KNEE SCOOTER USA RENTAL FORM

Rental Duration

All scooter rentals are for 4 weeks, you can return your scooter at any time however

Rental Start Date *

This is your pickup date. We will text you with pickup instructions. Pickup times are 8am to 8pm on your start date

Name *

Email *

Cell Phone *

We will text you pickup instructions to this number

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Scooter Model *

Price covers your first 4 week knee scooter rental. On day 28 scooter will auto-renew via credit card on file

Total

$ 0.00

Comment

Thank You For Inquiring!