PAGE 2 BREEZY ELEGANCE
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- Ernest Porter
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1 PAGE 2
2 Category... 1 Product BASE FRAME... 5 AXLE PARTS... 5 CASTER FORK... 6 ANTI-TIP... 7 WHEEL LOCK... 8 DRUM BRAKE... 9 REAR WHEEL - STANDARD REAR WHEEL - DRUM BRAKE EQUIPPED SEATING & POSITIONING SEAT SEAT SLING CUSHIONS & COVERS BACK PUSH HANDLE BACK UPHOLSTERY HANGERS SWING AWAY LEGREST ELEVATING LEGREST ARMRESTS ARMREST-HEIGHT ADJUSTABLE ARMREST-FIXED HEIGHT ACCESSORIES ACCESSORIES PAGE 4
3 AXLE PARTS [08/2016] Pos. Item Number Description Remarks QR AXLE SLEEVE AND NUT CPL use with Standard Wheels QUICK RELEASE AXLE use with Drum Brake Wheels PAGE 5
4 [06/2014] CASTER FORK Pos. Item Number Description Stem bolt + nut for caster fork and spacer Front caster 8 1/4" solid 5 spoke ET Caster fork w/o caster, standard (long) PAGE 6
5 ANTI-TIP [06/2014] Pos. Item Number Description Remarks ANTI TIP WHEEL ASSY KIT Pair PAGE 7
6 [06/2014] WHEEL LOCK Pos. Item Number Description Knee Lever Brake Complete (Pair) ET Cover Wheel Lock Lever (5 pcs./pack) PAGE 8
7 DRUM BRAKE [06/2014] Pos. Item Number Description Lever for Drum Brake Wire for Drum Brake Drum Brake Axle (Pair) PAGE 9
![[06/2014] REAR WHEEL - STANDARD Pos.](/docs-images/85/91855175/images/8-0.jpg "Item Number Description 1 064500-300 24\" x-spoke solid tire")
8 [06/2014] REAR WHEEL - STANDARD Pos. Item Number Description " x-spoke solid tire aluminum handrim PAGE 10
![REAR WHEEL - DRUM BRAKE EQUIPPED [06/2014] Pos.](/docs-images/85/91855175/images/9-0.jpg "Item Number Description 1 064500-304 COMPLETE DRUMBRAKE REAR")
9 REAR WHEEL - DRUM BRAKE EQUIPPED [06/2014] Pos. Item Number Description COMPLETE DRUMBRAKE REAR WHEEL 24 IN PAGE 11
![[06/2014] SEAT SLING Pos. Item Number Description Remarks 1 064943-002 Padded seat sling cpl. with mounting SW 40.](/docs-images/85/91855175/images/10-0.jpg "5 cm/sd 41-43 cm 16\" wide chairs 1 064943-004 Padded seat sling cpl. with mounting SW 45.")
10 [06/2014] SEAT SLING Pos. Item Number Description Remarks Padded seat sling cpl. with mounting SW 40.5 cm/sd cm 16" wide chairs Padded seat sling cpl. with mounting SW 45.5 cm/sd cm 18" wide chairs PAGE 12
![CUSHIONS & COVERS [03/2016] Pos.](/docs-images/85/91855175/images/11-0.jpg "Item Number Description Remarks 1 158702 RETAIL ELEG CUSH SLVR 16X16 Complete Cushion 1 158703 RETAIL ELEG CUSH SLVR 18X16 Complete Cushion 1 127751 Cover, Silver, 16x16.")
11 CUSHIONS & COVERS [03/2016] Pos. Item Number Description Remarks RETAIL ELEG CUSH SLVR 16X16 Complete Cushion RETAIL ELEG CUSH SLVR 18X16 Complete Cushion Cover, Silver, 16x16. Breezy Elegance Cover only Cover, Silver, 18x16. Breezy Elegance Cover only RETAIL ELEG CUSH GOLD 16X16 Complete Cushion RETAIL ELEG CUSH GOLD 18X16 Complete Cushion Cover, Gold, 16x16 Breezy Elegance Cover only Cover, Gold, 18x16 Breezy Elegance Cover only RETAIL ELEG CUSH PLTM 16X16 Complete Cushion RETAIL ELEG CUSH PLTM 18X16 Complete Cushion CVR,RPLC,PLTNM,16X16,BRZY ELEG Cover only CVR,RPLC,PLTNM,18X16,BRZY ELEG Cover only PAGE 13
12 [04/2016] PUSH HANDLE Pos. Item Number Description Remarks Back tube, standard with height adj. push handle cpl. for back heights 41-43,5-46 cm Pair Back tube, standard cpl. for back heights cm (Pair) Release lever (10 pcs/pack) 10 PACK Handgrip (10 pcs/pack) 10 PACK PAGE 14
![BACK UPHOLSTERY [04/2016] Pos. Item Number Description Remarks 1A 127691 Back upholstery SW 40.5 cm - - - 3 Straps 16" wide Silver and Gold chairs 1B 127692 Back upholstery SW 45.](/docs-images/85/91855175/images/13-0.jpg "5 cm - - - 3 Straps 18\" wide Silver and Gold chairs 2A 127689 Back upholstery SW 40.5 cm 16\" wide Platinum chairs 2B 127690 Back upholstery SW 45.")
13 BACK UPHOLSTERY [04/2016] Pos. Item Number Description Remarks 1A Back upholstery SW 40.5 cm Straps 16" wide Silver and Gold chairs 1B Back upholstery SW 45.5 cm Straps 18" wide Silver and Gold chairs 2A Back upholstery SW 40.5 cm 16" wide Platinum chairs 2B Back upholstery SW 45.5 cm 18" wide Platinum chairs Back straps adjustable (7 straps), SW 38 cm Platinum chairs PAGE 15
14 [06/2014] SWING AWAY LEGREST Pos. Item Number Description Remarks Hanger Assembly w/o Footplate (Pair) Pair Plastic Footplate w/ Heel Band & Extension Tube (Pair; SW ) Pair; 16" wide chairs Plastic Footplate w/ Heel Band & Extension Tube (Pair; SW ) Pair; 18" wide chairs PAGE 16
![ELEVATING LEGREST [06/2014] Pos.](/docs-images/85/91855175/images/15-0.jpg "Item Number Description Remarks 1 064840-000 Elevating legrest (Pair) Pair-footplate & extension must be ordered separately 1 064840-001 Elevating legrest (Left) footplate & extension must be ordered")
15 ELEVATING LEGREST [06/2014] Pos. Item Number Description Remarks Elevating legrest (Pair) Pair-footplate & extension must be ordered separately Elevating legrest (Left) footplate & extension must be ordered separately Elevating legrest (Right) footplate & extension must be ordered separately Plastic Footplate w/ Heel Band & Extension Tube (Pair; SW ) Pair; 16" wide chairs Plastic Footplate w/ Heel Band & Extension Tube (Pair; SW ) Pair; 18" wide chairs PAGE 17
![[05/2017] ARMREST-HEIGHT ADJUSTABLE Pos.](/docs-images/85/91855175/images/16-0.jpg "Item Number Description Remarks 1 064475-100 Armrest Assembly with Height Adjustable Armpad cpl.")
16 [05/2017] ARMREST-HEIGHT ADJUSTABLE Pos. Item Number Description Remarks Armrest Assembly with Height Adjustable Armpad cpl. Pair Armrest receiver rear (Pair) Pair FRONT ARMREST RECEIVER Pair PAGE 18
![ARMREST-FIXED HEIGHT [06/2014] Pos.](/docs-images/85/91855175/images/17-0.jpg "Item Number Description Remarks 1 064830-000 Armrest Assembly Standard (Pair) Pair 2 067925 Armpad cplt with mounting accessories (LH")
17 ARMREST-FIXED HEIGHT [06/2014] Pos. Item Number Description Remarks Armrest Assembly Standard (Pair) Pair Armpad cplt with mounting accessories (LH & RH usable) Armrest receiver rear (Pair) Pair FRONT ARMREST RECEIVER Pair PAGE 19
![[04/2016] ACCESSORIES Pos.](/docs-images/85/91855175/images/18-0.jpg "Item Number Description 1 067708 Crutch Holder 2 064931")
18 [04/2016] ACCESSORIES Pos. Item Number Description Crutch Holder Step Tube Back Pack PAGE 20
Spare Parts Catalogue. Version: 2014/10/08b EN
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
SIDEFRAME (FIXED ARM), CROSSBRACE, ARM PAD KIT...3 SIDEFRAME (DETACHABLE ARM), CROSSBRACE...4 ARM, DETACHABLE...5 CASTER...5 REAR WHEEL...
PARTS CATALOG CONTENTS SIDEFRAME (FIXED ARM), CROSSBRACE, ARM PAD KIT... SIDEFRAME (DETACHABLE ARM), CROSSBRACE... ARM, DETACHABLE...5 CASTER...5 REAR WHEEL...5 FRONT RIGGING, DETACHABLE...6 UPHOLSTERY
VOLANT: FULL ARMREST ASSEMBLIES
Title - 1 - Title - 2 - Table Of Contents LOMAX VOLANT... 4 ARMRESTS... 4 VOLANT: FULL ARMREST ASSEMBLIES... 4 VOLANT: SIDE PANEL... 5 VOLANT: ARMPAD... 6 BACKRESTS... 8 VOLANT: NINIAN BACKREST UPHOLSTERY...
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.
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
Invacare Action 3 Junior Large Retail Max User Weight 80Kg (12.5 stone) Standard Base Price: 539 * Configurations may vary to the image shown
Manual Wheelchair Retail Prescription Form ACTION3JUNIORLARGE15112017 Tel: 01656 776222 Fax: 01656 776220 JAN 2018 Email: ordersuk@invacare.com Online Spares available at www.invacare.co.uk Customer Ref:
SIDEFRAME (FIXED ARM), CROSSBRACE, ARM PAD KIT...3 SIDEFRAME (DETACHABLE ARM), CROSSBRACE...4 ARM, DETACHABLE...5 CASTER...5
PARTS CATALOG CONTENTS SIDEFRAME (FIXED ARM), CROSSBRACE, ARM PAD KIT... SIDEFRAME (DETACHABLE ARM), CROSSBRACE... ARM, DETACHABLE...5 CASTER...5 UPHOLSTERY (ALL SIDEFRAMES)...6 FRONT RIGGING, DETACHABLE...6
Invacare 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
QUICKIE TANGO... 5 BASE FRAME... 5 BATTERY BOX... 5 COVERS... 6 MAIN FRAME... 7 MOTOR MOUNT & ANTI TIP... 8 SUSPENSION... 9 MOTOR...
