Wheelchair Portfolio. Active wheelchair
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1 Wheelchair Portfolio Active wheelchair
2 K-Series Content Frame...2 Backrest...3 Footrest...8 Side guards Cushions and options Colours Front wheels Rear wheels Brakes Safety options Accessories Küschall lifestyle collection Wheelchair Portfolio page 1
3 K-Series - Frame Frame DDA0221 K4 Aluminium, frame angle 75 to the ground DDA0204 K4 Carbon, frame angle 75 to the ground DDA0222 AirLite, frame angle 90 to the ground 0 Wheelchair Portfolio page 2
4 K-Series - Backrest Backrest Backrest frame DDA0730 Aluminium DDA0731 Titanium Weight: 90gr weight reduction with seat width 36cm 0 Wheelchair Portfolio page 3
5 K-Series - Backrest Backrest upholstery DDA0701 Velcro backrest, tension adjustable DDA0735 Aero backrest, tension adjustable DDA0748 Alcantara backrest, tension adjustable, black 0 Wheelchair Portfolio page 4
6 K-Series - Backrest DDA0738 DDA0739 Sports back low, size 25 cm Sports back high, size 40 cm 0 Wheelchair Portfolio page 5
7 K-Series - Backrest Push handles DDA0750 Without push handles DDA0702 Push handles fixed, long DDA0751 Push handles fixed, short 0 Wheelchair Portfolio page 6
8 K-Series - Backrest DDA0703 Push handles, height adjustable, rear set DDA0704 Push handles, foldable 0 Wheelchair Portfolio page 7
9 K-Series - Footrest Footrest Footrest tube material DDA1508 Aluminium DDA1509 Titanium Weight: 120gr weight reduction 0 Wheelchair Portfolio page 8
10 K-Series - Footrest Footrest tube DDA1510 Standard footrest tube, rigid DDA1513 Footrest cover NO PICTURE AVAILABLE 0 Wheelchair Portfolio page 9
11 K-Series - Footrest Footplate DDA1570 Carbon footplate, angle adjustable DDA1515 Footplate, flip-up to side 0 Wheelchair Portfolio page 10
12 K-Series - Side guards Side guards Clothes guards / Mud guards DDA1401 Carbon clothes-guards, flip back DDA1408 Carbon mud guards, removable (This option ads 2 cm to the total width of the wheelchair) 0 Wheelchair Portfolio page 11
13 K-Series - Side guards Siderests DDA1416 DDA1421 Siderest height adjustable (with tools), removable, short or long DDA1411 Tubular armrest, height adjustable, removable, swing-away, comfort padded 0 Wheelchair Portfolio page 12
14 K-Series Cushions and options Cushions and options DDA0660 Flo-tech Lite cushion DDA0605 Alcantara cushion, black DDA0606 Seat bag, click in and removable 0 Wheelchair Portfolio page 13
15 K-Series Colours Colours Frame colours Glossy black Royal blue Night shimmer Royal red Purple fire Silver grey Emerald green Midnight blue Umber glaze Ivory white Smokey grey 0 Wheelchair Portfolio page 14
16 K-Series Colours CPS-colours Techno-anthracite B-blue Apricot Lemon Comet red Copper glaze Artic blue CPS-Set includes: Starec & High Perfomance rear wheel hubs with quick release protection, 22 and 24 Starec rear wheel rims, forks, castor housing caps, front seat module caps, backrest adjustment plates. 0 Wheelchair Portfolio page 15
17 K-Series Front wheels Front wheels DDA Supersport DDA Skater wheel Starec wheel, available in 4 and 5 and in various CPS colours DDA Softroll DDA Light wheel DDA Everyday wheel 0 Wheelchair Portfolio page 16
18 K-Series Rear wheels Rear wheels Rear wheel fixation and position DDA0276 Vario-Ax, adjustable camber 1, 3, 7 and 10 DDA0277 Standard axle DDA0278 Carbon Axle Weight: 180gr weight reduction with seat width 36cm 0 Wheelchair Portfolio page 17
19 K-Series Rear wheels DDA0251 Rear wheel extension (with 2 axles on the picture) DDA0630 DDA0631 DDA0632 Suspension 0 Wheelchair Portfolio page 18
20 K-Series Rear wheels Rear wheel type DDA , 26 Küschall Starec wheel DDA0908 DDA , 25 High Performance wheel DDA Mountain Bike wheel 0 Wheelchair Portfolio page 19
21 K-Series Rear wheels DDA , 25 Spinergy wheel DDA Spider wheel DDA0920 Light Carbon wheel, light techno-anthracite hub & alu handrim 0 Wheelchair Portfolio page 20
22 K-Series Rear wheels Rear wheels tyres DDA1001 Light wheel 7 bar 24, 26 DDA1002 Profile tyre 7 bar 24 DDA1007 Solid, light wheel NO PICTURE AVAILABLE DDA1004 Solid tyre, profile 24 DDA1005 Solid tyre (KIK Type), grey, 24 DDA1006 Solid tyre (KIK Type), black, 24 0 Wheelchair Portfolio page 21
23 K-Series Rear wheels DDA1010 Marathon Evolution Plus 24, 25, 26 DDA1011 Schwalbe speedrun 24, 25 DDA1003 Sports hall 22, 24, 26 0 Wheelchair Portfolio page 22
24 K-Series Rear wheels Handrims DDA1102 DDA1103 Supergripp 24, 26 DDA1104 DDA1105 Steel 24, 26 DDA1006 DDA1007 Titanium 24 DDA1009 Maxgrepp 24 DDA1110 Tetra 24 DDA1113 DDA1114 Light Alu 24, 25, 26 0 Wheelchair Portfolio page 23
25 K-Series Rear wheels Spoke guards DDA , 26 Transparent NO PICTURE AVAILABLE DDA küsch DDA «Original» Carbon DDA Swiss DDA Pirates 0 Wheelchair Portfolio page 24
26 K-Series Brakes Brakes DDA1300 Push brake, lever bent DDA1302 Performance brake DDA1303 Active brake 0 Wheelchair Portfolio page 25
27 K-Series Brakes DDA1308 DDA1309 One arm brake, right or left handed DDA1310 Extension lever for standard brake NO PICTURE AVAILABLE 0 Wheelchair Portfolio page 26
28 K-Series Safety options Safety options DDA1702 DDA1703 DDA1704 Antitipper, height adjustable, active and inactive position, removable, right, left or both sides DDA1705 Active antitipper, active and inactive position, removable 0 Wheelchair Portfolio page 27
29 K-Series Accessories Accessories DDA1712 DDA1713 Küschall watch (mounted in castor housing), right or left side DDA1700 Transit wheels DDA1716 AirMan 0 Wheelchair Portfolio page 28
30 K-Series Accessories DDA1728 Wheel bag for 24, 25 and 26 rear wheels DDA1739 Front frame protectors (2 pieces) DDA1741 Seat warmer incl. accu NO PICTURE AVAILABLE 0 Wheelchair Portfolio page 29
31 K-Series Accessories DDA1742 DDA1743 Feet bag incl. accu NO PICTURE AVAILABLE 0 Wheelchair Portfolio page 30
32 K-Series Küschall lifestyle collection Küschall lifestyle collection Küschall T-Shirt (available in S, M, L, XL, XXL) / / / / Küschall Black T-Shirt Men or Women (available in size S to XXL) Küschall Jacket (available in S, M, L, XL, XXL) 0 Wheelchair Portfolio page 31
33 K-Series Küschall lifestyle collection Küschall Sweat-shirt (available in S, M, L, XL, XXL) Küschall Body warmer (available in S, M, L, XL, XXL) Küschall Baseball Cap Black & Silver 0 Wheelchair Portfolio page 32
34 K-Series Küschall lifestyle collection Küschall lanyard Küschall USB-Stick Küschall Pen 0 Wheelchair Portfolio page 33
35 K-Series Küschall lifestyle collection Küschall Carbon Pen Set Küschall Umbrella Küschall Mug 0 Wheelchair Portfolio page 34
36 ENGLISH 10/2009
Küschall K - Junior INVACARE IRELAND LTD Maximum user weight 60kg ( 9.5 Stone )
Invacare Ireland Ltd Manual Wheelchair Unit 5, Seatown Business Campus Ireland Prescription form Seatown Road LPF1U2K-Junior010712IRE Swords, Co Dublin LPF0618U Tel: (00353) 1 8107084 Fax: (00353) 1 8107085
Küschall K Series DEALER Maximum user weight 120kg ( 19 Stone )
Invacare Ltd Manual Wheelchair Pencoed Technology Park Dealer Prescription Form Pencoed LPF1U2KSERIES021213D CF35 5AQ LPF0019X Tel: 01656 776222 Fax: 01656 776220 January 2014 email: ordersuk@invacare.com
champion Standard Base Price 1,875 Standard Features
Invacare Ltd Manual Wheelchair Pencoed Technology Park Dealer Prescription Form Pencoed. CF35 5AQ LPF1U2CHAMPION290514D Tel: 01656 776222 Fax: 01656 776220 LPF0015Z email: ordersuk@invacare.com January
Küschall Champion DEALER Maximum user weight 120kg (19 Stone)
Invacare Ltd Manual Wheelchair Pencoed Technology Park Dealer Prescription form Pencoed. CF35 5AQ LPF1U2CHAMPION240513D Tel: 01656 776222 Fax: 01656 776220 LPF0015W email: ordersuk@invacare.com July 2013
Küschall Champion DEALER Maximum user weight 120kg (19 Stone)
Invacare Ltd Manual Wheelchair Pencoed Technology Park Dealer Prescription form Pencoed. CF35 5AQ LPF1U2CHAMPION011113D Tel: 01656 776222 Fax: 01656 776220 LPF0015X email: ordersuk@invacare.com January
champion carbon Customer weight = Kg Code X Description Dealer SEATING CHOICE DDF0204 küschall Champion Carbon 85 Frame Angle
Invacare Ltd Manual Wheelchair Pencoed Technology Park Dealer Prescription Form Pencoed. CF35 5AQ LPF1U2CHAMPION211114D Tel: 01656 776222 Fax: 01656 776220 LPF0015Z email: ordersuk@invacare.com January
Manual Wheelchair Pencoed Technology Park. DEALER Prescription form Pencoed. CF35 5AQ. LPF1U2ULTRALIGHT211113D Tel: Fax:
Invacare Ltd Manual Wheelchair Pencoed Technology Park DEALER Prescription form Pencoed. CF35 5AQ LPF1U2ULTRALIGHT211113D Tel: 01656 776222 Fax: 01656 776220 LPF0020X email: ordersuk@invacare.com January
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
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
Order Date : carbon. Tension adjustable seat, option DDA0611 is not possible with seat width 320mm
Manual Wheelchair Retail Prescription Form KSeriesCarbon061218 Tel: 01656 776222 Fax: 01656 776220 Email: ordersuk@invacare.com Online spares available at: www.invacare.co.uk January 2019 Customer Ref:
Küschall Küschall Küschall Küschall Küschall Küschall
22012201 üschall 012 Küschall all 2 Küschall 2012 Küsch l Küschall 2012 Küschal 2012 all 2 Küschall 2012 Küsch üschall Küschall K MADE IN SWITZERLAND 2012 K 2 201 201 Küschall, since 34 years When Rainer
Order Date : k-series. titanium. Please make your selection with a cross in the box Standard feature Free of Charge
Manual Wheelchair Retail Prescription Form KSeriesTitanium040516 Tel: 01656 776222 Fax: 01656 776220 Email: ordersuk@invacare.com July 2016 Online spares available at: www.invacare.co.uk Customer Ref:
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
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
INVACARE EU Export Customer Service: +49(0) 57 31/ ; Fax: +49(0) 57 31/ Reference
Order For Agst April 2017 INVACARE EU Export Cstoer Service: +49(0) 57 31/7 54-5 40; Fax: +49(0) 57 31/7 54-5 41 www.invacare-e-export.co KÜSCHALL ULTRA-LIGHT Maxi User Weight: 130 kg Standard Base Price:
Order Form. English Company stamp. Version mudguard (AVAILABLE ONLY WITH REAR WHEELS 24'') Version straight sideguard
NONO Date User name Company stamp Rigid frame wheelchair Responsible Wheelchair measures Seat width (LS) 33 36 39 42 45 48 The seat width is measured from the outer sides of the frame, while the distance
Order Form. English Company stamp
NONO Date User name Company stamp Rigid frame wheelchair Responsible Wheelchair measures Seat width (LS) 24 27 30 33 36 Seat depth (PS) 27,5 30 32,5 35 37,5 40 Seat depth can be increased by 2,5 or 5 cm.
noir 2.0 Order Form NONO Carbon fibre frame made-to-measure. English Company stamp Date User name Responsible Seat depth (PS)
NONO Date User name Order Form Company stamp Rigid frame wheelchair Responsible Carbon fibre frame made-to-measure. Front height 35 37,5 Frame Angle 40 42,5 Backrest rake adjustable from -4 to +16 85 90
RETAIL Max user weight: 100kg - seat widths 12" & 13" Max user weight: 130kg -seat widths 14" -16"
Manual Wheelchair Retail Prescription Form ACTION515112017 Tel: 01656 776222 Fax: 01656 776220 JAN 2018 Email: ordersuk@invacare.com Online Spares available at www.invacare.co.uk Customer Ref: Contact
Condor Script Form Folding Frame Day Wheelchair 90050
90050 To Order Fill in the frame dimensions and features required. For variations describe in detail on a separate page. If you have any further questions contact us at the address at the bottom of the
MODEL ZX1 CHARACTERISTICS, POTENCY AND BENEFITS
MODEL 1.360 ZX1 CHARACTERISTICS, POTENCY AND BENEFITS ADAPTIV-ROLLSTÜHLE ECONOMICAL Continuous provision with adjustment possibilities, reduces additional follow-up costs Wide range of standard options
Voyager Evo. Rigid-frame active wheelchair. Standard equipment. Canada: Fax: Order Form and Price List
Voyager Evo Rigid-frame active wheelchair Order Form and Price List Canada: 800.665.3327 Fax: 800.463.3659 www.ottobock.ca Provide estimate only Account Information Order Article number: 480A76=00000_K
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
Serial Number: Manufacturing Date: /20
Sunrise Medical Head Office: 237 Romina Drive, Unit 3 Concord, ON L4K 4V3, Canada Telephone: +1.800.263.3390 Fax:+1.800.561.5834 csrcanada@sunmed.com www.sunrise.ca Distributor Name: Dealers Name: Contact
1,795. Base Price. Part no.: CLIENT MEASUREMENTS. Town: Postal code: Town: Postal code: Tel: Fax: Tel: Fax: Purchase order:
Front Castor Seat Depth in cm Deliver to: Deliver to: Name: Name: Street: Street: Town: Postal code: Town: Postal code: E-Mail: E-Mail: Tel: Fax: Tel: Fax: Order date: Purchase order: Number required:
BUDDY "Classicline" Active easy running wheelchair
Im Hofstätt 11 D- 72359 Dotternhausen Tel +49 (0)7427 9480-0 Fax +49 (0)7427 9480-7025 e-mail info@proactiv-gmbh.de www.proactiv-gmbh.de Quotation date: Order date: according to GTC PRO ACTIV GmbH BUDDY
Condor Script Form Folding Frame Day Wheelchair 90050
90050 To Order Fill in the frame dimensions and features required. For variations describe in detail on a separate page. If you have any further questions contact us at the address at the bottom of the
Stallion Script Form Fixed Frame Adjustable Wheelchair 90100
90100 To Order Fill in the frame dimensions and features required. For variations describe in detail on a separate page. If you have any further questions contact us at the address at the bottom of the
Town: Postal code: Town: Postal code: CLIENT MEASUREMENTS. Seat Width in cm 38 cm 40 cm 42 cm 44 cm 46 cm. 40 cm
Front Castor Seat Depth in cm Deliver to: Deliver to: Name: Name: Street: Street: Town: Postal code: Town: Postal code: E-Mail: E-Mail: Tel: Fax: Tel: Fax: Order date: Purchase order: Number required:
SPEEDY 4all "Classicline"
Im Hofstätt 11 D- 72359 Dotternhausen Tel +49 (0)7427 9480-0 Fax +49 (0)7427 9480-7025 e-mail info@proactiv-gmbh.de www.proactiv-gmbh.de Quotation date: Order date: according to GTC PRO ACTIV GmbH SPEEDY
Serial Number: Manufacturing Date: /20
Sunrise Medical Head Office: 237 Romina Drive, Unit 3 Concord, ON L4K 4V3, Canada Telephone: +1.800.263.3390 Fax:+1.800.561.5834 csrcanada@sunmed.com www.sunrise.ca Distributor Name: Dealers Name: Contact
Auftrags-Nr.: Order no.: ... Date Signature. MA 110 Standard
Zenit Active Wheelchair Auftrags-Nr.: Order no.: Zenit Active wheelchair Article number: 480F160=1_AA01_C Provide estimate only Order Billing address/customer number Delivery address Ottobock Zenit_647F557=EN-01-1611
Invoice address: same as company address. Invoice address: other (see below) Cust. no.: Name: Street: Postcode, city: Phone: Fax: Contact:
Im Hofstätt 11 D- 72359 Dotternhausen Tel +49 (0)7427 9480-0 Fax +49 (0)7427 9480-7025 e-mail info@proactiv-gmbh.de www.proactiv-gmbh.de Quotation date: Order date: according to GTC PRO ACTIV GmbH TRAVELER
Invacare. Family Compatibility Portfolio Optimize your business with an all-in-one solution. Jan
Invacare Family Compatibility Portfolio 2012 Optimize your business with an all-in-one solution. Content Introduction 3 How to use this publication 3 Pictograms 3 Technical information 4 Products overview
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
COST EFFECTIVENESS THERAPEUTIC BENEFITS APPLICATIONS. the optimal smoothness and lightweight design facilitate the independence of the user
XSTAR 1.160 Individual setting made easy Elegant frame design Smooth pressure brake Newly designed steering head socket A strong character COST EFFECTIVENESS THERAPEUTIC BENEFITS APPLICATIONS for long-term
Custom Manual Options & ACCESSORIES AUSTRALIA 2013
Custom Manual Options & ACCESSORIES AUSTRALIA 2013 Casters and Forks CASTERS FORKS Aluminium Soft Roll 4 X 1.5 113395 5 X 1.5 113396 6 X 1.5 113397 Aluminium Polyurethane / Soft Roll Multi Position Fork
SEAT BACKREST. REAR SEAT HEIGHT SELECTION: independant of rear wheel size. Rear seat height in cm (2)
REAR SEAT HEIGHT SELECTION: independant of rear wheel size Rear Wheels 24" 25" Rear seat height in cm 37 38 39 40 41 42 43 44 45 46 47 48 49 50 (2) (2) The rear seat height can only be between 0 cm and
This wheelchair has a weight limit of 80kg
90355 ATTENTION This wheelchair has a weight limit of 80kg If you require a suspension wheelchair and you currently weigh over 80kgs, please consider the Melrose Shockwave. If you need a wheelchair without
Max. user weight: 110Kg / 140kg USER WEIGHT Fax number: +44 (0)
Invoice to: Deliver to: Name: Name: Street: Street: Town: Postal code: Town: Postal code: E-Mail: E-Mail: Tel: Fax: Tel: Fax: Order date: Purchase order: Number required: Marked for: Sunrise order no:
MASS Script Form. Frame. Backrest. Seat Depth
MASS Script Form Company: Account Number: Date: Quote PO Number: RTS: Marked For: Australian Order Order Effective 01/10/2014 Ship To: Address: City: State: Zip: Phone: Email/Fax: Rogue XP K0005, E1235
The lightest folding wheelchair in the world - now with swing away legrests!
The lightest folding wheelchair in the world - now with swing away legrests! The lightest FOLDING wheelchair in the world, now with swing-away legrests. Quickie has combined the latest ultra-light, hydroformed
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
YOU RE YOUNG. YOU RE ACTIVE. YOU RE YOU. GROWTH WITH AN EDGE. ROGUE XP.
ROGUE XP YOU RE YOUNG. YOU RE ACTIVE. YOU RE YOU. GROWTH WITH AN EDGE. ROGUE XP. FOCUS ON PUSHING YOUR LIMITS. NOT YOUR CHAIR. Rogue XP is the ultimate performance chair; encouraging you to embrace your
RGK Tiga Sub4. July Serial Number: Manufacturing Date:
Manufacturing Date: Sunrise Medical Head O ce: 237 Romina Drive, Unit 3 Concord, ON L4K 4V3, Canada Telephone: +1.800.263.3390 Fax:+1.800.561.5834 E-Mail: cscanada@sunmed.com www.sunrisemedical.ca RGK
Additional Front Wheel Options Not Shown FW1 3 x.75 Micro-Caster FW14 4 x.75 Plastic Wheel w/poly Tire FW3 4 x.75 Light-Up Micro-Caster
front wheels FW2 3 x.75 Light-Up Micro-Caster FW23 3 x1.5 Billet Aluminum Micro Caster w/soft Roll Tire FW19 4 x.75 Performance 5 Spoke Billet Aluminum Wheel w/poly Tire - Silver Hub OR Black Hub FW20
4.2 HELIO KIDS MODEL. Ultralight Folding Carbon Fiber HELIO KIDS Wheelchair Including angle & depth adjustable back (79 kg lbs weight capacity)
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
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
Invoice address: same as company address. Invoice address: other (see below) Cust. no.: Name: Street: Postcode, city: Phone: Fax: Contact:
Im Hofstätt 11 D- 72359 Dotternhausen Tel +49 (0)7427 9480-0 Fax +49 (0)7427 9480-7025 e-mail info@proactiv-gmbh.de www.proactiv-gmbh.de Quotation date: Order date: according to GTC PRO ACTIV GmbH Speedy
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. 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
Etac Cross 5 and Cross 5 XL
Etac Cross 5 and Cross 5 XL The new generation wheelchair with the optimum prerequisites for delivering comfort and excellent manoeuvrability. Etac Cross 5 when every little detail makes a big difference
Order form LEVO LAE 2011/1
Seat height 48 Seat height 51 Seat height 54 Seat height 57 Order form LEVO LAE 2011/1 Please answer the following questions exactly and consider the indications.the exact measurement within the pictograms
Collezione COLLECTION Kollektion. Samling. Follow us on social media
Colección COLLECTIE COLLECTION 2015 Collezione Samling Kollektion Follow us on social media Küschall AG Benkenstrasse 260 CH-4108 Witterswil Switzerland Phone +41 (0) 61 487 70 70 Fax +41 (0) 61 487 70
Service Manual. Contents
Contents General... Introduction Spare parts and adaptations Fastening with hexagon socket bolts Torque Checks Identifying and repairing faults Frame... 6 Rear frame 7 Front frame 7 Retaining lever 7 Seat...
Parts Catalog Issued: Apr 11, A-4 A-4 Titanium. (Wheelchairs Built After 9/15/02)
Parts Catalog Issued: Apr, 208 A-4 A-4 Titanium (Wheelchairs Built After 9/5/02) Parts Catalog Usage Guide The information contained in this document is subject to change without notice. This catalog contains
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
Transformer. Rev C. Aug 15, 2010 Page 1 of 8
Transformer Rev C. Aug 15, 010 Page 1 of 8 www.topendwheelchair.com Rev C. Aug 15, 010 Page of 8 www.topendwheelchair.com ITEM PART NUMBER PER CHAIR DESCRIPTION 1 1116570 1 Upper Seat Frame, specs required
Dealer Please check the correct box according to the measured hip width in a sitting position: 35 cm 48 cm
EVO CEV Order form Dealer 2017 EVO Dealer: Date: Dealer reference / Client name: Order number: Anglikerstrasse 20 CH-5610 Wohlen Phone: +41 56 618 44 11 Fax: +41 56 618 44 10 e-mail: office@levo.ch configuration
Parts Catalog Issued: Mar 12, Comet Rocket. Wheelchairs
Parts Catalog Issued: Mar 2, 208 Comet Rocket Wheelchairs Parts Catalog Usage Guide The information contained in this document is subject to change without notice. This catalog contains service parts for.
Please check the correct box according to the measured hip width in a sitting position: 35 cm 48 cm
EVO AE Order form Dealer 2017 EVO Dealer: Date: Dealer reference / Client name: Order number: Anglikerstrasse 20 CH-5610 Wohlen Phone: +41 56 618 44 11 Fax: +41 56 618 44 10 e-mail: office@levo.ch configuration
Account Number: Provider Name: Contact:
Quantum Rehab Discount: Terms: Freight: Taken By: DME providers are responsible for determining appropriate billing codes when submitting for insurance reimbursement. HCPCS codes should not be considered
4.2. Ship to: Vendor: Name: Date: Address: Ordered by: City: Province:
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 orders@motioncomposites.com www.motioncomposites.com 4.2 Helio C2 ORDER FORM - CANADA
Serial Number: Manufacturing Date: /20
RGK Head Office: Unit 8 A,B/C Ring Road, Zone 2 Burntwood Business Park, Burntwood Staffordshire. WS7 3JQ. UK Telephone:+44(0)1543 670077 Fax:+44(0)1543 670088 info@rgklife.com www.rgklife.com Customer
lightweight-rigid for handling and performance
efficient f ff driving i f c itechnology i e cn t i de r ni v 02 driving technology Helium encompasses the latest in cycle and automotive racing technologies for the 2010 decade. Designed and engineered
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
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
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
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:
The lightest folding wheelchair in the world
The lightest folding wheelchair in the world Minimalistic oval frame combined with an innovative, patented flat cross brace design gives the Quickie Xenon an impressive stylish and active look. The lightest
Serial Number: Manufacturing Date: /20
49 Bespoke Inc. 51 Caldari Road, Units 6-7B Concord, ON L4K 4G3, Canada Telephone: +1.866.827.4548 Fax:+1.877.731.7745 49@49Bespoke.com www.49bespoke.com Distributor Name: Dealers Name: Contact Name: Client's
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.
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
P R O D U C T C ATA LO G U E
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