Your Name on passport
*It's required to present your passport at the service station.
*The invoice will be sent to this e-mail address.
Item to rentwheelchairportable ramp
Delivery time AMPMNight
*Select date and time you would start using the equipment(s).
Location to be delivered (Fill the address, name of venue, hotel, airpot, train station, etc.)
*We may not be able to deliver the equipment(s) due to delivery restrictions.
Location return from (Fill the address, name of venue, hotel, airpot, train station, etc.)
*The return shipping ticket would be prepared based on your entry of date and location.
Pay by ,
Additional requests, if any.
Please confirm if all of your entries are correct especially your e-mail, and check the box left, then click "Send". Please be advised that your reservation is not confirmed just by sending this form. Wilgo will contact you so that the final reservation process will be completed.