Company Products and Services Details
What service(s) do you provide?
(e.g. Mobility Equipement Sales, Services, Used Vehicle Sales, DME, Para Transit, Driver Training)
What vendors do you represent?
(e.g. Braun, Bruno, El Dorado, Quickie IMS, Vantage)
What unique products or services do you provide?
Company Size Details
Mobility Sales Volume:
Rental Staff Size:
Is there a 24-hour support to any of your numbers?
(e.g. answering service, voice mail)
Please provide details includeing phone numbers.
Do you or have you ever, rented wheelchair accessible vehicles and/or wheelchairs and scooters?
Please describe the nature of rental business and any affiliations with other rental organizations.
Do you have insurance on your rental fleet?
How much does it cost per van a month:
Do you currently use any software to track your profit/utilization on your rental fleet?
What most interests you about AVA and becoming a member of AVA?
What geographic area are you looking for?
What major airports would you service?
Do you have the ability to obtain $150,000.00 in vehicle financing?
How many vehicles do you forsee having in your rental fleet
the First Year:
the Second Year:
the Third Year:
Predicted on mutual acceptance, what date would you be able to begin renting?
What Professional or Trade Association memberships do you have?
(e.g. NMEDA, NMTA)
Other information members should know about your business and/or services.