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Request for equipment hire

Please fill in the following form to reserve mobility equipment at the Melbourne Mobility Centre. Conditions of hire information is located below.

Please note – you will need to sign the following documents to confirm your booking when you attend the Centre.

MMC - Conditions of Hire and Disclaimer (Text only, 36kb) 
MMC - Conditions of Hire and Disclaimer (PDF, 48kb) 

Melbourne Mobility Centre - Tyre Disclaimer (Text only, 24kb) 
Melbourne Mobility Centre - Tyre Disclaimer (PDF, 52kb) 



Request to hire equipment











Contact details





*Proof of Identity:




Please see section one of 'Conditions of Hire' for details. NO CREDIT CARD details please