Ride-Away Norwalk: Request A Wheelchair Van Service Appointment

RIDE-AWAY NORWALK (888-743-3292)

Request A Wheelchair Van Service Appointment

QUICK LINKS

• Wheelchair Van Service • Wheelchair Van Service Offerings

Contact Information

Ride-Away Norwalk Toll Free:
888-RIDE-AWAY (888-743-3292)

Click Here for location specific hours of operation & contact information.

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Request A Wheelchair Van Service Appointment

Our Service department is staffed with the most qualified Service Technicians ready to answer your questions and address your service needs regarding your wheelchair van and adaptive equipment. Use our online form to request a wheelchair van service appointment or contact our service department at 888-RIDE-AWAY (888-743-3292) if you have any additional questions.

* indicates required fields.

Contact Information

First Name:*

Telephone:*

Email Address:*

Last Name:*

Vehicle Information

Year:*

Make:*

Brief Description of Problem:*

Model:*

Last 8 numbers of VIN: (Optional)

Appointment Information

Preferred Appointment Date:

Please select a calendar date that is best for you.

Preferred Appointment Time:

Submit

*This form does NOT schedule an actual service appointment but simply submits your service request information.

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