Jump to navigation
Search
empty wish list
-
A
A
+
A
Our Products
Mobility
Home Accessibility
Motion Kids
Daily Living
Personal Care
Our Services
Mobility & Accessibility Solutions
Repairs & Maintenance
Rentals Equipment
Preferred Supplier
Locations
About Us
Contact Us
Our Story
Partners
Testimonials
Financing
Policies
Careers
Home
ยป Service Request
Request Service
You must have Javascript enabled to use this form.
Motion Location
*
Calgary
Edmonton
Lethbridge
Red Deer
Comox
Kelowna - Creative Mobility
Nanaimo
Penticton - Creative Mobility
Sidney
Vancouver
Vernon - Creative Mobility
Victoria
Barrie
Belleville
Chatham
Cornwall
Dryden - By Appointment Only
Hamilton
Hawkesbury
Kingston
Kitchener
London
Mississauga
North Bay
Oshawa
Ottawa
Peterborough
Sarnia
Sault Ste. Marie
St. Catharines
Sudbury
Thunder Bay
Timmins
Toronto - No Retail Showroom
Windsor
York Region
Saskatoon - MEDIchair
Client Name
*
Client Representative Name (if applicable)
Address (include#)
City
*
Postal Code
Phone #
*
Additional Phone
Email Address
*
Yes, I would like to receive communications from Motion, including product information, educational opportunities and promotional offers. You can unsubscribe at any time. View our
privacy & security policy
for details.
*= Required Field
Primary Caregiver
Apartment #
Buzz Code
Equipment Type
Comments/How can we help?
I'm requesting service...
at Motion.
in my home. *
Equipment Purchased through Motion?
Yes
No
* Additional Charges May Apply
Leave this field blank
