Wheels at Wanaka 2021 - Mobility Service Booking Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

If you'd like to hire mobility equipment to enable your group to enjoy Wheels at Wanaka 2021, please fill in the form below and we'll provide the equipment you request at the Wheels at Wanaka show.

Note : All equipment to be picked up at the Main Public Entrance of Wheels at Wanaka on the day of the booking.

Email *

Booking Name *

Please enter the name you'd like to hold this booking under

Contact phone number *

Please enter the best number to contact you or your party on the day of the booking

Mobility scooter Hire

SOLD OUT FOR THIS YEAR'S SHOW

Full Day (9:00 - 4:30pm)

Morning (9:00 - 12:30pm)

Afternoon (1:00 - 4:30pm)

Friday 2nd April

Wheelchair Hire

Please indicate which day/s (@ $40 per day) or half day/s (@ $25 per half day)

Full Day (9:00 - 4:30pm)

Morning (9:00 - 12:30pm)

Afternoon (1:00 - 4:30pm)

Friday 2nd April

Saturday 3rd April

Sunday 4th April

Walking Frame Hire

Please indicate which day/s (@ $25 per day) or half day/s (@ $15 per half day)

Full Day (9:00 - 4:30pm)

Morning (9:00 - 12:30pm)

Afternoon (1:00 - 4:30pm)

Friday 2nd April

Saturday 3rd April

Sunday 4th April

User's size *

What would you consider the personal frame size of the user?

More Mobility is an Independent provider of new and used Mobility Equipment, our hire scooters will be available to purchase at reduced rates after Wheels at Wanaka. If you have any queries for More Mobility please contact 0800 666 222

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms