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Service Enquiry

Service Enquiry Form

A form needs to be completed for all enquires for service, for our records and for organisation.

Please fill in this form now as best you can, it will not be set in concrete.
We will contact you very soon to finalise requirements and to make an appointment for service.

We will come to you if you wish or you may deliver to our base, after we contact you.
Our call out fee is the greater of : the travel at 2.00/km+10.00 or 50.00.

You will be given as much information as you request and will be provided you with an agreed estimate, quote or an invoice.

If you have questions right now, write a note in the message section of this form. This will save a lot of time for both parties.

Items with the * are required to be filled - if you have no idea, put an "x". If you wish to deliver / collect from our base, put "Base".

Note: You will receive a copy of this form by email for you records.

Thank you.


Payment and Credit Card Policies

GST (Goods and Services Taxes)
All mobility devices, sales, service, parts and hire is GST exempt and GST is not charged on invoices.

You may elect to pay by Cash, Bank Transfer, Bank Deposit, or Debit / Credit Card.
Cash on delivery to your home / business or at pickup from our base is acceptable.

Mobility Scooters for Hire accepts Visa and MasterCard and is able to process MOTO (mail order / telephone order).
Payment by Credit Card is through our CBA EFTPOS portal to Ronica Trade ™.

Data Protection

By entering into a service agreement you agree that we can process and store your personal information in connection with this agreement. We will use your information to provide services to you as best as possible, analyse statistics, for market research, credit control and to protect our assets.

Your personal information is held securely and in strict confidence by Mobility Scooters for Hire, and is not given to any other party excepting as and if required by law.

You agree that if you break the terms of this agreement we can pass your personal information to credit-reference agencies, debt collectors, the police or any other relevant organisation.


Date :   
Your Name (common & family) : *
Home Address No. / Street : *
Home Address Suburb / City : *
Home Address State / Postcode : *
Phone Number : *
Email Address : *
Preferred method of payment : *
How did you find us ? : *
   Your message : Please give a detailed idea of the service work require. *

I confirm I am a human.  *  

* Required

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Open Hours
Mon Tue
Thu Fri
Saturday /
2 - 9 PM
9 - 9 PM
9 - 9 PM
9 - 6 PM
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2 Wellman Street, Reservoir, VIC 3073








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