Schedule a Time to Talk with your BraunAbility Dealer

BraunAbility products are sold through authorized dealers worldwide. To help us connect you with your closest dealer, please take a moment to enter your contact information.

*Name:	* required
Address:
City:
State/Province:	* must be at least 2 characters!
*Zip/Postal Code:	* required * must be at least 5 characters!
*Phone:	* required
Email:	Invalid format.
*If you have a need for a BraunAbility Minivan, we will be able to serve you better if we know a little more about your situation. Before we search for your nearest dealer, would you like to take a few moments to use our online Ability Guide?   Please choose Yes or No Yes No To begin, please tell us who the wheelchair user is:    Please make a selection  myself spouse parent child friend

Fields marked with a "*" are required. Please read our referral policy – we will not distribute your information.

Thank you for using our online Ability Guide.
The information you provide will give your local dealer a
head start in selecting the right vehicle for you.

Have you ever owned a lowered floor vehicle before?
	Yes No
What is your age?
What type of wheelchair do you use?
	manual wheelchair electric 3- or 4-wheel scooter power wheelchair
Please provide the make and model of your chair:
Describe the nature of your disability and how it affects your mobility. Feel free to include as much detail as you like:
What are you currently using for accessible transportation?
Where will you ride in the van (check all that apply)?
	driver front passenger center position (riding in wheelchair) rear bench seat not sure
Are you able to transfer from your chair?
	Yes, without assistance Yes, with assistance No
Will you travel independently or with an attendant?
	Independently Attendant
Are you interested in a fully-automatic or a manual conversion?
	Automatic Manual Not sure at this point - I'd like to explore both options
Are you interested in an Infloor or Foldout ramp?
	Infloor Foldout Not sure at this point - I'd like to explore both options
Do you have a chassis preference (select all that apply)?
	Dodge/Chrysler Toyota No preference