To contact us or for more information,
please call Steve of Miraflor Mobility on

Tel : 0034 679 636 315

email :  miraflor9@yahoo.co.uk

Or use our enquiry form below

 

Mobility Aid Hiring Form

To enquire about hiring some of our disability aids, just complete the form below and click submit.

Required fields are marked in Blue

First Name :

Last Name :

email Address :

Contact Telephone No:

   

Address in Fuerteventura  
where you will be staying:

Address line 2:

Address line 3:

Postcode :

Which Mobility aid(s)   
would you like to hire :

Electric Scooter       

Wheelchair       

Electric Wheelchair       

Walker      

Hiring period :

 

Start date of hiring period :

 

Comments :

Please enter the number below to verify

 
        

Privacy: We do not share your details with any third parties.


 

 

Tel: 0034 679 636 315

email : miraflor9@yahoo.co.uk



 

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