Rental Request Form


Item
Week
Month
scooter
Golden LiteRider 3 wheel scooter
$50.00/week
$175.00/month
liftchair
Golden PR-200 2-position lift chair
N/A
$150.00/month
bed
Full electric Home Care bed w/ either Half or
full length side rails and 80" Innerspring mattress
N/A
$150.00/month
overthebedtable
Over-the-bed table
N/A
$25.00/month
wheelchair1
16", 18" or 20" seat width Wheelchair with either
Elevating or standard footrests
$40.00/week
$140.00/month
wheelchair2
Heavy-duty wheelchair 22" or 24" seat width
$50.00/week
$175.00/month
kneewalker
Knee Walker
$35.00/week
$125.00/month
ramp
6ft. Aluminum folding ramp
N/A
$140.00/month