Please use the form below to request a booking. Our shopmobility team will then email you to confirm.

    Name of Hirer

    What Shopmobility location do you wish to use?

    These are the days that Chester Shopmobility is open. Select the day you wish to start your hire.

    These are the days that Ellesmere Port Shopmobility is open. Select the day you wish to start your hire.

    These are the days that Northwich Shopmobility is open. Select the day you wish to start your hire.

    Please select the equipment you wish to hire.

    On what date do you wish to start the hire?

    On what date do you wish to return the equipment?

    Please complete the following details about yourself.

    Your telephone number - mobile preferred (required)

    Your email address (required)

    We have a range of mobility scooters and wheelchairs (with differing weight capacities) available to meet the varying needs of our customers. To ensure the safe use of mobility equipment and for insurance purposes please tell us:
    Your weight range (required)

    Additional Information

    I have read and understood Dial West Cheshire's Conditions of Hire.

    By submitting your enquiry you agree to Dial West Cheshire processing your data in accordance with our Privacy & Cookie Notice.