Contact Us

General Contact

Address

215 7th Ave NW
Waverly, OA 50677

Phone

319-348-5363

Email

RIMWaverly@gmail.com

Application

Are you able to come to our office/shop

Information provided by.

Will use indoors? If so, are all your doorways wide enough?

Do you or plan on having a handicap ramp to home?

Will use outdoors? If so, only use on level surfaces

Do you have or will have a transport vehicle for power unit?

Will you need help on and off your power unit?

What type of power unit requested by applicant?

Current Weight

I Agree to the terms and conditions below.

Transfer Costs 

I understand and acknowledge that there may be transportation costs that RIM may request to be reimbursed by applicant 

Refurbishment Costs 

I understand and acknowledge that there may be additional costs associated with refurbishment of unit that may be owned by applicant. Specifically, if a new battery is needed for the unit I may be charged for the costs of the battery. 

Disclaimer

I, the undersigned, acknowledge that RIM does not provide any warranty for the unit I receive. All goods are received by the applicant are in “as is” condition and “with all faults” RIM makes no representation or warranty, express or implied including but not limited to warranties of merchantability or fitness for a particular purpose. 

Recipient Agreement

As the recipient of a unit from RIM, I understand that RIM is a nonprofit entity which has provided a unit to me for my personal use at little to no cost. I further understand that RIM does not retain any ownership of the unit, however, I agree to take reasonable steps necessary to return the unit back to RIM for continued use in their programming.

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