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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