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Wheelchair Van Financing

Handicap Accessible Van Loans


We offer a variety of wheelchair van financing options to make owning a handicap accessible van easy and affordable. By working with several different vehicle lenders, we ensure that you get the best financing rates on your wheelchair van loan.

Our knowledgeable consultants are here to help you get the best financing rates on your wheelchair van loan. Give us a call today at (800) 570-0236 to join hundreds of satisfied customers who have invested in handicap accessible vans and get on the road to freedom!

Please complete the form below.

Equipment Information
Equipment:*
Cost:* $
Personal Information
Add Personal Guarantor to Application?  
 
Name:*
SSN:*
Date of Birth:*
Drivers License:*
Address:*
Address (cont.):
City:*
State & Zip:*
Primary Phone:*
Alternate Phone:
Email:*
Confirm Email:*

Residential Status:*
Time at Residence:* Years     Months
Rent/Mortgage:* $

Employment Type:*
Employer:
Salary: $
Time at Employer: Years     Months
Work Phone:

Other Income: $


The undersigned applies for the lease indicated in this application. Everything stated in this application is correct. IMED Mobility may retain the application whether or not the lease is approved. IMED Mobility and its Authorized Affiliates are authorized to check my credit and employment history for the purposes of determining my credit worthiness at the time of my application or thereafter in connection with the same transaction or extension of credit and for the further purpose of reviewing the account.
* I Agree to the terms above.


Signature:*
* I Agree to adopt this typed representation of my name as my signature.


Submit