Request a Quote

Please complete the form below, and we will email you a no obligation quote for you to review and approve.

It is important that we make sure the Omeo is suitable for all of our customers, so we ask anyone purchasing an Omeo to have a trial first. We also check that your mobility impairment, weight and height meet the criteria for safe use of the Omeo.

Omeo self-balancing mobility vehicle in action

First Name *

Surname *

Email Address *

Phone Number *

Street Address *

City

Postcode *

Brief details of your mobility impairment

This information is only used to ascertain suitability and is not shared anywhere.

Colour *

Joystick Side *

Controls Side *

Weight (kg) *

Height *

Comment

Accessories

Include Mobile Phone Holder?

Include Cup Holder?

Include Rod Holder?

Include Off-Road Kit?

Include Canvas Travel Cover?

Is this for a DWP Access to Work Quote (inc VAT)?

YesNo

I have: *

Read, understood and agreed to the terms and conditions contained within the Purchase Agreement and WarrantyAgreed to Adapt Ability collecting my personal information in accordance with the terms outlined in the Privacy Policy

If you don't receive an email confirmation, please contact us directly at enquiries@myadaptability.co.uk

Purchase Agreement · Omeo Limited Warranty · Privacy Policy

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