Requesting A Quote

At ERAC International, we strive to provide the highest quality equipment and supplies at the best possible wholesale prices. Our goal is to bring these products to you in an accurate, convenient and efficient manner, while providing exceptional customer service. We want your experience with ERAC International to be as hassle free as possible.

We have created the online Quote Request form below to help make requesting a quote as straightforward as possible. Simply complete the information below and click the “submit quote request” button and your quote request form will be forwarded to one of our friendly and knowledgeable customer service representatives.

If you prefer to obtain your quote by phone, call us at 800-575-8775 during our standard business hours and we will be happy to assist you.

Quote requests are typically processed within 1-2 business days from the day they are submitted. Once we have the final quote we will contact you (via the preferred method you have selected) and provide you with the total cost and answer any questions you may have.

Whether you need a quote on a custom wheelchair, urological products, a wheelchair cushion, or replacement parts, we will give you as much or as little help as you need.

Please note that quotes are valid for 90 days from the date they are issued.

Contact Info

Name: *
Company Name: *
Phone Number: *
Email Address: *
How do you prefer to be contacted?

Equipment of Interest

Manufacturer:
Model/Product #:
Product Size:
Quantity:
Description and Comments: