Please provide us with required information and click “Send”.Wilgo will contact you within 24 hours.
Your Name (required)
Your Email (required)
Pick up place (Fill the address, name of venue, hotel, airpot, train station, etc.)
Pick up date Pick up time 6:7:8:9:10:11:12:13:14:15:16:17:18:19:20: 00153045
Destination (Fill the address, name of venue, hotel, airpot, train station, etc.)
Number of passengers Wheelchair012 Accompanying0123
Wheelchair Your own standard typeYour own electric typeYour own othersRental standard type (Free of charge while on vehicle)
Optional equipments No thanksReclining Wheelchair
Your Message
Please confirm if all of your entries are correct especially your e-mail, and check the box left, then click "Send".
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