Become an Authorized Dealer

Mobility Innovations partners with dealers who are dedicated, professional, and passionate about empowering individuals with limited mobility. Join our network of trusted experts, committed to delivering solutions that enhance freedom and independence for all.

Please complete the form below to apply to become an authorized Mobility Innovations dealer.

    E-Mail-Address*:

    Your Name*:

    State*:

    Zip Code*:

    Product Range*:

    Telephone Number*:

    Contact Preference*:

    Where did you hear about us?*:

    Notes: