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Ready to rent or purchase our specialty equipment?

To reserve your product rental or purchase, please fill out the form below, and we will contact you as soon as possible.

 

Please select ONE of the following equipment rentals:

Equipment Rentals
Patient Name
Patient Name
First
Last

Billing

Name
Name
First
Last
Address
Address
City
State/Province
Zip/Postal
Country
Is this being shipped to a different address?

Shipping

Name
Name
First
Last
Address
Address
City
State/Province
Zip/Postal
Country
Please call LiquidGym at 613-820-8228 for rental payment processing.

TESTIMONIALS

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