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Please fill out the form below and we will send you an itemized quote for your insurance provider.
Date
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Date Format: MM slash DD slash YYYY
Name of Policy Holder
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Last
Address
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Street Address
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City
Alberta
British Columbia
Manitoba
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Quantity
Items to be Quoted
*
TravelScoot Original Mobility Scooter
TravelScoot Aviator Mobility Scooter
TravelScoot Elite Mobility Scooter
Add Accessories
Foldable Shopping Basket
Footrest Support Plate
Suspension Seat Post
TravelScoot Throttle Assist
Beverage Holder & Mug Set
TravelScoot Travel Set
Foldable Shopping Basket
Price:
$ 45.00 CAD
Footrest Support Plate
Price:
$ 45.00 CAD
Suspension Seat Post
Price:
$ 65.00 CAD
TravelScoot Throttle Assist
Price:
$ 25.00 CAD
Beverage Holder & Mug Set
Price:
$ 75.00 CAD
TravelScoot Travel Set
Price:
$ 55.00 CAD
GST
Price:
$ 0.00 CAD
PST
Price:
$ 0.00 CAD
Total
$ 0.00 CAD
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