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To make a purchase at Cardinal Mobility please use this form. We will reply back to you shortly with a confirmation of your product. Please allow us 48 hours for a response.

If you need immediate assistance call us directly at: 1-242-363-2000 Ext. 65036

Retail Form – Canes

Guest Name *

Email *

Address *

City *

State *

Zip *

Phone *

Equipment Desired: *

Pickup Date *

Which Hotel will you pick up the Equipment? *

Additional Requirements

Comments & Questions