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1 FRAME SELECTION FRAME TYPE Seat angle is set at 3 degrees. See service manual for details. PATRIOT Folding Frame w/swingaway Front End $1,345 FRAME WIDTH W14 14'' Wide No Charge Not available with 18" Seat Depth. W16 16'' Wide No Charge W17 17'' Wide No Charge W18 18'' Wide No Charge W20 20'' Wide No Charge SEAT DEPTH D16 16'' Seat Depth No Charge D18 18'' Seat Depth No Charge FRONT SEAT-TO-FLOOR HEIGHT FSTF155 Seat-to-floor 15.5 No Charge FSTF16 Seat-to-floor 16 No Charge FSTF165 Seat-to-floor 16.5 No Charge FSTF175 Seat-to-floor 17.5 No Charge FSTF185 Seat-to-floor 18.5 No Charge FSTF195 Seat-to-floor 19.5 No Charge REAR SEAT-TO-FLOOR HEIGHT RSTF14 Seat-to-floor 14 No Charge RSTF15 Seat-to-floor 15" No Charge RSTF16 Seat-to-floor 16 No Charge RSTF17 Seat-to-floor 17" No Charge RSTF18 Seat-to-floor 18 No Charge RSTF19 Seat-to-floor 19 No Charge REAR AXLE POSITION ACTIVE Active Rear Axle Position (In front of Back Cane) Standard STABLE Stable Rear Axle Position (Behind Back Cane) No Charge ARM & BACK SELECTION ARM TYPE 78 Full Length Fixed Height Space-Saver $ Full Length Adjustable Height Space-Saver $ Desk Length Fixed Height Space-Saver $ Desk Length Adjustable Height Space-Saver $ Full Length Fixed Height Conventional $ Full Length Adjustable Height Conventional $ Desk Length Fixed Height Conventional $ Desk Length Adjustable Height Conventional $358 DESKADJLOWSS Low Desk Adjustable Space Saver Arm $358 FULLADJLOWSS Low Full Adjustable Space Saver Arm $358 BACK TYPE ADJ Adjustable Back w/10º Bend Standard Back height is set at 16". AT20 10º Bend w/push Handle 20" $85 AT20 back height is 20". S1519 Straight Back w/ Push Handle (15" - 19") No Charge Back height is set at 16". ANGADJ Angle Adjustable Back w/10º Bend No Charge Invacare Patriot - Lightweight Folding Wheelchair Suggested Canadian Price List Effective March 2nd, 2009 Revised July 1st, 2011 *UPDATED - DE CHANGES NAME PHONE NO ACCOUNT# P.O. DATE ADDRESS IMPORTANT NOTE: Please refer to the Seat to Floor Charts on last page to determine proper caster and rear wheel size selections for desired seat-to-floor height. For the most current pricing information visit Page 1 / 5
2 ANGAT20 Angle Adjustable 10º Bend w/push Handles 20" $165 ANG1519 Angle Adjustable Straight Back w/push Handles (15" - 19") $165 CASTER & WHEEL OPTIONS CASTER OPTIONS 5ALUM 5" Aluminum Urethane Casters $147 AT901 5" Composite Urethane Casters No Charge AT5SOFT 5" X 1 1/2" Wide Soft Roll Casters No Charge Only available with A11042 Short Fork. AT902 6" Composite Urethane 3 Spoke Casters No Charge 6PNEU 6" X 1 1/4" Composite Pneumatic Casters $73 AT903 8" X 1 1/4" Composite Urethane Casters Standard P70 or P70T front rigging are not available with 8" pneumatic or pneumatic flat-free casters if a 16" deep frame and a hemi STF height is choosen. AT1292 8" X 1 1/4" Pneumatic Casters No Charge 1492 Flat Free Inserts for 8" X 1 1/4" Casters $123 FORK TYPE A11042 Short Fork (2 Hole Fork) No Charge Only available with AT5SOFT casters. A " Short Fork (3 Hole Fork) No Charge A " Fork.... No Charge A " Fork..... No Charge WHEEL OPTIONS 1763BK 20" Composite Pneumatic Tires $ BK 20" Composite Pneumatic Flat Free Inserts $336 U1763BK 20" Composite Urethane Tires No Charge 1764BK 22" Composite Pneumatic Tires $ BK 22" Composite Pneumatic Flat Free Inserts $336 U1764BK 22" Composite Urethane Tires No Charge U2222C 24" Composite Urethane Corded Tires No Charge If needing Aluminum handrims, please choose P BK 24" Composite Pneumatic Tires No Charge 4244BK 24" Composite Pneumatic w/ff Inserts $123 U2244BK 24" Composite Urethane Tires No Charge High profile treaded urethane tires. HANDRIM OPTIONS ALUMPC Aluminum Anodized Handrims Standard A1512 Plastic Coated Handrims $110 CHDRM Chrome Handrims No Charge COM Composite Handrim No Charge P1512 Black Wrinkle Coated (Aluminum) No Charge Only available w/u2222c rear wheels. AT Plastic Coated w/8 Oblique Projections $295 AT Plastic Coated w/8 Vertical Projections $295 AT Plastic Coated w/12 Vertical Projections $295 L8702 Omit Handrims Only Less net ($15) CLD ONE ARM DRIVE Available with P60 front riggings only. LDR96LI CLD Lever Drive LH 6" Install.. $1,294 LDR96RI CLD Lever Drive RH 6" Install.. $1,294 LDR98LI CLD Lever Drive LH 8" Install.. $1,294 LDR98RI CLD Lever Drive RH 8" Install.. $1,294 = Not compliant with Quebec Builder Program Please Note: Any option listed below is not available for the Quebec builder program. Choosing one of these, will source the chair to be built from our US plant and not allow the seating product to ship together. LDR96LI / LDR96RI / LDR98LI / LDR98RI Any Specials WHEEL LOCKS 9695 Hill Holder Wheel Locks (Bolt Thru Wheel Locks) $143 Not available with urethane tires Pull-To-Lock Wheel Lock (Bolt Thru) No Charge 9691 Push-To-Lock Wheel Lock (Bolt Thru) No Charge A1567 Pull-To-Lock Wheel Locks (Clamp On)(STD on Hemi) Standard 1721 Hi Push-To-Lock Wheel Locks (Clamp On)(STD on Adult) Standard A1576 Wheel Lock Extensions (8") $61 FRAME & UPHOLSTERY COLOUR FRAME FINISH CONTEMPORARY 24P Wet Black No Charge 60P Silver Metallic No Charge 71P Silver Vein No Charge 105P Midnight Blue No Charge 115P Black Prism.. No Charge For the most current pricing information visit Page 2 / 5
3 TOO HOT 30P Sunny Yellow No Charge 61P Electric Red No Charge 119P Bubblegum Pink No Charge 120P Grape Madness No Charge WAY COOL 62P Electric Blue No Charge 104P Electric Teal No Charge 121P Lolly Pop Blue No Charge 122P Cosmic Blue No Charge 125P Emerald Green No Charge 127P Grasshopper Green No Charge UPHOLSTERY COLORS U240 Black Nylon Upholstery No Charge U245 Black Sail Cloth Adjustable Tension Seat Standard U245 Sail cloth adjustable tension seat only. Available w/u240 black nylon back upholstery. L8651 Omit Seat Upholstery Less net ($15) TOUCH-UP COLOUR NN380 Touch-Up Paint Colours $44 Not available in all colors. POSITIONG STRAPS SEAT POSITIONING A1515 Auto Style Seat Positioning Strap $81 A1321 Hook & Loop Seat Positioning Strap $63 CHEST POSITIONING 9515 Auto Style Chest Positioning Strap $ BK Hook & Loop Chest Positioning Strap $63 ACCESSORIES ARM ACCESSORIES 1474W Full/Desk Uph. Waterfall Arm Pad $44 NRAS Non-Removable Arm with Screws No Charge L8405 Omit Arm Pads Only Less net ($15) A1571 Fabric Clothing Protectors $107 BACK ACCESSORIES L8601 Omit Back Upholstery Less net ($20) ADJTENS Adjustable Tension Back Upholstery $137 BP02 Back Pack $101 SEAT ACCESSORIES L8651 Omit Seat Upholstery Less net ($15) MISC. ACCESSORIES A1577 Quick Release Axles $137 A1569 Crutch & Cane Carrier $ IV Rod, Telescopic $178 P1580 Anti-Tippers (See Anti Tipper Matrix) $105 P1580A Anti-Tippers (See Anti Tipper Matrix) $105 P1580SH Anti-Tippers (See Anti Tipper Matrix) $105 P1580SPL Anti-Tippers (See Anti Tipper Matrix) $105 FRONT RIGGING OPTIONS FRONT RIGGING P70 70º Swingaway Footrest $232 P70 or P70T front rigging are not available with 8" pneumatic or pneumatic flat-free casters if a 16" deep frame and a hemi STF height is choosen. P60 60º Swingaway Footrest $232 P70T 70º Tapered Footrest $270 Not available on 14" wide or w/extra large footplates. Must use pull-to-lock wheel locks, due to interference. ATL4A Centre Pivot Articulating Legrests $377 Must use pull-to-lock wheel locks, due to interference.not available on 14" wide. Only available with aluminum footplates. AT5044 Elevating Legrests $545 FOOTPLATE TYPE A1562 Aluminum Footplates No Charge AT5543 Adjustable Angle Flip-Up Footplates $ Flip-Up Composite Footplates Standard A1564 Extra Large Aluminum Footplates $102 N/A with ALPT A1337 Calf Strap $61 Standard on P70T footrests. For the most current pricing information visit Page 3 / 5
4 IMPACTG Impact Guards No Charge ALPT Longer Pivot And Slide Tube $127 A9342 H Heel Strap $90 A1600BK Heel Loops With Ankle Straps $81 HLOOP Heel Loops Without Ankle Straps No Charge L8515 Omit Calf Pads Less net ($10) MATRX SEATING On chair seating now available within our configurator. As long as your chair is a QUE build and you select a cushion or back from this list, it will ship together with your chair All other seating not listed here, will ship separately and from our Mississauga DC and not apart of the 10% off program. CUSHIONS MA1616-Vi-Q MaTRx-Vi Cushion 16W x 16D $608 MA1618-Vi-Q MaTRx-Vi Cushion 16W x 18D $608 MA1816-Vi-Q MaTRx-Vi Cushion 18W x 16D $608 MA1818-Vi-Q MaTRx-Vi Cushion 18W x 18D $608 MA2016-Vi-Q MaTRx-Vi Cushion 20W x 16D $664 MA2018-Vi-Q MaTRx-Vi Cushion 20W x 18D $664 PS1616-Q MaTRx-Vi Posture Seat 16W x 16D $555 PS1618-Q MaTRx-Vi Posture Seat 16W x 18D $555 PS1816-Q MaTRx-Vi Posture Seat 18W x 16D $555 PS1818-Q MaTRx-Vi Posture Seat 18W x 18D $555 PS2016-Q MaTRx-Vi Posture Seat 20W x 16D $555 PS2018-Q MaTRx-Vi Posture Seat 20W x 18D $555 BACKS MPB1416-Q MaTRx-PB Posture Back 14W x 16H $716 MPB1616-Q MaTRx-PB Posture Back 16W x 16H $716 MPB1716-Q MaTRx-PB Posture Back 17W x 16H $716 MPB1816-Q MaTRx-PB Posture Back 18W x 16H $716 MPB2016-Q MaTRx-PB Posture Back 20W x 16H $716 MPBD1416-Q MaTRx-PB Posture Back Deep 14W x 16H $716 MPBD1616-Q MaTRx-PB Posture Back Deep 16W x 16H $870 MPBD1716-Q MaTRx-PB Posture Back Deep17W x 16H $870 MPBD1816-Q MaTRx-PB Posture Back Deep 18W x 16H $870 MPBD2016-Q MaTRx-PB Posture Back Deep 20W x 16H $870 PBE1416-Q MaTRx PB Elite Back 14W x 16H $747 PBE1616-Q MaTRx PB Elite Back 16W x 16H $747 PBE1716-Q MaTRx PB Elite Back 17W x 16H $747 PBE1816-Q MaTRx PB Elite Back 18W x 16H $747 PBE2016-Q MaTRx PB Elite Back 20W x 16H $747 PBE1620-FB-Q MaTRx PB Elite Back 16W x 20H $747 PBE1720-FB-Q MaTRx PB Elite Back 17W x 20H $747 PBE1820-FB-Q MaTRx PB Elite Back 18W x 20H $747 PBE2020-FB-Q MaTRx PB Elite Back 20W x 20H $747 CALF STRAPS AND BELTS Choose only one. One calf strap style or one seat belt. BP-CS-M-Q Padded calf strap, Medium $90 BP-CS-L-Q Padded calf strap, Large $90 BP-CP-MD-Q Air Mesh Calf Panel - Medium... $140 BP-CP-LG-Q Air Mesh Calf Panel - Large $140 BP-PLB2-Q 2Point padded lap belt, auto style $139 BP-PLB4-Q 4Point padded lap belt, auto style.. $170 For the most current pricing information visit Page 4 / 5
5 Invacare Canada reserves the right to change prices and specifications without notice. HEAD OFFICE Matheson Blvd, Unit# 8, Mississauga, ON L4Z 4G4 Phone: (905) (800) (Canada) Fax: (905) (800) (Canada) Regional Centre Boul. Hymus, Kirkland, P.Q. H9H 3L4 Phones: (514) (800) (P.Q.) Fax: (514) Invacare, and Yes, you can., are trademarks of Invacare Corporation. For the most current pricing information visit Page 5 / 5
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BENTLEY. 15" Seat Width 18" Seat Width. Requires Heavy Duty Base and Seat Frame. Extended delivery lead times may apply.
C u s t o m e r a n d O r d e r I n f o r m a t i o n Purchase Order * Dealer/Provider Name * Purchaser Name and Contact Information * Billing Address * Tag v.072318 Shipping Address * * required F r a
STELLAR GL. Order Form - USA Prices in U.S. Dollars. January 1, C u s t o m e r a n d O r d e r I n f o r m a t i o n.
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q q q q q q q q q q q q q q q q q q Frame q Titanium Frame K5-CAT5-TITAN $ Includes hangers and base frame. Does not include Cross Braces.
Funder: Order Number: Date: q Quote q PO Number: Therapist: Marked For: Catalyst 5 K5-CAT5-ALI 136kg weight capacity Frame Seat Width / Seat Depth Select box corresponding to desired Seat Width and Depth
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519, J-Oswald Forest, suite 101 Saint-Roch-de-l'Achigan, QC, Canada J0K 3H0 T.450 588-6555 1 866 650-6555 F.450 588-0200 www.motioncomposites.com Account : PO : Vendor : CUSTOM TECHNOLOGIES LIMITED Date
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SIDEFRAME AND CROSSBRACE... 3 ARM: FLIP-BACK FIXED-HEIGHT... 4 ARM: FLIP-BACK ADJUSTABLE-HEIGHT... 4 REAR WHEEL... 5 CASTER... 5
PARTS CATALOG CONTENTS SIDEFRAME AND CROSSBRACE... ARM: FLIP-BACK FIXED-HEIGHT... 4 ARM: FLIP-BACK ADJUSTABLE-HEIGHT... 4 REAR WHEEL... 5 CASTER... 5 FRONT RIGGING, DETACHABLE... 6 UPHOLSTERY... 7 ACCESSORIES...
Quickie QX July 2017
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SEATING CHOICE TITANIUM FRONT FRAME
Manual Wheelchair Retail Prescription Form Champion140618 Tel: 01656 776222 Fax: 01656 776220 Email: ordersuk@invacare.com Online spares available at: www.invacare.co.uk July 2018 Account No : Contact
For upholstery and frame color availability, please refer to the corresponding wheelchair price list.
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Account Number: Provider Name: Contact:
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Quickie QX December 2018 EIF6 Mark For: Submitting for: Quote Order Date: PO#: Dealer Acct #: Dealer: ADDITIONAL SHIPPING INFORMATION Dealer Contact: Ship To: Dealer Address: Attention: Dealer City: PV:
VISTA IC PARTS CATALOG
VISTA IC PARTS CATALOG Contents Sideframe (Fixed Arm), Crossbrace & Arm Pad Kit... Sideframe (Detachable Arm) & Crossbrace... Arm, detachable... 5 Upholstery (All sideframes)... 6 Front Rigging... 6 Caster...
SIDEFRAME AND CROSSBRACE... 3 ARM: FLIP-BACK FIXED-HEIGHT... 4 ARM: FLIP-BACK ADJUSTABLE-HEIGHT... 4 REAR WHEEL... 5 CASTER... 5
PARTS CATALOG CONTENTS SIDEFRAME AND CROSSBRACE... ARM: FLIP-BACK FIXED-HEIGHT... 4 ARM: FLIP-BACK ADJUSTABLE-HEIGHT... 4 REAR WHEEL... 5 CASTER... 5 FRONT RIGGING: FOOTREST, DETACHABLE... 6 FRONT RIGGING:
Account Number: Provider Name: Contact:
Discount: Terms: Freight: Taken By: Quantum Rehab A Division of Pride Mobility Products Corporation 82 Susquehanna Ave., Exeter, PA 8643 Phone: (866)800-2002 Fax: (866) 707-3422 DME providers are responsible
4.1 MOVE. ORDER FORM - CANADA Ship to: Name: Address: Account: Vendor: Date: Ordered by: Marked for: User manual: PO: Postal Code: Phone:
519, J-Oswald Forest, suite 101 Saint-Roch-de-l'Achigan, QC, Canada J0K 3H0 T.450 588-6555 1 866 650-6555 F.450 588-0200 www.motioncomposites.com Account: Vendor: Date: Ordered by: Email: Marked for: User
q Little Wave Flip XP-Rigid Base E1233, E1161 $
Funder: Therapist: Date: q MOH q ACC Marked For: Details: Ship To: Address: City: Postcode: Phone: Email: Notes: q Little Wave Flip XP-Rigid Base E1233, E1161 $ 74 kg weight capacity. Price includes one
Frame Width. Seating Setup. q 16 q 15 q 14 q 17 q 16 q 15 q 14 Short q 18 q 17 q 16 q 15 q 14 q 19 q 18 q 17 q 16 q 15 q 14
Phone 0800 5 Fax 0800 5 365 Funder: Account Number: Date: Quote PO Number: Therapist: Marked For: Focus CR $ 36kg weight capacity. Tilt range: -5º anterior to 50º posterior. Effective /0/0 Ship To: Address:
MEDmobility Calgary Trail NW Edmonton AB T6H 2K1 P: F:
Canada MEDmobility 5711- Calgary Trail NW Edmonton AB T6H 2K1 P: 780-437-3300 F: 780-430-9381 www.medmobility.ca Company: Account Number: Date: Quote PO Number: RTS: AADL #W154 Effective 10/01/2017 Ship
Küschall Ultra Light RETAIL Maximum user weight 130kg (20.5 Stone)
Manual Wheelchair Retail Prescription Form UltraLight061216 Tel: 01656776222 Fax: 01656776220 Email: ordersuk@invacare.com JANUARY 2017 Online spares available at: www.invacare.co.uk Account No : Built
Standard Base Price: 618
Manual Wheelchair Retail Prescription Form ACTION4NGHD11112016 Tel: 01656 776222 Fax: 01656 776220 JAN 2017 Email: ordersuk@invacare.com Online Spares available at: www.invacare.co.uk Customer Ref: Contact
MASS Script Form. 160 Kg Weight Capacity Charge. Transit Option. 136 Kg maximum weight capacity. Not available with Removable Seat Pan.
MASS Script Form Australian Order Form Effective 05/07/2014 Company: Account Number: Date: Quote PO Number: RTS: Marked For: Ship To: Address: City: State: Zip: Phone: Email/Fax: Catalyst 5Vx K0005 Charge
Please make your selection with a cross in the box Standard feature Free of Charge
Manual Wheelchair Retail Prescription Form Champion161116 Tel: 01656776222 Fax: 01656776220 Email: ordersuk@invacare.com Online spares available at: www.invacare.co.uk JANUARY 2017 Account No : Built in
SIDEFRAME (FIXED ARM), CROSSBRACE, ARM PAD KIT...3 SIDEFRAME (DETACHABLE ARM), CROSSBRACE...4 ARM, DETACHABLE...5 CASTER...5
PARTS CATALOG CONTENTS SIDEFRAME (FIXED ARM), CROSSBRACE, ARM PAD KIT... SIDEFRAME (DETACHABLE ARM), CROSSBRACE... ARM, DETACHABLE...5 CASTER...5 UPHOLSTERY (ALL SIDEFRAMES)...6 FRONT RIGGING, DETACHABLE...6
Invacare 3G Arrow Storm Series w/truetrack Suggested Canadian Price List Effective July 13th, 2015
Invacare 3G Arrow Storm Series w/truetrack Suggested Canadian Price List Effective July 13th, 2015 NAME PHONE NO ACCOUNT # P.O. DATE ADDRESS FRAME CHAIR TYPE 3GAR Arrow Base for Seat w/mk6i Electronics
Quickie QXi AADL. EIF6, October ADDITIONAL SHIPPING INFORMATION Dealer Contact: Ship To City: Fax. Price 1. FRAME $2,
Quickie QXi AADL EIF6, October 2018 Mark For: Submitting for: Date: PO#: Quote Order Dealer Acct #: Dealer: ADDITIONAL SHIPPING INFORMATION Dealer Contact: Ship To: Dealer Address: Attention: Dealer City:
Pronto M50 Pronto M51 with SureStep (Before 1/20/05)
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q Little Wave Flip XP - Rigid Base KF-XPRIGID $
Phone 0800 5 222 Fax 0800 275 65 Effective /06/207 Funder: Account Number: Date: Quote PO Number: Therapist: Marked For: Little Wave Flip XP - Rigid Base KF-XPRIGID $ 9.8kg weight capacity. One time free
Invacare ProSpin X4 Ultralightweight Active Performance Folder
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Standard Base Price: 539
Manual Wheelchair Retail Prescription Form ACTION3JUNIORSMALL19102018 Tel: 01656 776222 Fax: 01656 776220 JANUARY 2019 Email: ordersuk@invacare.com Online Spares available at www.invacare.co.uk Customer
18 Wide. MRI Transport Wheelchairs. Overall Width: 26 Wheelchair, With Fixed Footrest. Specifications:
MRI Transport Wheelchairs 18 Wide Overall Width: 26 Wheelchair, With Fixed Footrest Removable Full Length Padded Arms Fixed Footrests Seat To Floor Height: 19 1/4 Seat Width: 18 Overall Width: 26 Overall
Sling Position. Push Handle. q Omit Push Handles N/C q Standard Push Handles 53 q Fold Down Push Handles 80 q Bolt-On Push Handles 109
Effective 05/07/2014 Company: Account Number: Date: q Quote q PO Number: RTS: Marked For: q Rogue XP 1825 Rogue Width Grow-able Frame. 275 lb weight capacity. Maximum initial : 16. q Rogue 1495 Rogue Standard
BC MEDEQUIP HOME HEALTH CARE LTD SPRINGER AVE, BURNABY, BC
Basic Wheelchair Bid Work Sheet HMEDA Member Name/Address: BC MEDEQUIP HOME HEALTH CARE LTD. 2230 Springer Avenue, Burnaby, BC, V5B 3M7 Contact Person: ANDRE MONTAGANO Phone/e-mail: 604-888-8811 andre@bcmedequip.com
Invacare Action 3 Junior Basic RETAIL Max User Weight 80Kg (12.5 stone)
Manual Wheelchair Retail Prescription Form ACTION3JUNIORBASIC05122018 Tel: 01656 776222 Fax: 01656 776220 JANUARY 2019 Email: ordersuk@invacare.com Online Spares available at www.invacare.co.uk Customer
USA Parts List FUZE T50
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Parts Catalog Issued: Mar 26, Xterra GT. Power Wheelchair
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Invacare IVC Manual Wheelchair Series. Invacare IVC Manual Wheelchair Series
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NXT Pediatric. Manual Wheelchair. Transport Optional Base
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Invacare Action 3 NG Transit Retail Max User Weight 125Kg (19.7 stone)
Manual Wheelchair Retail Prescription Form ACTION3NGTRANSIT10112016 Tel: 01656 776222 Fax: 01656 776220 JAN 2017 Email: ordersuk@invacare.co.uk Online Spares available at www.invacare.co.uk Customer Ref:
Frame. Backrest. Seat Depth. Little Wave - Clik XP $3600 Width Growable Frame. Price includes one time free growth kit. 165 lb weight capacity.
Canada Patent Pending AADL #W157 Effective 10/01/2017 Company: Ship To: Account Number: Date: Quote PO Number: RTS: Marked For: Little Wave - Clik XP $3600 Width Growable Frame. Price includes one time
PAGE 2 BREEZY ELEGANCE
PAGE 2 Category... 1 Product... 1... 5 BASE FRAME... 5 AXLE PARTS... 5 CASTER FORK... 6 ANTI-TIP... 7 WHEEL LOCK... 8 DRUM BRAKE... 9 REAR WHEEL - STANDARD... 10 REAR WHEEL - DRUM BRAKE EQUIPPED... 11
USA Parts List FUZE T20
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2241 N Madera Rd Simi Valley, CA Phone: (800) Fax: (888) P.R.O. CG
P.R.O. CG 2241 N Madera Rd Simi Valley, CA 93065 Phone: (800) 331-8551 Fax: (888) 582-1509 www.freedomdesigns.com Date: PO# Adult Manual Wheelchair TM SE Date: Buyer: Company: Email: Quote Order PO# Location:
Height adjustable footplates, equipped with nylon heel loops. Standard with maintenance free PU front (7 ) and rear wheels (24 ).
Excel G-lite + Compact foldable aluminium wheelchair Perfect for taking with you wherever you go due to its light transport weight and compact size. Comfortable back upholstery. Height adjustable comfortable
Invacare Kite (Modulite Flex3 Seating System) Dealer Max User Weight 160Kg (25 stone)
Invacare Ltd Power Prescription Form Pencoed Technology Park Dealer Prescription Form Pencoed CF35 5AQ LPF1U2KITEFLEX011015Dealer Tel: +44 (0) 1656 776222 Fax: +44 (0) 1656 776220 July 2015 email: ordersuk@invacare.com
Invacare Action 3 Junior Large Retail Max User Weight 80Kg (12.5 stone) Standard Base Price: 539 * Configurations may vary to the image shown
Manual Wheelchair Retail Prescription Form ACTION3JUNIORLARGE15112017 Tel: 01656 776222 Fax: 01656 776220 JAN 2018 Email: ordersuk@invacare.com Online Spares available at www.invacare.co.uk Customer Ref:
MASS Script Form. Frame. Backrest. Seat Depth. Tsunami ALX K0005 Charge. Sling Position. Seat Width / Seat Depth. Seat Width.
MASS Script Form Company: Account Number: Date: Quote PO Number: RTS: Marked For: Australian Order Form Effective 05/07/2014 Ship To: Address: City: State: Zip: Phone: Email/Fax: Tsunami ALX K0005 Charge
NAME PHONE NO ACCOUNT # P.O. DATE ADDRESS
FOR AADL ONLY Invacare 3G Arrow Storm Series w/truetrack Suggested Canadian Price List Effective March 2nd, 2009 Revised December 1st, 2010 *UPDATED - DE CHANGES NAME PHONE NO ACCOUNT # P.O. DATE ADDRESS
W H E E L C H A I R S
WHEELCHAIRS Value: Graham-Field is known for a broad product offering at affordable pricing, without sacrifice to quality. Like you, we understand that the cost of a product is more than a price tag. The
Storm Series Power 9000 (After 11/14/1995)
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Order no.: ... Date Signature. Posterior seat height
Start M6 Junior Scripted Order no.: Start M6 Junior Lightweight wheelchair Article number: 480F53=60000_K Provide estimate only Order Billing address/customer number Ottobock START_M6_647F263=EN-05-1510
BEARINGS BEARINGS
TIRES PNEUMATIC.... 1-4 SNAP ON.....4 PRIMO HIGH PERFORMANCE......5-6 SCHWALBE HIGH PERFORMANCE.....5-6 KENDA HIGH PERFORMANCE... 7 MAINTENANCE FREE TIRES SHOX URETHANE TIRES..... 8 URETHANE TIRES....
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Transport Chairs / Walkers MRI Transport
MRI Folding Walkers 18 Wide, Depth 17 250 lb weight capacity WA-1000 Adult - 32 to 36 $195.00 ea. WA-1001 Junior - 28 to 32 $195.00 ea. MRI Heavy Duty / Extra Wide Folding Walker 24 Wide, Depth 21 500
Freedom NXT Folding Tilt-in-Space Wheelchair AADL Customers Only AADL # W684 Effective October 1st, 2018
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k-series Aluminium Standard Features
Manual Wheelchair Retail Prescription Form KSeries200618 Tel: 01656 776222 Fax: 01656 776220 Email: ordersuk@invacare.com Online spares available at: www.invacare.co.uk July 2018 Customer Ref: Account