MOBILITY SCOOTER CARRIER

Customer Information

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Versa-Haul Mobility Scooter Carrier

Part Number	Description	Qty	Price
51009-1	VH-MS, Mobility Scooter Carrier - Hitchmount. Ramp included.		$688.
51009-2	VH-MS XL, Mobility Scooter Carrier - Hitchmount. Ramp included.		$848.

Accessories

Part Number	Description	Qty	Price
	VH-HR3, Hitch Riser Class III		$128.
	VH-HR2, Hitch Riser Class II		$118.

Total Cost

Lift Cost
CA Residents Add Local Sales Tax
Shipping & Handling	FREE with lift order
Total Cost

There are 3 ways to submit your order,

• Print a copy of this form and FAX to 530.432.7751, or
• Print a copy and mail to the address below, or
• Call us at 800.828.8281 or 530.432.7758