles Heaviest Piece: 35 lbs. Weight capacity: 325 lbs. Weight: 121 lbs.

$70.00 QuantityHow Long?
Item subtotal:$0.00

4-Wheel PrideTop Speed: 4.70 mph Drive Range: 14.00 miles Heaviest Piece: 44 lbs. Weight capacity: 325 lbs. Weight: 127 lbs.

$70.00 QuantityHow Long?
Item subtotal:$0.00

3-Wheel VictoryTop Speed: 5.30 mph Drive Range: 16.00 miles Heaviest Piece: 54 lbs. Weight capacity: 400 lbs. Weight: 158 lbs.

$80.00 QuantityHow Long?
Item subtotal:$0.00

Single StrollerWeight capacity: 50 lbs. Weight: 13 lbs. Extra Storage Capacity: 10lbs

$30.00 TypeQuantityHow Long
Item subtotal:$0.00

Double StrollerWeight capacity: 50 lbs./per child Weight: 21 lbs. Extra Storage: 2XL Storage Baskets, 2 Rear Pockets & 1 Cup Holder

$40.00 TypeQuantityHow Long
Item subtotal:$0.00

Add-Ons

Canopy

$20.00 QuantityHow Long
Item subtotal:$0.00

Cupholder

$10.00 Quantity
Item subtotal:$0.00

Basket

$20.00 Quantity
Item subtotal:$0.00

Rechargeable Fan

$10.00 Quantity

USB ChargerUSB charger allows user to charge most iPhone and Android devices and fits into outlet on scooter.

$20.00 Quantity

Wheelchair Cusion

$10.00 Quantity

Medical Equipment

Wheelchair

$50.00

	Quantity	How Long	Price
Standard			$20.00
Bariatric			$20.00

Item subtotal:$0.00

Crutches

$20.00 Quantity

Walker

$20.00

	Quantity	How Long	Price
Standard			$20.00
Tall			$20.00
Knee			$20.00

Item subtotal:$0.00

Hospital Bed

$50.00 Quantity

Shower Chair

$20.00 Quantity

Raised Toilet Seat

$20.00 Quantity

Enter coupon

Total

$0.00

Credit Card

For same-day rentals please call: 1-833-696-6253
Start Date and Time*

MonthDayYear
Date
Hour MinutesAM/PM Option
End Date and Time*

MonthDayYear
Date
Hour MinutesAM/PM Option
Optional: $20 non-refundable damage waiver that covers minor cosmetic damages (wear and tear) and lost or broken key.*

Yes - I want to be protected.No - I'll take my chances.

Contact Info
Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Country CodeArea CodePhone Number
Where are you visiting from? (Home Address)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Where will you be staying while in Central FL?*

I'm local, I'll be home.HotelResortVillaVacation RentalFriends/Family
Delivery/Pick-Up Location*

Street Address

Street Address Line 2

CityState

Zip Code
How did you hear about us?*
Name

First NameLast Name
Which Hotel/Resort?
Any comments or special requests?
Will you be needing any discounted attraction tickets while visiting the area?*

Yes, please.No, thank-you.
Which attraction tickets will you be needing?

Renter Responsibilities
Credit/Debit Card Agreement.

NOBLE MOBILITY, LLC accepts most major credit cards for credit identification and payment at the time of rental. Debit Cards can be used as a form of payment of rental charges. Note: Prepaid Debit/Gift cards are not acceptable methods of credit or identification. One of the above mentioned cards must be presented. NOBLE MOBILITY, LLC reserves the right, in its sole discretion, to seek a Debit or Credit Card authorization hold of the estimated rental charges which includes a $100 security deposit. When using a debit or credit card at NOBLE MOBILITY, LLC, if you fail to return the Unit as agreed, NOBLE MOBILITY, LLC will obtain additional authorizations from your account to cover the cost. Positive identification in addition to your driver's license may be required at the time of rental.
Please sign that you have read and understand the Credit/Debit Card Agreement.*

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For same-day rentals please call: 1-833-696-6253

Credit Card

For same-day rentals please call: 1-833-696-6253

Credit/Debit Card Agreement.