CONVERSION QUOTE REQUEST FORM

PURCHASE INFORMATION

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VEHICLE REQUIREMENT INFORMATION

Do you own vehicle that you wish to adapt? Yes  No
Do you intend to drive your vehicle? Yes  No
What size are you interested in? Full  Mini
Doctor's prescription for adaptive equipment? Yes  No
Sitting Height:  Overall Chair Width: 
New or Used Van    New   Used
Hand Controls Wheelchair Lift Wheelchair Ramp Scooter Lifts
Transfer Seat Raised Roofs Remote Entry  

CONTACT INFORMATION

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Last Name:
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Address:
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State or Country: Zip Code
Phone Number--
Best Time To CallAM  PM

Comments:

YOUR TRADE IN INFORMATION

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If your answer is no please scroll down to the end or  click here for your quote submission.
Year
Make
Model
Mileage
Van Converter Ramp   Lift
VIN #

SELECT YOUR VEHICLE CONDITION

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Mechanical problems or visual defects ... more Some mechanical defects, visual blemishes ... more No major mechanical defects or visual blemishes ... more Excellent mechanical condition, glossy paint, perfect interior ... more

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All information submitted will be kept confidential and will be used solely for the promotion or sale of submitted vehicle.

 

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MITS IS ABLE TO ARRANGE CUSTOM 10 YEAR FINANCING ON YOUR NEW WHEELCHAIR VAN!

WHEELCHAIR VAN TRADE INS WELCOME ! HIT THE VAN QUOTES BUTTON TO THE LEFT

Vehicle One Service Contracts from Universal Warranty Corporation by MITS

SERVICE CONTRACT'S AVAILABLE HERE

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ON ALL USED VANS

 Vehicle One Service Contracts from Universal Warranty Corporation by MITS

SERVICE CONTRACT'S AVAILABLE HERE

MITS HAS BEEN IN THE WHEELCHAIR VAN BUSINESS FOR OVER 37 YEARS ! We offer door to door service, 24 hour accessibility. All wheelchair vans are insured while on the truck and we do not terminal your van to provide immediate, on the road service for faster deliveries. *Except New Braun Vans Call For Details*

We offer door to door service, 24 hour accessibility. All wheelchair vans are insured while on the truck and we do not terminal your van to provide immediate, on the road service for faster deliveries. *Except New BraunAbility Vans Call For Details*

 MITS PROVIDES FLEET AND DEALER SALES

*EXCEPT NEW BRAUN VANS CALL FOR DETAILS*

COMPUTE YOUR WHEELCHAIR VAN PAYMENTS HERE

Wheelchair Van Payment Calculator From MITS of Florida

MITS is a member of this premier society dedicated to advancing mobility engineering worldwide.
NHTSA is the federal government agency with the authority to regulate the manufacture of automotive adaptive equipment and modified vehicles used by persons with disabilities. MITS IS A MEMBER OF THE NMEDA QAP PROGRAM MITS is a member of ADED - The Association for Driver Rehabilitation Specialists was established in 1977 to support professionals working in the field of driver education / driver training and transportation equipment modifications for persons with disabilities through education and information dissemination. MITS is a member of the ADA. ADA members have excellent track records in providing consultation and customer service for van conversions, hand controls, wheelchair lifts, scooter lifts, tie downs, conversion van rentals, Para transit and other adaptive equipment.
The Leading Rampvan Dealer In The World Visit Our Site Partner At Venice Dodge

Mobility Independent Transportation Systems, Inc.

8203 Ulmerton Road, Largo, FL 33771
Toll Free : 800-868-6641 or Local : 727-524-1300
Fax : 727-524-1919

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