Viewpoint Mobility | Contact Us

Vision by Viewpoint Mobility

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Make contact with Viewpoint Mobility by completing the form below. The required fields are indicated in red.

First Name:		Last Name:
Phone:		Email:
Address:		City:
State:		Zip:

Would you like to receive our:		How did you hear about us?
	Free Video	Select one
	Email Newsletter	or specify:
	Dealer Information
	DVD (View Online)

Do you currently own a wheelchair accessible van? If so, which type?
	Yes No	Type:

What type of wheelchair is used?

Will the wheelchair user be driving the vehicle?			Yes No

Can the wheelchair user transfer from a wheelchair to a seat?			Yes No

Would you like a free, no-obligation demo of our vehicle?			Yes No

When do you expect to make a purchase?

Do you have any additional comments?


		Submit

View Point Mobility, LLC · 1815 Palmer Avenue · Kalamazoo, MI 49001 · p. 1-877-368-6022 · f. 269-344-5649