Request a quote

If you haven’t yet, we suggest booking a Zoom consultation to review your specific needs so we can provide an accurate quote. All quotes are provided in Canadian dollars.

Name

First Name

Last Name

Email

Phone

(###)

###

####

Which product(s) are you interested in?

Hippocampe All Terrain or Pool Wheelchair

Josi Stroller

TrailRider

Soundbeam Music Device

List any accessories or upgrades you are interested in:

Please outline your requirements

How did you hear about us?

Shipping address (to estimate shipping fees)