SERVICE APPOINTMENT FORM

R&R mobility now offers you the easy and flexibility of scheduling your next service appointment online! Never before has it been this convenient to take care of your adaptive equipment. Take advantage of this new service feature today. Simply fill out the service request form below and hit send. You will be contacted with in 24 hours to confirm your appointment request. If you are having an emergency do not send request for help on line, call the main office at 770-483-0767 and request the service department. If it is after hours you will be prompted to call the 24 hour on call technician.

Personal Information  
First Name
Last Name
Address
 
City
State
Zip
Daytime Phone
Email Address
 
Vehicle Information  
Year
Make
Model
VIN #
Color
Conversion/ equipment
   
Location of Service Request
Date of Service Request use format mm/dd/yyyy
Time of Service Request use format 8:00 AM

HANDICAP VANS – SCOOTER VANS – CONVERSION VANS – ACCESSIBLE VANS – WHEELCHAIR VANS
BRAUN RAMP VANS – BRAUN ENTERVANS – VMI INFLOOR RAMP CONVERSIONS – REAR ENTRY VANS
Delivery Service Available anywhere in the Southeast!
Atlanta, GA ٠ Birmingham, AL ٠ Tallahassee, FL ٠ Nashville, TN ٠ Columbia, SC ٠ Charlotte, NC ٠ Macon, GA ٠ Huntsville, AL ٠ Jacksonville, FL ٠ Knoxville, TN ٠ Greenville, SC ٠ Asheville, NC ٠ Columbus, GA ٠ Montgomery, AL ٠ Tampa, FL ٠ Chattanooga, TN ٠ Charleston, SC ٠ Raleigh, NC ٠ Savannah, GA ٠ Mobile, AL ٠ Miami, FL ٠ Memphis, TN ٠ Anderson, SC ٠ Winston-Salem, NC
  Visit our two convenient locations:  
Conyers, GA

Atlanta/Conyers
2130 Sigman Road
Conyers, GA 30012
Ph # 770-483-0767
Fax# 770-483-0726
Toll free 877-569-0780

 Buford, GA

Near Mall of GA
4540 Atwater Ct. #101
Buford, GA 30518
Ph # 678-730-0220
Fax# 678-730-0224
Toll free 866-436-9704

HOME | LOCATIONS | TESTIMONIALS | ABOUT US | CONTACT | SERVICE | VAN RENTAL | PAYMENT CALCULATOR