C350 Corpus VR2 Advanced
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- Rosaline Dalton
- 6 years ago
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1 list: 27 Spain EUR Dealer Information Contact: Customer Code: Customer Name: Address 1: City: Post code: Phone: Fax: PO: Client Information First Name: Last Name: Diagnosis: Address 1: Address 2: Postal code: City: Country: Phone: Client Measurements Weight: Height: 1) Upper leg length: 2) Chest Depth: 3) Seat pan to elbow: 4) Arm pit height: 5) Top of shoulders: 6) Top of head: 7) Elbow to Hand: 8) Chest width: 9) Knee to Foot: 10) Hip width: kg All specifications and prices are subject to change without notice. Please note that displayed prices are only valid if ordered with the wheelchair. Any parts ordered for service or future alterations will carry different prices and warranty. Rabobank Parkstad Limburg Rekening: IBAN: NL84RABO BIC/SWIFT: RABONL2U Permobil Europe B.V. De Doom 22 NL 6419 CX HEERLEN Phone: +31 (0) Fax: +31 (0) Page 1 of 8
2 Chassis Model C350 CORPUS VR2 ADVANCED EUR 5, User manual USER MANUAL ES C350 EUR - User manual seat USER MANUAL ES CORPUS SEAT EUR - Colour covers COVERS C350 BLACK EUR COVERS C350 DARK BLUE METALLIC EUR COVERS C350 RED EUR COVERS C350 SILVER METALLIC EUR COVERS C350 YELLOW EUR - Hub cap HUB CAP INCL. REFLECTOR BLACK EUR HUB CAP INCL. REFLECTOR DARK BLUE METALLIC EUR HUB CAP INCL. REFLECTOR RED METALLIC EUR HUB CAP INCL. REFLECTOR SILVER METALLIC EUR HUB CAP INCL. REFLECTOR YELLOW EUR - Front wheels WHEELS 2.5-3" SOLID TIRES EUR - Rear wheels WHEELS 3.00x8" AIR FILLED TIRES EUR WHEELS 3.00x8" SOLID TIRES EUR WHEEL " MUD/SNOW AIR TIRE (1 pair) EUR Drive parameters PROGR.SET: C350 VR2/70A ADVANCED 8 KMH EUR - Accessories chassis Batteries BATTERIES, 60Ah, SET OF 2 EUR - Charger CHARGER PERMOBIL 24V/8A EU EUR - Light kit (+) LIGHT KIT C350/VR2 EUR _Curb Climber (+) CURB CLIMBERS KIT C 350 EUR Chassis adaption for Permolock C3 (+) ADAPT C300/350 FOR PERMOLOCK C3 EUR Reinforcement chassis for Permolock (+) REINFORCEMENT C350 CHASSIS FOR PERMOLOCK C3 EUR - Rain cover (+) TARPAULIN/RAINCOVER FOR ALL MODLES EUR Seat assembly Seat lift system POWERED SEAT LIFT 200MM C350 / VR2 EUR 1, POWERED SEAT LIFT 200MM C350 (COMB. WITH TILT) EUR 1, SEAT TUBE FIXED C300/C350 EUR SEAT TUBE FIXED C/K300 C350 (COMB. WITH TILT) EUR - Seat tilt options FIXED SEAT ANGLE 3 CII EUR POWERED ADJ.SEAT TILT 30 VR2 EUR 1, POWERED ADJ.SEAT TILT 45 C300/VR2 EUR 1, Seat Page 2 of 8
3 Seat SEAT 430x410 (FOR BACKR. ADJ ) EUR SEAT 430x460 (FOR BACKR. ADJ ) EUR SEAT 430x510 (FOR BACKR. ADJ ) EUR SEAT 430x560 (FOR BACKR. ADJ ) EUR SEAT 480x460 (FOR BACKR. ADJ ) EUR SEAT 480x510 (FOR BACKR. ADJ ) EUR SEAT 480x560 (FOR BACKR. ADJ ) EUR - Seat cushion SEAT CUSHION 420x370 TEXTILE (MESH) EUR SEAT CUSHION 450x420 TEXTILE (MESH) EUR SEAT CUSHION 450x500 TEXTILE (MESH) EUR SEAT CUSHION 450x560 TEXTILE (MESH) EUR SEAT CUSHION 500x500 TEXTILE (MESH) EUR SEAT CUSHION 500x560 TEXTILE (MESH) EUR SEAT CUSHION 420x370 VINYL EUR SEAT CUSHION 450x420 VINYL EUR SEAT CUSHION 450x500 VINYL EUR SEAT CUSHION 450x560 VINYL EUR SEAT CUSHION 500x500 VINYL EUR SEAT CUSHION 500x560 VINYL EUR WITHOUT SEAT CUSHION EUR Backrest BACKR. 340x535 EUR BACKR. 340x605 EUR BACKR. 390x535 EUR BACKR. 390x605 EUR BACKR. 440x535 EUR BACKR. 440x605 EUR BACKR. 340 WIDE WITHOUT PLATE EUR BACKR. 390 WIDE WITHOUT PLATE EUR BACKR. 440 WIDE WITHOUT PLATE EUR BACK BIO-MECH. 390x605 EUR BACK BIO-MECH. 440x605 EUR Backrest cushion BACKREST CUSHION 340x535 TEXTILE (MESH) EUR BACKREST CUSHION 340x605 TEXTILE (MESH) EUR BACKREST CUSHION 390x535 TEXTILE (MESH) EUR BACKREST CUSHION 390x605 TEXTILE (MESH) EUR BACKREST CUSHION 440x535 TEXTILE (MESH) EUR BACKREST CUSHION 440x605 TEXTILE (MESH) EUR BACKREST CUSHION 340x535 VINYL EUR BACKREST CUSHION 340x605 VINYL EUR BACKREST CUSHION 390x535 VINYL EUR BACKREST CUSHION 390x605 VINYL EUR BACKREST CUSHION 440x535 VINYL EUR BACKREST CUSHION 440x605 VINYL EUR WITHOUT BACKREST CUSHION EUR Cover backrest (+) COVERS / WITHOUT BACKREST EUR - Adjustment backrest POWERED ADJ. BACKREST CORPUS C300-C350 EUR MANUAL ADJUST. BACKREST CORPUS/C300-C350 EUR - Legrest LEGREST 1-P FOOTPLATE EUR LEGREST 2-P FOOTPLATES 20CM EUR LEGREST 2-P FOOTPLATES 16CM AND COVER EUR WITHOUT LEGREST CII EUR Adjustment legrest MANUAL ADJUSTMENT LEGREST C300/C EUR POWERED ADJ. LEGREST C300/C EUR 1, Page 3 of 8
4 Adjustment legrest WITHOUT LEGREST ADJUSTMENT EUR - Armrest Right ARMREST 250MM,RIGHT TEXTILE (BLACK TRIVERA) EUR ARMREST 250MM,RIGHT VINYL (PU FOAM) EUR ARMREST 300MM,RIGHT TEXTILE (BLACK TRIVERA) EUR ARMREST 300MM,RIGHT VINYL (PU FOAM) EUR ARMREST 350MM,RIGHT TEXTILE (BLACK TRIVERA) EUR ARMREST 350MM,RIGHT VINYL (PU FOAM) EUR ARMREST 400MM,RIGHT TEXTILE (BLACK TRIVERA) EUR ARMREST 400MM,RIGHT VINYL (PU FOAM) EUR WITHOUT ARMREST, RIGHT (BODY AND UPHOLSTERY) EUR Armrest Left ARMREST 250MM,LEFT TEXTILE (BLACK TRIVERA) EUR ARMREST 250MM,LEFT VINYL (PU FOAM) EUR ARMREST 300MM,LEFT TEXTILE (BLACK TRIVERA) EUR ARMREST 300MM,LEFT VINYL (PU FOAM) EUR ARMREST 350MM,LEFT TEXTILE (BLACK TRIVERA) EUR ARMREST 350MM,LEFT VINYL (PU FOAM) EUR ARMREST 400MM,LEFT TEXTILE (BLACK TRIVERA) EUR ARMREST 400MM,LEFT VINYL (PU FOAM) EUR WITHOUT ARMREST, LEFT (BODY AND UPHOLSTERY) EUR Armrest height adjustment ARMRESTS OVER 100MM HEIGHT ADJUSTMENT EUR ARMRESTS OVER 50MM HEIGHT ADJUSTMENT (STD) EUR - Armrests reinforcement (+) ARMREST REINFORCEMENT KIT HIGH EUR Armrest configuration ARMRESTS HIGH MOUNTED EUR ARMRESTS LOW MOUNTED EUR - Accessories seat Headrest (+) HEAD SUPPORT "ERGO" TEXTILE (BLACK TRIVERA) EUR HEAD SUPPORT, ADJUSTABLE TEXTILE (BLACK TRIVERA) EUR HEAD SUPPORT, ADJUSTABLE VINYL EUR WITHOUT HEADREST * EUR - Accessories rail headrest (+) ACCESSORIES RAIL HEAD SUPPORT EUR Lateral support (+) LATERAL SUPPORTS SMALL(A) 150x140 TEXTILE (MESH) EUR LATERAL SUPPORTS MED(F) 220x90 TEXTILE (MESH) EUR LATERAL SUPPORTS LARGE(E) 220x150 TEXTILE (MESH) EUR Mounting set lateral support (+) MOUNTING KIT LATERAL SUPPORTS (BACKREST 340MM) EUR - Thigh support (+) THIGH SUPPORTS TEXTILE (MESH) 110x90 SMALL (B) EUR THIGH SUPPORTS TEXTILE (MESH) 165x120 MEDIUM (J) EUR THIGH SUPPORTS TEXTILE (MESH) 200x90 LARGE (C) EUR THIGH SUPPORTS TEXTILE (MESH) 300x90 XLARGE (G) EUR Hip support (+) HIP SUPPORTS SMALL (B) 110x90 TEXTILE (MESH) EUR HIP SUPPORTS MEDIUM (A) 150x140 TEXTILE (MESH) EUR HIP SUPPORTS LARGE (C) 200x90 TEXTILE (MESH) EUR HIP SUPPORTS X LARGE (D) 200x200 TEXTILE (MESH) EUR Calf support (+) CALF SUPPORTS LARGE (A)150x140 PU FOAM EUR CALF SUPPORTS SMALL (B)110x90 TEXTILE (MESH) EUR CALF SUPPORTS MEDIUM/FLAT (J)165x120 TEXTILE (MESH) EUR Page 4 of 8
5 Calf support (+) CALF SUPPORTS LARGE (A)150x140 TEXTILE (MESH) EUR CALF SUPPORTS XLARGE (H)170x175 TEXTILE (MESH) EUR CALF SUPPORTS XXLARGE (D)200x200 TEXTILE (MESH) EUR Seatbelt (+) BELT 2-POINT LARGE NONPAD BODYPOINT INCL BRACK UT EUR BELT 2-POINT LARGE PADDED BODYPOINT INCL BRACK UT EUR BELT 2-POINT MEDIUM NONPA D BODYPOINT INCL BRACK UT EUR BELT 2-POINT MEDIUM PADDE D BODYPOINT INCL BRACK UT EUR SAFETY BELT,AUTOTENSION LONG VERSION EUR SAFETY BELT,BUCKLE EUR SAFETY BELT,4-POINT EUR SAFETY BELT,AUTOTENSION EUR Mounting position seatbelt (+) MOUNT POS SEATBELT ROLL RIGHT EUR MOUNT POS SEATBELT ROLL LEFT EUR - Support handles set (+) TRANSFER HANDLES, SET (pair) UNI-TRACK EUR Stump support (+) STUMP SUPPORT SMALL (A) 150x140 TEXTILE (MESH) EUR STUMP SUPPORT MEDIUM (J) 165x120 TEXTILE (MESH) EUR STUMP SUPPORT LARGE (H) 170x175 TEXTILE (MESH) EUR STUMP SUPPORT XLARGE (D) 200x200 TEXTILE (MESH) EUR Mounting position stump support (+) MOUNT POS AMPUTATION SUPP -ORT LEFT EUR MOUNT POS AMPUTATION SUPP -ORT RIGHT EUR - Accessories rail (+) ACCESSORIES RAIL EUR ACCESSORIES RAIL +50 EUR ACCESSORIES RAIL +100 EUR UNITRACK BAR ACCESSORIE -100 EUR UNITRACK BAR ACCESSORIE -50 EUR WHITOUT ACCESSORIES RAIL EUR - Abduction wedge (+) ABDUCTION WEDGE, VINYL EUR Support armrest inside Right (+) ARMREST SUPPORT,VINYL RIGHT INSIDE EUR Support armrest inside Left (+) ARMREST SUPPORT,VINYL LEFT INSIDE EUR Support armrest outside Right (+) ARMREST SUPPORT,VINYL RIGHT OUTSIDE EUR Support armrest outside Left (+) ARMREST SUPPORT,VINYL LEFT OUTSIDE EUR Push handles back (+) PUSH HANDLES,MOUNTED ON THE BACKREST EUR Support handle armrest (+) SUPPORT HANDLE ARMREST CORPUS EUR Table Swing able (+) TABLE,SWING AWAY 600MM FOR JOYSTICK L/R EUR TABLE,SWING AWAY 650MM FOR JOYSTICK L/R EUR Mounting position table (+) MOUNT POS TABLE SWINGABLE LEFT EUR MOUNT POS TABLE SWINGABLE RIGHT EUR - Table adjust angel (+) TABLE,ANGLE ADJUST.390MM BACK WIDTH, REMOVABLE EUR TABLE,ANGLE ADJUST.440MM BACK WIDTH, REMOVABLE EUR TABLE,ANGLE ADJUST. 1-SIDE FIXATION EUR Table small for armrest mount (+) COLLEGE TABLE,LEFT EUR Page 5 of 8
6 Table small for armrest mount (+) COLLEGE TABLE RIGHT EUR Incontinence protection (+) INCONTINENCE PROTECTION 430x360/430x410 EUR INCONTINENCE PROTECTION 430x460/430x510/430x560 EUR INCONTINENCE PROTECTION 480x410 EUR INCONTINENCE PROTECTION 480x460/480x510/480x560 EUR Comfort seat cushion (+) SEAT CUSHION COMFORT 450x420,TEXTILE (MESH) EUR SEAT CUSHION COMFORT 450x450,TEXTILE (MESH) EUR SEAT CUSHION COMFORT 450x530,TEXTILE (MESH) EUR SEAT CUSHION COMFORT 450x560,TEXTILE (MESH) EUR SEAT CUSHION COMFORT 500x530,TEXTILE (MESH) EUR SEAT CUSHION COMFORT 500x500,TEXTILE (MESH) EUR SEAT CUSHION COMFORT 500x560,TEXTILE (MESH) EUR SEAT CUSHION COMFORT 450x500,TEXTILE (MESH) EUR Comfort seat plate (+) SEAT PLATE COMFORT 430x460/510 EUR Armrests sidewarts flip-up (+) ARMREST SIDEWARTS FLIP-UP EUR Armrest pouch Right (+) ARMREST POUCH,RIGHT EUR - Armrest pouch Left (+) ARMREST POUCH,LEFT EUR - Seat frame pouch (+) SEATFRAME POUCH EUR Bag hooks (+) BAG HOOKS OPEN EUR Back pack (+) BACK PACK INCL. HOOKS EUR _Rear View Mirror Left (+) REAR VIEW MIRROR UNITRACK SEAT FRAME LEFT EUR _Rear View Mirror Right (+) REAR VIEW MIRROR UNITRACK SEAT FRAME RIGHT EUR Cup/Cellphone holder (+) CUP/PHONE HOLDER EUR Foot straps (+) FOOTSTRAPS WITHOUT PADS EUR FOOTSTRAPS WITH PADS EUR Lumbar support (+) LUMBAR SUPPORT,AIR EUR Crutch holder (+) CRUTCH HOLDER EUR Holder oxygen bottle (+) HOLDER OXYGEN BOTTLE CORPUS EUR User control User control JOYSTICK VR2 ADVANCED WITH SEAT/LIGHT BUTTONS EUR - Joystick holder (+) PANELHOLDER PAR. SW. AWAY VR2/R-NET L/R EUR - Mounting position joystick (+) MOUNT POS CONTROLBOX LEFT EUR MOUNT POS CONTROLBOX RIGHT EUR - Joystick knobs (+) JOYSTICK KNOB BALL SMALL EUR JOYSTICK KNOB BALL BIG EUR Page 6 of 8
7 Joystick knobs (+) JOYSTICK KNOB CHIN CUP EUR JOYSTICK KNOB MUSHROOM EUR JOYSTICK KNOB SOFT BALL EUR JOYSTICK KNOB STICK EUR JOYSTICK KNOB T-GRIP EUR JOYSTICK SOFTBALL BLACK WITH CONE EUR Attendant control Attendant control (+) JOYSTICK ATTENDANT VR2 EUR Supplementary accessories Split backrest (+) SPLIT BACKREST EUR Chest support table (+) CHEST SUPPORT FOR TABLE CII/VII VINYL EUR Permolock Permolock C3 (+) PERMOLOCK C3 WITH STANDARD SWITCH EUR Manual Permolock (+) USER MANUAL ES PERMOLOCK C3 EUR - Release lever (+) MANUAL RELEASE FOR PERMOLOCK C EUR Quicklock holder release lever (+) QUICKLOCK HOLDER RELEASE LEVER EUR Spacer kit (+) SPACER KIT PERMOLOCK C EUR 7.00 Install kit fixed (+) PERMOLOCK SNAP IN KIT EUR Seat adapter (+) CAR SEAT ADAPTER PERMOLOCK C3 EUR Wheel bump (+) WHEEL BUMP FOR PERMOLOCK C3 EUR Extension cable Permolock (+) EXTENSION CABLE FOR PERMOLOCK C,C3 EUR Chair Order Policy: For other options and special adaptations, please call Permobil for further details. Please also refer to Permobil s Delivery Policy for further information. Your order cannot be processed without the following: - The client s name - The client s measurements - The client s weight Page 7 of 8
8 For your ordering, please sign below with date and company stamp. Signature: Date: Company Stamp: An order confirmations will be provided by Permobil summarizing the items selected. Please review this carefully. Page 8 of 8
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Assembly Product name Item no. Version
MANUAL WHEELCHAIRS 1 Sideguard 1 2 6 3 4 7 8 9 1 1 470019 Sideguard left, complete pc. 2 1 470018 Sideguard right, complete pc. 3 1 420013 Sideskirt black, left pc. 4 1 420012 Sideskirt black, right pc.
Account Number: Provider Name: Contact Name: Phone #: Fax #: Address: Taken By: Client Height: Client Weight:
Quantum 1450 Group 3 Single Power Order Form Up To 600lbs Weight Capacity Quantum Rehab A Division of Pride Mobility Products Corporation 182 Susquehanna Ave., Exeter, PA 18643 Phone: (866)800-2002 Fax:
Accessories brochure
Accessories brochure NEW The Invacare Rea Passive range, with its tilt and recline chairs is compatible with a wide variety of accessories, giving users the opportunity to achieve an optimal fit, and greater
Phone: Nov-17
By Ormesa New 201 Growth Parkway Angola, IN 46703 U.S Suggested Retail Price List in USD Phone: 800-327-0681 Nov-17 Fax: 260-665-3047 Email: iim@mobility-usa.com Quote: P.O. www.mobility-usa.com Bill To
AT MSRP Price List. Description. HCPCS Code K0020 K0020 K0106 K0106. Part Number AP3 AP4 GAP GAPS 1386/87 FUA PT0031
Client: P.O.#: AT MSRP List AP3 AP4 GAP GAPS 1386/87 FUA PT0031 3 x 12 Desk Length Leatherette 4 x 16 Tapered Leatherette Standard Height Adjustable, Removable Armrest Flip-Up Armrest Left $37.50/ea. $164.00/ea.
F5 Corpus VS. Dealer Information. Client Information. Client Measurements. * Indicates a Required Field. * Contact:
* Indicates a Required Field Dealer Information * Contact: Company Code: PERMNZ * Shipping Location: Address: * City: * State: * Phone#: * Fax#: PO#: Email Address: Client Information Permobil recommends
SpectraXTR2 HD (Modulite Flex 3 Seating or MAX System) Dealer Max User Weight 160Kg (25 stone)
Invacare Ltd Power Chair Prescription Form Pencoed Technology Park Dealer Prescription Form Pencoed CF35 5AQ LPF1U2SPECTRAXTR2HD010715DEALER Tel: +44 (0) 1656 776222 Fax: +44 (0) 1656 776220 July 2015
F5 Corpus. Dealer Information. Client Information. Client Measurements. * Indicates a Required Field. Prices effective: April 15, 2019.
* Indicates a Required Field Dealer Information * Contact: Dealer Code: * Dealer Name: Address: * City: * State: * Phone#: * Fax#: PO#: Email Address: Client Information Permobil recommends that the client
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....
Spare Parts Catalog Online Books > Illustrated Part Catalogs > Corpus VS > Seat plate. Drawing Last update: 1/12/2015 7:32:15 AM Version: 1.0.
Spare Parts Catalog Online Books > Illustrated Part Catalogs > Corpus VS > Seat plate Drawing Last update: 1/12/2015 7:32:15 AM Version: 1.0.0 1.1 1831117 SEAT FRAME PLATE, KIT CORPUS, CORPUS VS 1 2.1
For the Modulite Teen seating please select the underlined options on this form and include a completed Modulite Teen Seating form
Power Wheelchair Retail Prescription Form BORAMOD111217 Tel: 01656 776222 Fax: 01656 776220 JANUARY 2018 Email: ordersuk@invacare.com Online Spares available at: www.invacare.co.uk Customer Ref : Account
Bora. Standard Base Price 4,100. Standard Features SEAT DEPTHS
Power Wheelchair Retail Prescription Form BORAMOD121218 Tel: 01656 776222 Fax: 01656 776220 JANUARY 2019 Email: ordersuk@invacare.com Online Spares available at: www.invacare.co.uk Customer Ref : Account
F5 Corpus. Dealer Information. Client Information. Client Measurements. * Indicates a Required Field. Prices effective: October 01, 2018.
* Indicates a Required Field Dealer Information * Contact: Dealer Code: * Dealer Name: Address: * City: * State: * Phone#: * Fax#: PO#: Email Address: Client Information Permobil recommends that the client
WHEELCHAIR RANGE. aspire for... Comfort Posture Mobility DANISH DESIGN
WHEELCHAIR RANGE aspire for... Comfort Posture Mobility EVOKE REHAB RX ASSIST TRANSIT LITE TRANSIT www.aspirecare.com.au 300 33 0 EVOKE Lightweight & Highly Adjustable The Aspire EVOKE and EVOKE HD are
F3 Corpus. Dealer Information. Client Information. Client Measurements. * Indicates a Required Field. Prices effective: April 1, 2017.
* Indicates a Required Field Dealer Information * Contact: Dealer Code: * Dealer Name: Address: * City: * State: * Phone#: * Fax#: PO#: Email Address: Client Information Permobil recommends that the client
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:
BINGO Evolution rehab pushchair
BINGO Evolution rehab pushchair Size 2 for children at the age of approx. 4-10 years Crash tested according to ISO 7176-19 and ANSI/RESNA WC/Vol.1. - Section 19 Order form incl. Exportprices ( ) valid
Tango. Setting a new standard in powered wheelchairs. Comprehensive standard configuration includes:
Setting a new standard in powered wheelchairs The Quickie Tango is THE complete, flexible and cost-effective indoor/outdoor powered wheelchair solution. Comprehensive standard configuration includes: Powered
Canadian Suggested Retail Price List April 2015
Size 5 Canadian Suggested Retail Price List April 2015 Account No. Drop Ship: Date: Name P.O. Number: Address Buyer: City Marked For: State Zip E Mail: Tel. Fax A ( Back height) B (Arm height) C (Lower
Invacare Kite (Max Seating System) Retail Max User Weight 160Kg (25 stone)
Power Wheelchair Retail Prescription Form KITEMAX210917 Tel: 01656 776222 Fax: 01656 776220 OCTOBER 2017 Email: ordersuk@invacare.com Online Spares available at: www.invacare.co.uk Account No : Contact
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
Phone: Jan 17. Fax: usa.com Quote: P.O. usa.com Bill To
By Ormesa New 201 Growth Parkway Angola, IN 46703 U.S Suggested Retail Price List Phone: 800 327 0681 Jan 17 Fax: 260 665 3047 Email: iim@mobility usa.com Quote: P.O. www.mobility usa.com Bill To Dealer:
Wheelchair, foldable heavy duty
SPARE PARTS MANUAL WHEELCHAIRS Sideguard 2 5 6 7 4 8 9 0 0 95024 Sideguard, heavy duty, right pc. 02 9502 Sideguard, heavy duty, left pc. 0 42002 Sideskirt black, right pc. 04 4200 Sideskirt black, left
F3 Corpus. Please send order/quote to fax#: (800) to: * Indicates a Required Field Dealer Information
* Indicates a Required Field Dealer Information * ATP: Dealer Code: * Dealer Name: Address: * City: * State/Zip: * Phone#: * Fax#: PO#: Email Address: Client Information Permobil recommends that the client
FUZE T20. Order Form - Canada Prices in Canadian 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.
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.070118 Shipping Address * * required F r a
M3 Corpus. Dealer Information. Client Information. Client Measurements. * Indicates a Required Field. Prices effective: JAN 01, 2018.
* Indicates a Required Field Dealer Information * Contact: Dealer Code: * Dealer Name: Address: * City: * State: * Phone#: * Fax#: PO#: Email Address: Client Information Permobil recommends that the client
Base configuration Electromagnetic front caster lock Seating position and center of gravity adjustable Comfort armrests
Power wheelchair Swiss VIVA Grand 005.40.4002 9 700.00 Length with/without legrests 98/73 cm Width 63 cm Loading capacity 180 kg Speed 10 km/h q Quotation request q Order Company: Street: Place, post code:
M3 Corpus. Dealer Information. Client Information. Client Measurements
Dealer Information * Contact: Dealer Code: * Dealer Name: Address: * City: * Province: * Phone#: * Fax#: PO#: Email Address: Client Information Permobil recommends that the client is evaluated by a certified
F5 Corpus VS. Please send order/quote to fax#: (800) to: * Indicates a Required Field Dealer Information
* Indicates a Required Field Dealer Information * ATP: Dealer Code: * Dealer Name: Address: * City: * State/Zip: * Phone#: * Fax#: PO#: Email Address: Client Information Permobil recommends that the client
R82 Stingray. CAD Retail Price List/ Order Form. Account #: Purchase Order No.: City/State/Zip: Effective: 2/01/ Rev 7.
R82 Stingray CAD Retail Price List/ Order Form Account #: Purchase Order No.: Date: Contact: Mark For: Bill To: Address: City/State/Zip: Phone: Email Ship To: Address: City/State/Zip: Phone: US Configuration
wheelchairs aspire for... mobility comfort style LITE TRANSIT RANGE Aspire EVOKE Aspire EVOKE HD
EVOKE & EVOKE HD TRANSIT ASSIST wheelchairs aspire for... mobility comfort style LITE LITE TRANSIT RELAX RANGE Aspire EVOKE Aspire EVOKE HD Aspire ASSIST Aspire TRANSIT Aspire RELAX Aspire LITE Aspire
F5 Corpus. Dealer Information. Client Information. Client Measurements. * Indicates a Required Field. Prices effective: JAN 01, 2018.
* Indicates a Required Field Dealer Information * Contact: Dealer Code: * Dealer Name: Address: * City: * State: * Phone#: * Fax#: PO#: Email Address: Client Information Permobil recommends that the client
ULTRA TDX 2. Retail Order Form Max user weight 136kg (21.4 stone) Featuring
TDX 2 ULTRA Retail Order Form Max user weight 136kg (21.4 stone) Featuring lass leading shear reduction C with our ESR Mechanism chieve the perfect fit with simple A and precise adjustment features Maximise
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
SERVICE MANUAL SEDEO PRO+ VERSION
SERVICE MANUAL EN SEDEO PRO+ VERSION - 05 Sedeo Pro+ 05 Handicare All rights reserved. The information provided herein may not be reproduced and/or published in any form, by print, photo print, microfi
Options and Accessories
Options and Accessories LIVE WITHOUT LIMITS 2 JAY COMFORT SEATING...4 JAY CLINICAL CUSHIONS AND BACKS...8 POWER SEATING MODULES... 10 BACKREST RECLINE OPTIONS... 12 ARMRESTS... 13 LEGRESTS... 16 Swing
Title - 1 -
Title - 1 - Title - 2 - Table Of Contents QUICKIE SALSA/SALSA M... 7 FRAME AND BATTERY BOX... 7 SALSA - CHASSIS... 7 SALSA M - CHASSIS... 8 SALSA M - CHASSIS, SLIDE BUSHING KIT... 9 SALSA M - CHASSIS,
Black -01 Moss green -95 Yellow -99. Heather purple -97. Indicate height. Indicate height. Indicate angle. Indicate height: cm. Indicate height: cm
Cross 5 XL Prescription form 75188K 017-05-08 Reference: Name: Tel: Date: version is marked with The measurements given can vary ±% Short frame Seat width (cm) Seat depth 36-4 (-49*)cm Measured from back
BENTLEY. Order Form - AADL - W322 Prices in Canadian Dollars. October 1, W h e e l L o c k s. A n t i - T i p p e r s. B a c k P o s t S t y l e
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 * Tag Dealer/Provider Name * Purchaser Name and Contact Information * Billing Address * Shipping Address * * required F r a m e T y
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
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
2016 EZ RIDER UPRIGHT PRODUCT PPT
2016 EZ RIDER UPRIGHT PRODUCT PPT By Nancy Guzman 310.618.0111, Ext. 143 nancyg@convaid.com Product Overview EZ RIDER 10 Fixed Tilt Customizable Multiple Upholstery Styles & Colors 5 years of Growth Capabilities
Note Section. Set-to-Spec. This section must be filled out, otherwise the selection will default to the mid-range measurements.
AADL W592/W991 Quantum Q6 Edge 2.0 with TB3 Power Positioning FOR AADL USE ONLY Pride Mobility Products Co. 5096 South Service Rd, Beamsville, ON, L0R 1B3 Phone: 888-570-1113 Fax: 866-514-1303 Discount:
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
STELLAR. 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
R82 Wombat Living. CAD Retail Price List/ Order Form. Account #: Purchase Order No.: Date: Wombat Living Standard Features:
Account #: Purchase Order No.: Date: Contact: R82 Wombat Living CAD Retail Price List/ Order Form Mark For: Bill To: Address: City/State/Zip: Phone: Email Ship To: Address: City/State/Zip: Phone: Wombat
SHIPPING INFORMATION Provider Acct #:
May 2014 Kids ROCK TM Size 2 Order Form Maximum Weight Capacity 115 lbs. 14"Wx16"Dx22"H Seating Capacity. Customer Service: 800-800-8586 (toll free) Email: orders@pridemobility.com Date: Quote Order SHIPPING
C350 Corpus 3G. Please send order/quote to fax#: (800) to: * Indicates a Required Field Dealer Information
* Indicates a Required Field Dealer Information * ATP: Dealer Code: * Dealer Name: Address: * City: * State/Zip: * Phone#: * Fax#: PO#: Email Address: Client Information Permobil recommends that the client