Midland Wheelchair Hire

Birmingham Area Wheelchair Hire - Delivery and Collection Included

Call Midland Wheelchair Hire...10:00am - 15:00 ... Carrycall

Including postcodes B65, B96, B97, B98

Covering Blackheath, Feckenham, Callow Hill, Webheath, Beoley

and including Rowley Regis

Title

First Name

Last Name

Contact No.

Address

Town/City

Postcode

User

Wheel Type

Wheelchair Type

Delivery Date

Hire Period

Elevating Leg Rest

Message

Subtotal

Payable