Rental Returns

Name *

Phone Number *

Email *

What rental products are you returning? *

Wheelchair

Power Chair

Scooter

Lift Chair

Ramp

Stair Lift

Hospital Bed

Transfer Lift

Knee Walker

Date of Preferred Equipment Return *

FM Technicians do not pick up equipment on Saturdays. We are closed on Sunday's for all return methods.

What will be your method of return? *

will be dropping off my equipment at the showroom

I will need a Freedom Mobility technician to pick up my equipment

Is there anything else we should know? *

Subject *

Rental Return