Nor-Cal Mobility Blog
25
Jun
Federal Government Launches National Resource Directory for Military and Veteran Communities
Friday, June 25, 2010 @ 9:26:00 AM - Written by America's Heroes at Work | 0 comments
This free online tool provides access to thousands of services, programs and resources at the national, state and community level.
Click here to read more.
30
Apr
Improved Accessibility Good for Business
Friday, April 30, 2010 @ 3:37:00 PM | 0 comments
In an article in the New York Times, writer Tanya Mohn explains how travel is becoming more accessible.
Click here to read more.
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Wheelchair Van Trade Evaluation Form
  Name:
  Address:
  City:
     State:        Zip: 
  Home Phone:
  Work Phone: 
  Email:
     
 

VEHICLE INFORMATION

  Year:
Make: 
Model: 
 Color:
  Tires Match:
Thread Depth: 
Transmission: 
Engine: 
  VIN:
  Asking Price:
Vehicle Condition:
Poor     Excellent
  Lienholder:
Outstanding Liens: 
Balance Due: 
    Please list any problems with the vehicle, if any:
 

FACTORY OPTIONS

   
Power Moonroof Cassette Towing Package
Rear A/C and Heat CD 6-CD Premium Wheels
DVD Single CD Only Captain's Chairs
Power Windows Leather Seats Quad Seating
Power Door Locks Driver Power Seat   Other:
Keyless Entry Passenger Power Seat  
Premium Sound Onboard Navigation   Other:
Cruise Control Privacy Glass  
AM/FM Stereo Running Boards   Other:
         
  MINIVAN ADAPTIVE EQUIPMENT
  Conversion Company:
Braun VMI ElDorado Viewpoint    Other:
 


 
Wheelchair Tie Downs Power Transfer Seat   Other:
Hand Control Low-Effort Brakes  
Power Parking Brake Back-Up Brakes   Other:
Steering Extension Zero-Effort Steering  
 

FULL-SIZE VAN ADAPTIVE EQUIPMENT

  Drop Floor:
Full Passenger Cargo   Conversion Company:
 











 
Slider Door Steering Extension Zero-Effort Steering
Raised Door Back-Up Steering Wheelchair Lift Model:

Wheelchair Lift Location:

Other:

Other:

Wheelchair Tie Downs Power Transfer Seat
Raised Roof Power Door Opener
Hand Control Low-Effort Brakes
Power Parking Brake Back-Up Brakes

 

  Estimated trade-in value of vehicle is good for 30 days. Vehicle will be re-evaluated upon turn-in. Because this is an electronic estimate, value of vehicle may change upon visual inspection. Estimated value may change due to service repairs if any are necessary. If vehicle is located outside of our business area, transportation costs may be deducted from vehicle price. Please initial that you understand the limitations to this online vehicle estimate:
    Initials: