Toll-Free (877) 588-4782

Corporate Office (262) 628-9655
Fax (262) 628-9656

Western Regional Office (909) 561-9975

Commercial Event Inquiry Form

If you are interested in having Vista Mobility service your event please complete the online form below and a representative will contact you as soon as possible.

Please complete all fields.

Event Name:
Address of Event:  
City:  
State:  
Postal Code:  
Contact Name:  
Contact Phone Number:  
Contact Phone Extension:  
Type of Event:
How many days is the event?
Next Start Date for Event
Daily start time of event:
Daily End time of Event:
Weekend Times Vary
What is the TOTAL attendance:
(Please do not include vendors)
Are Golf Carts allowed for vendors? Yes  No
Have you had a Rental Service before? Yes  No 
Yes, but not within 5 yrs.
Do you currently have a Rental Service? Yes   No
     Estimate Electric Carts
    Needed:
     Estimate Wheelchairs
    Needed: