INVACARE EU Export Customer Service: +49(0) 57 31/ ; Fax: +49(0) 57 31/ Reference
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- Gervase Ray
- 6 years ago
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1 Order For Agst April 2017 INVACARE EU Export Cstoer Service: +49(0) 57 31/ ; Fax: +49(0) 57 31/ KÜSCHALL ULTRA-LIGHT Maxi User Weight: 130 kg Standard Base Price: 2479,00 We reserve the rights to have a + or - tolerance of 1 c on the following easreents: seat width, seat depth, SHf, SHr and UL. We reserve the rights to ake technical changes withot notice! Copany Stap Reference Please ake yor selection with a cross in the box Standard featre Free of Charge (NC 9999) = not copatible with ref 9999 CODE DESCRIPTION DDU0010 KÜSCHALL ULTRA-LIGHT 2.479,00 MYKÜSCHALL DDU0000 MYküschall special constrction Fill in all inforation at the end of this docent SEATING CHOICE FRONT FRAME DDU0203 Active, 70 DDU0212 Dynaic, 80 Mini seat angle (SHv to SHh) is 30 DDU0201 Tapered front frae 70 Not possible with SB 280 and 300 DDU0243 Tapered front frae 80 Not possible with SB 280 and 300 ; Mini seat angle (SHv to SHh) is 30 SEAT WIDTH (SB) DDU0118 SB 280 Single cross brace, not possible for Matrx cshions & backrests DDU0120 SB 300 Single cross brace, not possible for Matrx cshions & backrests DDU0122 SB 320 Single cross brace, not possible for Matrx cshions & backrests DDU0124 SB 340 Single cross brace, not possible for Matrx cshions & backrests DDU0126 SB 360 Single cross brace DDU0128 SB 380 Single cross brace DDU0130 SB 400 Single cross brace DDU0132 SB 420 Single cross brace DDU0134 SB 440 Doble cross brace DDU0136 SB 460 Doble cross brace DDU0138 SB 480 Doble cross brace; Not possible with Matrx MX1 backrests DDU0140 SB 500 Doble cross brace; Not possible with Matrx MX1 backrests SEAT DEPTH (ST) DDU0408 ST 320 Not possible for Matrx cshions (DDP0662/0663) DDU0410 ST 340 Not possible for Matrx cshions (DDP0662/0663) DDU0412 ST 360 Not possible for Matrx cshions (DDP0662/0663) DDU0415 ST 380 Not possible for Matrx cshions (DDP0662/0663) DDU0417 ST 400 DDU0420 ST 420 DDU0422 ST 440 DDU0424 ST 460 *the easreents can be adjsted,bt are not offered April 2017 (page 1/11) The general ters & conditions of Invacare GbH apply. Sbject to alterations.
2 Copany: Reference: KÜSCHALL ULTRA-LIGHT DDU0427 ST 480 DDU0429 ST 500 BACK HEIGHT (RH) Not possible with Matrx backrests DDU0550 RH 300 Not possible with foldable back (DDU0734) DDU0503 RH 315 Not possible with foldable back (DDU0734) DDU0506 RH 330 Not possible with foldable back (DDU0734) DDU0509 RH 345 Not possible with foldable back (DDU0734) in cobination with back angle 94 or 98 (DDU0719/0711) DDU0512 RH 360 DDU0514 RH 375 DDU0516 RH 390 DDU0518 RH 405 DDU0520 RH 420 DDU0522 RH 435 DDU0524 RH 450 DDU0526 RH 465 DDU0528 RH 480 DDU0530 RH 495 DDU0532 RH 510 FRONT SEAT-TO-FLOOR HEIGHT (SHv) DDU0845 SHv 430 DDU0846 SHv 440 DDU0847 SHv 450 DDU0848 SHv 460 DDU0849 SHv 470 DDU0850 SHv 480 DDU0851 SHv 490 DDU0852 SHv 500 DDU0853 SHv 510 DDU0854 SHv 520 DDU0855 SHv 530 Not possible with 80 front fraes (DDU0212 and DDU0243) 70 frae: SHh = "SHv-100 " to "SHv- 0 " REAR SEAT-TO-FLOOR HEIGHT (SHh) ;80 frae: SHh = "SHv-100 " to "SHv- 30 " DDU0944 SHh 390 DDU0945 SHh 400 DDU0946 SHh 410 DDU0947 SHh 420 DDU0948 SHh 430 DDU0949 SHh 440 DDU0950 SHh 450 DDU0951 SHh 460 DDU0952 SHh 470 DDU0953 SHh 480 DDU0954 SHh 490 DDU0955 SHh 500 KNEE-TO-HEEL LENGTH (UL) 70 frae: UL ax. = "SHv- 20 " / 80 frae: UL ax. = "SHv- 30 " DDU1661 UL 200 the footplate ay be high onted - see footrest section SHh / Rear wheel size 22" : c 24" : c 26" : c April 2017 (page 2/11) The general ters & conditions of Invacare GbH apply. Sbject to alterations.
3 Copany: Reference: KÜSCHALL ULTRA-LIGHT DDU1662 UL 210 the footplate ay be high onted - see footrest section DDU1663 UL 220 the footplate ay be high onted - see footrest section DDU1664 UL 230 the footplate ay be high onted - see footrest section DDU1665 UL 240 the footplate ay be high onted - see footrest section DDU1666 UL 250 the footplate ay be high onted - see footrest section DDU1667 UL 260 the footplate ay be high onted - see footrest section DDU1668 UL 270 the footplate ay be high onted - see footrest section DDU1669 UL 280 the footplate ay be high onted - see footrest section DDU1670 UL 290 the footplate ay be high onted - see footrest section DDU1671 UL 300 the footplate ay be high onted - see footrest section DDU1672 UL 310 the footplate ay be high onted - see footrest section DDU1673 UL 320 the footplate ay be high onted - see footrest section DDU1674 UL 330 the footplate ay be high onted - see footrest section DDU1675 UL 340 the footplate ay be high onted - see footrest section DDU1676 UL 350 the footplate ay be high onted - see footrest section DDU1677 UL 360 the footplate ay be high onted - see footrest section DDU1678 UL 370 the footplate ay be high onted - see footrest section DDU1679 UL 380 the footplate ay be high onted - see footrest section DDU1680 UL 390 the footplate ay be high onted - see footrest section DDU1681 UL 400 the footplate ay be high onted - see footrest section DDU1682 UL 410 the footplate ay be high onted - see footrest section DDU1683 UL 420 DDU1684 UL 430 DDU1685 UL 440 DDU1686 UL 450 DDU1687 UL 460 DDU1688 UL 470 Cstoer UL st be easred taking away the cshion thickness UL = ULpat-SK April 2017 (page 3/11) The general ters & conditions of Invacare GbH apply. Sbject to alterations.
4 Copany: Reference: KÜSCHALL ULTRA-LIGHT DDU1689 UL 480 DDU1690 UL 490 DDU1691 UL 500 DDU1692 UL 520 BACKREST CHOICE BACK TUBE OPTION DDU0736 Fixed straight backrest tbes standard DDU0705 Lbal tbes Not possible with Matrx backs DDU0720 Angle adjstable back Not possible with Matrx backs 179,00 Not possible with RH (DDU0550/0503/0506), tblar arrests (DDU1411), DDU0734 Foldable back (to the front) height adjstable rear set psh handles (DDU0703), depending 379,00 on the configration with addction frae ; Not possible with Matrx backs BACK ANGLE ADJUSTMENT DDU0707 DDU0718 DDU0709 DDU0719 DDU0711 Angle adjstable backrest, adjsted 82 Angle adjstable backrest, adjsted 86 Angle adjstable backrest, adjsted 90 Angle adjstable backrest, adjsted 94 Angle adjstable backrest, adjsted 98 Angle adjstable backrest, DDU0712 adjsted 102 BACK UPHOLSTERY DDU0700 DDU0721 Standard pholstery Light back pholstery Not possible with fixed backrest (DDU0736) and lbal tbes (DDU0705) Not possible with fixed backrest (DDU0736) and lbal tbes (DDU0705) Not possible with fixed backrest (DDU0736) and lbal tbes (DDU0705) Not possible with fixed backrest (DDU0736) and lbal tbes (DDU0705) Not possible with fixed backrest (DDU0736) and lbal tbes (DDU0705) Only for angle adjstable back (DDU0720) Not possible with Matrx backrests Not possible with backrest stabilization bar (DDU1491), height adjstable rear set psh-handles (DDU0703) Not possible with SB and SB 500, RH < 360 with backrest stabilization bar (DDU1491), height adjstable rear set psh-handles (DDU0703) 139,00 DDU0726 Tension velcro adjstable prei black back pholstery DDU0735 Aero back, tension velcro adjstable 159,00 Not with height adjstable rear set psh handles (DDU0733), foldable psh-handles (DDU0704) Not possible for SB <360, stabilization bar MATRX BACKRESTS (DDU1491), lbal tbes (DDU0705), angle adjstale back (DDU0720), back pholstery Height refers to actal height of the Matrx backrest ; Reqires additional lead tie DDU0753 Matrx MX1, height 230 with dal-ont qick release Not possible for SB > ,00 DDU0754 Matrx MX1, height 310 with dal-ont qick release Not possible for SB > ,00 DDU0755 Matrx MX1, height 410 with dal-ont qick release Not possible for SB > ,00 PUSH HANDLES DDU0702 Psh handles fixed, long With Matrx backrests, psh handles will always be onted at the sae height (approx. 475 fro the seat) April 2017 (page 4/11) The general ters & conditions of Invacare GbH apply. Sbject to alterations.
5 Copany: Reference: KÜSCHALL ULTRA-LIGHT Not with dr brakes (DDU1304) With Matrx backrests, psh DDU0751 Psh handles fixed, ini handles will always be onted at 49,00 the sae height (approx. 475 fro the seat) DDU0750 Withot psh handles Not with dr brakes (DDU1304) Not possible with foldable back (DDU0734), standard (DDU0700), DDU0703 Height adjstable, rear set light back pholstery (DDU0721) 249,00 tblar arrests (DDU1411), Matrx backrests DDU0733 Height adjstable, integrated 179,00 DDU0704 Foldable psh handles Not with dr brakes (DDU1304), Matrx backrests 179,00 BACKREST STABILIZATION BAR Not possible with foldable psh handles (DDU0704), DDU1491 Backrest stabilization bar, swing away and reovable SEATING SEAT UPHOLSTERY Standard seat pholstery with 1 DDU0611 central velcro band (soft) Seat pholstery with 1 central DDU0614 (soft) and 2 side velcro bands (rogh) SEAT CUSHION Standard seat cshion, 60 DDU0600 doble foa with visco top DDU0662 Matrx Libra cshion, black sooth cover standard backrest pholstery (DDU0700), light back (DDU0721) and RH , height adjstable integrated pshhandles (DDU0733) Not possible in SB<360, ST<400; SB 360 only possible with ST 400/ ,00 89,00 540,00 SEAT UPHOLSTERY BAGS DDU0616 Sall bag To fix nder the seat. Not possible for ST < ,00 DDU0617 Big bag To fix nder the seat. Not possible for ST < ,00 SEAT OPTION DDU0606 Seat bag, click in, reovable 69,00 FOOTREST FOOTREST DDU pc. plastic, set to the front Not possible with SB< 34 and for addction frae SB< 380 ; High onted for UL< 370 DDU pc. plastic, set back Not possible with SB< 340 and for tapered frae SB< 380 ; High onted for UL< 370 DDU1564 DDU pc. angle adjstable set to the front 2 pc. angle adjstable set back Not possible with SB< 340 and for tapered frae SB< 380 Not possible with UL< 280 and high onted for UL< 420 Not possible with SB< 340 and for tapered frae SB< 380 Not possible with UL< 280 and high onted for UL< ,00 239,00 DDU pc. carbon footplates, set to the front High onted for UL< ,00 DDU pc. carbon footplates, set back High onted for UL< ,00 April 2017 (page 5/11) The general ters & conditions of Invacare GbH apply. Sbject to alterations.
6 Copany: Reference: KÜSCHALL ULTRA-LIGHT DDU pc. carbon flip-p footplate, adjstable, fixed on 1 side when Not possible with UL< ,00 folded, set to the front DDU pc. carbon flip-p footplate, adjstable, fixed on 1 side when folded, set back Not possible with UL< ,00 FOOT AND LEG SUPPORT DDU1533 Calf strap DDU1530 Heel loops Only possible with 2 piece plastic footplates (DDU1563/1564/1565) 69,00 SIDE GUARDS CLOTHES & MUD GUARDS DDU1400 Clothes gards carbon, fixed DDU1405 Md gards carbon, fixed Not possible with SHh < 410 and rear wheel extension 225,00 DDU1408 Md gards carbon, reovable Adds 20 to the total width of the wheelchair 225,00 SIDERESTS Inclde clothes gards. Add 20 to the total width of the wheelchair DDU1416 Siderest height adjstable (with tools), reovable, short, nonlocking 279,00 DDU1421 Siderest height adjstable (with tools), reovable, long, nonlocking 279,00 DDU1440 DDU1441 ARMREST DDU1411 DDU1445 DDU1446 DDU1447 Siderest with desk fnktion, flip-back, height adjstable, reovable, short Siderest with desk fnktion, flip-back, height adjstable, reovable, long Tblar arrest, non-locking, height adjstable, reovable, swing-away, cofort padded küschall arrest, black contor, locking, height adjstable, reovable, swing-away, flip-back, cofort padded with new arpad küschall arrest, ble contor, locking, height adjstable, reovable, swing-away, flip-back, cofort padded with new arpad küschall arrest, red contor, locking, height adjstable, reovable, swing-away, flip-back, cofort padded with new arpad Not possible with perforance brakes (DDU1302), 299,00 3 caber (DDU0283) Not possible with perforance brakes (DDU1302), 299,00 3 caber (DDU0283) Not possible with psh handles height adj. rear set (DDU0703) In cobination with perforance brakes (DDU1302) not possible with rear wheel position 4/5/6 (DDU0266/0267/0268) In cobination with perforance brakes (DDU1302) not possible with rear wheel position 4/5/6 (DDU0266/0267/0268) In cobination with perforance brakes (DDU1302) not possible with rear wheel position 4/5/6 (DDU0266/0267/0268) 429,00 189,00 189,00 189,00 KÜSCHALL ARMREST ACCESSORIES DDU1455 Pair of arrest covers with black contor 93,60 DDU1456 Pair of arrest covers with ble contor 93,60 DDU1457 Pair of arrest covers with red contor 93,60 FRAME A color difference of 7% ight be possible FRONT FRAME between the front frae, back frae and crossbrace (Official ISO nor) DDU0300 Glossy-black DDU0302 Royal ble DDU0303 Royal red DDU0314 Black att DDU0315 Silver grey DDU0350 Prple fire DDU0354 Night shier DDU0356 Ivory white April 2017 (page 6/11) The general ters & conditions of Invacare GbH apply. Sbject to alterations.
7 Copany: Reference: KÜSCHALL ULTRA-LIGHT DDU0358 Sokey grey DDU0365 Mercry ble Not with option in front frae color (DDU0398) DDU0366 Dynaite orange Not with option in front frae color (DDU0398) DDU0367 Atoic violet Not with option in front frae color (DDU0398) DDU0368 Nitro pink Not with option in front frae color (DDU0398) CROSS-BRACE / REAR FRAME COLOUR Back frae and cross-brace in black att, front frae in selected color DDU0398 In front frae color DDU0399 Black att cross-brace and rear frae COLOUR-POWER-SET Sall shade differences are possible DDU0338 Color-Power-Set chroe Starec rear wheel ri only available in black when CPS 239,00 chroe is selected DDU0330 Color-Power-Set technoanthracite 239,00 DDU0329 Color-Power-Set coet red 239,00 DDU0337 Color-Power-Set copper glaze 239,00 DDU0339 Color-Power-Set chapagne 239,00 DDU0334 Color-Power-Set b-ble 239,00 DDU0336 Color-Power-Set artic ble 239,00 DDU0340 Color-Power-Set olive 239,00 FRONT WHEEL ATTACHMENT DDU0864 High onted DDU0865 Standard onted DDU0866 Low onted FRONT WHEEL FRONT WHEEL DDU0801 4" Everyday wheel with black rbber DDU0860 4" Cofort wheel with black rbber DDU0809 4" Starec black 114,00 DDU0861 4" Starec chroe 114,00 DDU0803 4" Starec techno-anthracite 114,00 DDU0808 4" Starec coet red 114,00 DDU0830 4" Starec copper glaze 114,00 DDU0825 4" Starec chapagne 114,00 DDU0807 4" Starec b-ble 114,00 DDU0831 4" Starec artic ble 114,00 DDU0826 4" Starec olive 114,00 DDU0796 4" FrogLegs front wheel with black alini ri 114,00 DDU0797 4" FrogLegs front wheel with silver alini ri 114,00 DDU0810 5" Everyday with black rbber DDU0863 5" Cofort wheel black rbber DDU0819 5" Starec black 114,00 DDU0862 5" Starec chroe 114,00 DDU0813 5" Starec techno anthracite 114,00 DDU0818 5" Starec coet red 114,00 DDU0833 5" Starec copper glaze 114,00 DDU0827 5" Starec chapagne 114,00 DDU0817 5" Starec b-ble 114,00 DDU0832 5" Starec artic ble 114,00 The Color Power Set (CPS) applies on the following parts and options: Starec & High Perfoance rear wheel hbs with qick release protection, 22 and 24 Starec rear wheel ris (except for chroe), Starec front wheels, forks, front seat odle caps, rear wheel adapter plates *the easreents can be adjsted,bt are not offered April 2017 (page 7/11) The general ters & conditions of Invacare GbH apply. Sbject to alterations.
8 Copany: Reference: KÜSCHALL ULTRA-LIGHT DDU0828 5" Starec olive 114,00 DDU0798 5" FrogLegs front wheel with black alini ri 114,00 DDU0799 5" FrogLegs front wheel with silver alini ri 114,00 DDU0820 6" Cofort with black rbber Not possible with 80 front fraes (DDU0212 and DDU0243) DDU0821 6" Pneatic wheel Not possible with 80 front fraes (DDU0212 and DDU0243) 25,00 DDU0822 7" Cofort with black rbber Not possible with ST 320 to 380 and with 80 front fraes (DDU0212 and DDU0243) REAR WHEEL CHOICE REAR WHEEL FIXATION DDU0250 Standard fixation DDU0249 Rear wheel extension Not in CPS color ; Not possible with 1st rear wheel position (DDU0263) 119,00 REAR WHEEL POSITION DDU0263 1st position Not possible with rear wheel extension (DDU0249) ; with standard fixation (DDU0250); with 3 caber (DDU0283) DDU0264 2nd position DDU0265 3rd position hb brake (DDU0927) DDU0266 4th position Not possible with küschall arrest (DDU1445/1446/1447) in cobination with perforance brakes (DDU1302) Only with rear wheel extension (DDU0249); hb brake (DDU0927) DDU0267 5th position Not possible with küschall arrest (DDU1445/1446/1447) in cobination with perforance brakes (DDU1302) Only with rear wheel extension (DDU0249); hb brake (DDU0927) DDU0268 6th position Not possible with küschall arrest (DDU1445/1446/1447) in cobination with perforance brakes (DDU1302) QUAD QUICK RELEASE AXLE DDU0909 Qad qick release axle Not with integrated hb brakes (DDU0927) ; Not possible with Spinergy LXK wheels (DDU0906) 79,00 REAR WHEEL SIZE DDU " DDU " DDU " REAR WHEEL CAMBER DDU0282 Caber 0 DDU0283 Caber 3 Not possible with 1st rear wheel position (DDU0263) REAR WHEEL TYPE DDU0915 DDU0908 DDU ", 24", 26" küschall Starec, cross-spoked 24" High Perforance 24" Spinergy LXK Starec hb colorless and ri black - Hb and ri in CPS when selected Starec hb black - or in CPS when selected, black ri Hb, ri and spokes black - CPS not applicable if selected; Not possible with Qad qick release (DDU0909) 299,00 719,00 April 2017 (page 8/11) The general ters & conditions of Invacare GbH apply. Sbject to alterations.
9 Copany: Reference: KÜSCHALL ULTRA-LIGHT DDU " wheels with integrated hb brakes 24 silver spokes, black hb and ri - CPS not applicable if selected ; Not with rear wheel position 4, 5 and 6 (DDU0266/0267/0268) ; Qad qick release (DDU0909) ; solid tyres(ddu1004/1006/1007) 595,00 REAR WHEEL TYRE DDU ", 24", 26" Schwalbe Rightrn black/grey DDU ", 24" Profile tyre 7 bar DDU " Solid tyre, profile, grey Not possible with High Perforance (DDU0908); Spinergy LXK wheels (DDU0906); 40,00 hb brakes (DDU0927) DDU " Solid tyre (KIK type), black Not possible with High Perforance (DDU0908); Spinergy LXK wheels (DDU0906); 45,00 hb brakes (DDU0927) DDU ", 24" Solid, light wheel Not possible with High Perforance (DDU0908); Spinergy LXK wheels (DDU0906); hb brakes (DDU0927) 35,00 DDU1010 DDU1011 ANTI-FLAT 24",26" Marathon Pls tyre fro Schwalbe 24" Schwalbe ONE SartGard pnctre protected (5 think layer of highly flexible 69,00 special rbber) V-Gard pnctre resistant (ctresistant high-tech fiber) 79,00 Not possible with Marathon Pls tyres (DDU1010), solid tyres DDU1020 Anti-flat tyre tbe protection 82,00 HANDRIM DDU1113 DDU1114 DDU1117 DDU1122 DDU ", 24", 26" Light Al, grey, dist. 3 c 22", 24", 26" Light Al, grey, dist. 4 c 22", 24", 26" Light Al, black, dist. 3 c 24" Carbolife Crve dist. 3 c 22", 24", 26" Spergripp, dist. 3 or 4 c DDU ", 26" Steel polished, dist. 3 c DDU1106 DDU " Titani, dist. 3 c 24" Titani, dist. 4 c Short tabs with only one hole at distance 3 c Long tabs with 2 holes at distance 3 or 4 c, onted at distance 4 c Short tabs with only one hole at distance 3 c Long tabs with 2 holes at distance 3 or 4 c, onted at distance 3 c Long tabs with 2 holes at distance 3 or 4 c, onted at distance 3 c Short tabs with only one hole at distance 3 c Short tabs with only one hole at distance 3 c Long tabs with 2 holes at distance 3 or 4 c, onted at distance 4 c 379,00 209,00 49,00 219,00 249,00 DDU " The Srge LT 30, dist. 3 c 359,00 DDU " Carbolife Gekko, dist. 3 c Long tabs with 2 holes at distance 3 or 4 c, onted at distance 3 c 395,00 SPOKE GUARDS SPOKE GUARDS DDU ", 24", 26" Transparent 139,00 DDU " küsch Not possible with Spinergy LXK wheels (DDU0906) 139,00 DDU " Transparent and white "küschall" Not possible with Spinergy LXK wheels (DDP0906) SAFETY BRAKES DDU1300 Psh brakes, bent DDU1301 Psh brakes lever straight 139,00 April 2017 (page 9/11) The general ters & conditions of Invacare GbH apply. Sbject to alterations.
10 Copany: Reference: KÜSCHALL ULTRA-LIGHT DDU1302 Perforance brakes Not with 3 caber (DDU0283), dr brake (DDU1304), siderest with desk fnction (DDU1440/1441), küschall arrest 145,00 (DDU1445/1446/1447) in cobination with rear wheel position 4/5/6 DDU1303 Active brakes *(see table on the right: in cobination with 24" wheel) 69,00 DDU1306 Pll brakes DDU1399 Withot brakes Only with option DDU0927 (wheels with integrated hb brakes) BRAKE EXTENSION LEVER DDU1310 Brake lever extension Not possible with perforance brakes (DDU1302) and scissor brakes (DDU1306) 59,00 Not with qad release, 3 caber & foldable & ini psh handles DRUM BRAKE Specific rear wheel onted with a black adapterplate - Not possible in 1. rear wheel position DDU1304 Attendant dr brake 399,00 Max. 2 adaptations per side ANTI TIPPER (adaptations=antitipper, tipper aid, cane holder, transit wheels) DDU1702 Antitipper right 149,00 DDU1703 Antitipper left 149,00 DDU1704 Antitipper both sides 295,00 TRANSPORTATION KIT Only possible with RH > 400, not with Matrx backrests DDU1770 Transportations kit incl. postre belt and labels Withot tie down syste 49,00 POSTURE BELT DDU1730 Postre belt Not with transportation kit (DDU1770) 49,00 PASSIVE LIGHTS DDU1710 Passive lights assebled (onted on spokes) DDU1711 Enclosed ACCESSORIES PACKAGE HOLDER DDU1744 Package holder Enclosed 345,00 BOTTLE HOLDER DDU1745 Bottle holder incl. bottle Enclosed 55,00 MOBILE PHONE HOLDER DDU1746 Mobile phone holder Enclosed 25,00 FRONT FRAME PROTECTORS DDU1739 Front frae protectors (2pc) 38,00 REAR FRAME PROTECTION DDU1729 Rear frae protection Reovable, with velcro 29,00 Max. 2 adaptations per side TIPPER AID (adaptations=antitipper, tipper aid, cane holder, transit wheels) DDU1708 Tipper-Aid, right Not possible on the sae side as cane holder 69,00 DDU1709 Tipper-Aid, left Not possible on the sae side as cane holder 69,00 DDU1718 Tipper-Aid, both sides Not possible with cane holder 129,00 Max. 2 adaptations per side CANE HOLDER (adaptations=antitipper, tipper aid, cane holder, transit wheels) DDU1706 Cane holder, right Not possible on the sae side as tipper aid 95,00 April 2017 (page 10/11) The general ters & conditions of Invacare GbH apply. Sbject to alterations.
11 Copany: Reference: KÜSCHALL ULTRA-LIGHT DDU1707 Cane holder, left Not possible on the sae side as tipper aid 95,00 DDU1719 Cane holder, both sides Not possible with tipper aid 179,00 Max. 2 adaptations per side TRANSIT WHEELS 3" (adaptations=antitipper, tipper aid, cane holder, transit wheels) DDU1700 Transit wheels 3" 275,00 MANUAL AIR PUMP DDU1715 Air pp 28,00 AIRMAN DDU1716 AirMan 175,00 KÜSCHALL WATCH DDU1712 küschall watch, right side 147,00 DDU1713 küschall watch, left side 147,00 TOOL KIT DDU1717 Tool kit 25,00 WHEEL BAG DDU1728 Wheels bag (for 24" and 26" rear wheels) 75,00 WHEEL BAG & WHEEL KITS DDU " Montain bike wheels with bag Montain Bike wheels and tires with al grey handris 499,00 SUPPORT FOR MEASUREMENTS / MYKÜSCHALL REQUESTS CUSTOMIZED MEASUREMENTS SB ST RH SHv SHh UL RW GL / GB USER WEIGHT USER SIZE MYküschall Description of the reqest April 2017 (page 11/11) The general ters & conditions of Invacare GbH apply. Sbject to alterations.
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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
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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
More informationSEATING 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
More informationOrder 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:
More informationOrder 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:
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Wheelchair Portfolio Active wheelchair K-Series Content Frame...2 Backrest...3 Footrest...8 Side guards... 11 Cushions and options... 13 Colours... 14 Front wheels... 16 Rear wheels... 17 Brakes... 25
More informationKüschall 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
More informationINVACARE EU Export Customer Service: +49(0) 57 31/ ; Fax: +49(0) 57 31/ Dealer. Order No: Order Date:
Order For May 2018 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 Invacare Maxi User Weight: 136 kg Standard Base Price: 6706,00 Copany
More informationVoyager 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
More informationRETAIL 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
More informationSling 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
More informationStandard 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
More information4.2 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
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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
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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
More informationq 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
More informationOrder 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
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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:
More informationInvacare 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
More informationMASS 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
More informationnoir 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
More informationStandard 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
More informationOrder 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.
More informationInvacare. Family Compatibility Portfolio Optimize your business with an all-in-one solution. Jan
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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
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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
More informationThis form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. AADL CAT # 151.
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Canada AADL CAT # 151 Effective 10/01/2018 Company: Account Number: Date: q Quote q PO Number:
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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:
More informationMASS 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
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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
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Spare Parts Catalogue TABLE OF CONTENTS Chassis Sideframes... Crossbrace... 5 6 Seat Seat Upholstery... Solid Seat Inserts..... 7 8 Backrest Legrests Back Cane Assemblies... 9 Back Upholstery... 10 Push
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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 orders@motioncomposites.com www.motioncomposites.com 4.2 Helio C2 ORDER FORM - CANADA
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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: Vendor: Date: Ordered by: Email: Marked for: User
More informationStallion 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
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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
More informationCondor 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
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2915 Ogletown RD # 2270 Newark, DE 19713 T.+1-866-650-6555 F. +1-888-966-6555 orders@motioncomposites.com www.motioncomposites.com 4.6 P.O. number:* Date: Ship to:* Helio C2 ORDER FORM - USA Company Name:*
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160 Armand-Majeau Sud Saint-Roch-de-l'Achigan, QC, Canada J0K 3H0 T.+1-866-650-6555 F. +1-888-966-6555 orders@motioncomposites.com www.motioncomposites.com 4.6 APEX ORDER FORM - International P.O. number:*
More informationOrder 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
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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
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Manual Wheelchair Retail Prescription Form ReaAzaleaTransit281117 Tel: 01656 776222 Fax: 01656 776220 Email: ordersuk@invacare.com January 2018 Online spares available at: www.invacare.co.uk Customer Ref:
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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
More informationSTD +1" +2" STD +1" +2" STD +1" +2" STD +1" +2" STD +1" +2" STD
P.O. number:* Company Name:* Ordered by:* 2915 Ogletown RD # 2270 Newark, DE 19713 T.+1-866-650-6555 F. +1-888-966-6555 orders@motioncomposites.com www.motioncomposites.com Date: Phone:* 4.7 Ship to:*
More informationAPEX 4.7. FRONT Seat-to-floor height ORDER FORM - USA. Height available +- 1/4" Caster sizes. 3" Caster 14" to 21" Specify desired height:
2915 Ogletown RD # 2270 Newark, DE 19713 T.+1-866-650-6555 F. +1-888-966-6555 orders@motioncomposites.com www.motioncomposites.com 4.7 APEX ORDER FORM - USA P.O. number:* Date: Ship to:* Company Name:*
More information4.6. Clinician/ATP/RTS: City: State: VEMA039 * Required. Veloce - FRONT Seat-to-floor height. 16 to 19 Specify desired height: 80.
2915 Ogletown RD # 2270 Newark, DE 19713 T.+1-866-650-6555 F. +1-888-966-6555 orders@motioncomposites.com www.motioncomposites.com 4.6 VELOCE ORDER FORM - USA P.O. number:* Date: Ship to:* Company Name:*
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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
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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
More informationSerial 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
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More informationInvoice 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
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Page 1 of 5 Purchase Order Tag Dealer/Organization Name Purchaser Name and Contact Information Mailing Address Shipping Address Please send your completed order form by email to info@pdgmobility.com or
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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"
More information4.2. Ship to: Vendor: Name: Date: Address: Ordered by: 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 orders@motioncomposites.com www.motioncomposites.com 4.2 MOVE ORDER FORM - CANADA
More information4.8. Clinician/ATP/RTS: City: State/Prov: Marked for: Phone: * Required MVMA053 MVMA056. MVMA058 English Manual (STD) Dutch Manual
160 Armand-Majeau Sud 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 4.8 MOVE ORDER FORM - INTERNATIONAL P.O.
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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.
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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
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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
More informationSTELLAR. 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
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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
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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...
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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
More informationAccount 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
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160 Armand-Majeau Sud Saint-Roch-de-l'Achigan, QC, Canada J0K 3H0 T.+1-866-650-6555 F. +1-888-966-6555 orders@motioncomposites.com www.motioncomposites.com 4.8 P.O. number:* Date: Ship to:* Company Name:*
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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
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160 Armand-Majeau Sud Saint-Roch-de-l'Achigan, QC, Canada J0K 3H0 T.+1-866-650-6555 F. +1-888-966-6555 orders@motioncomposites.com www.motioncomposites.com 4.7 Helio A7 ORDER FORM - INTERNATIONAL P.O.
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2915 Ogletown RD # 2270 Newark, DE 19713 T.+1-866-650-6555 F. +1-888-966-6555 orders@motioncomposites.com www.motioncomposites.com 4.7 VELOCE ORDER FORM - USA P.O. number:* Date: Ship to:* Company Name:*
More informationMax. 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:
More information4.8. A6MA085 Italian Manual. 3" caster 4" caster. 8" caster Stem bolt Length. + 2,54 cm 1" + 5,08cm 2" STD. 36,8cm 14,5" 34,3cm 13,5" 39,4cm 15,5"
160 Armand-Majeau Sud Saint-Roch-de-l'Achigan, QC, Canada J0K 3H0 T.+1-866-650-6555 F. +1-888-966-6555 orders@motioncomposites.com www.motioncomposites.com 4.8 Helio A6 ORDER FORM - INTERNATIONAL P.O.
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Power Wheelchair Retail Prescription Form STORM4EA010117 Tel: 01656 776222 Fax: 01656 776220 JANUARY 2017 Email: ordersuk@invacare.com Online Spares available at: www.invacare.co.uk Customer Ref : Account
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Power Wheelchair Retail Prescription Form FOXMOD210917 Tel: 01656 776222 Fax: 01656 776220 Email: ordersuk@invacare.com Online Spares available at: www.invacare.co.uk OCTOBER 2017 Customer Ref : Account
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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
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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:
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Power Wheelchair Retail Prescription Form PRONTOM41PP010716 Tel: 01656 776222 Fax: 01656 776220 JULY 2016 Email: ordersuk@invacare.com Online Spares available at: www.invacare.co.uk Customer Ref : Account
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4.7 160 Armand-Majeau Sud Saint-Roch-de-l'Achigan, QC, Canada J0K 3H0 T.+1-866-650-6555 F. +1-888-966-6555 orders@motioncomposites.com www.motioncomposites.com Helio C2 ORDER FORM - INTERNATIONAL P.O.
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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
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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
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