Rainbow(graphic)
Rainbow Medical Supply Inc.
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Call us Toll-free at 1-800-454-8008

 
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Rental Equipment Available at our locations:

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If you are interested in a rental reservation, please take the time to provide us with the details below. We look forward to helping you!

First Name:
Last Name:
Email Address:
Height:
Weight:
Accommodations:
Hotel name:
Hotel number:
Other location address if not at hotel:
Arrival Date:
Time:
Departure Date:
Time:
Do you need assistance with your flight/travel arrangements:
Yes
No
Comments/Questions:

*This information is transmitted as using encryption via a secure server(SSL)


Thank You!

 

Rainbow Medical Supply, Inc.
16-186 Kalara Street
Shipman Business Park
Keaau, HI  96749
Phone: 808-982-3830
Fax: 808-982-3835


Email: info@rainbowmedicalsupply.com

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