Title - 1 - Title - 2 - Table Of Contents QUICKIE TANGO... 5 BASE FRAME... 5 BATTERY BOX... 5 COVERS... 6 MAIN FRAME... 7 MOTOR MOUNT & ANTI TIP... 8 SUSPENSION... 9 MOTORS... 10 MOTOR... 10 SEAT/BACK...
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
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
Start M2S. Lightweight wheelchair. Unit price: EUR X,XXX (side panels and footrests included) Provide estimate only Order. Standard equipment
Unit price: EUR X,XXX (side panels and footrests included) All prices in EUR, valid from 01/01/2017 to 31/12/2017 Start M2S Lightweight wheelchair Provide estimate only Order Billing address/customer number
SIDEFRAME AND CROSSBRACE... 3 ARM: FLIP-BACK FIXED-HEIGHT... 4 ARM: FLIP-BACK ADJUSTABLE-HEIGHT... 4 REAR WHEEL... 5 CASTER... 5
PARTS CATALOG CONTENTS SIDEFRAME AND CROSSBRACE... ARM: FLIP-BACK FIXED-HEIGHT... 4 ARM: FLIP-BACK ADJUSTABLE-HEIGHT... 4 REAR WHEEL... 5 CASTER... 5 FRONT RIGGING, DETACHABLE... 6 UPHOLSTERY... 7 ACCESSORIES...
Quickie QX December 2018
Quickie QX December 2018 EIF6 Mark For: Submitting for: Quote Order Date: PO#: Dealer Acct #: Dealer: ADDITIONAL SHIPPING INFORMATION Dealer Contact: Ship To: Dealer Address: Attention: Dealer City: PV:
Quickie QX July 2017
Quickie QX July 2017 EIF6 Mark For: Submitting for: Date: PO#: Quote Order Dealer Acct #: Dealer: ADDITIONAL SHIPPING INFORMATION Dealer Contact: Ship To: Dealer Address: Attention: Dealer City: Dealer
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
Excel K4 Basic MEDLIN. Wheelchair Parts Guide
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VISTA IC PARTS CATALOG
VISTA IC PARTS CATALOG Contents Sideframe (Fixed Arm), Crossbrace & Arm Pad Kit... Sideframe (Detachable Arm) & Crossbrace... Arm, detachable... 5 Upholstery (All sideframes)... 6 Front Rigging... 6 Caster...
Order no.: ... Date Signature. Posterior seat height
Start M6 Junior Scripted Order no.: Start M6 Junior Lightweight wheelchair Article number: 480F53=60000_K Provide estimate only Order Billing address/customer number Ottobock START_M6_647F263=EN-05-1510
SIDEFRAME AND CROSSBRACE... 3 ARM: FLIP-BACK FIXED-HEIGHT... 4 ARM: FLIP-BACK ADJUSTABLE-HEIGHT... 4 REAR WHEEL... 5 CASTER... 5
PARTS CATALOG CONTENTS SIDEFRAME AND CROSSBRACE... ARM: FLIP-BACK FIXED-HEIGHT... 4 ARM: FLIP-BACK ADJUSTABLE-HEIGHT... 4 REAR WHEEL... 5 CASTER... 5 FRONT RIGGING, DETACHABLE... 6 UPHOLSTERY... 7 ACCESSORIES...
Quickie QXi AADL. EIF6, October ADDITIONAL SHIPPING INFORMATION Dealer Contact: Ship To City: Fax. Price 1. FRAME $2,
Quickie QXi AADL EIF6, October 2018 Mark For: Submitting for: Date: PO#: Quote Order Dealer Acct #: Dealer: ADDITIONAL SHIPPING INFORMATION Dealer Contact: Ship To: Dealer Address: Attention: Dealer City:
ZIPPIE SALSA R2 - CHASSIS
Title - 1 - Table Of Contents ZIPPIE SALSA R2 / ZIPPIE SALSA M2... 4 FRAME AND BATTERY BOX... 4 ZIPPIE SALSA R2 - CHASSIS... 4 ZIPPIE SALSA M2 - CHASSIS... 5 ZIPPIE SALSA R2 - SEAT HEIGHT EXTENSION KIT...
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:
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. AADL CAT # 151.
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CareGuard by Invacare
Parts Catalog Issued: Jul 25, 2012 CareGuard by Invacare K2000 Standard K3000 Lightweight K4000 High Strength Lightweight K7000 Heavy Duty Wheelchairs Yes, you can. Parts Catalog Usage Guide The information
Spare Parts Catalogue. Version: 2016/07/26b EN
Spare Parts Catalogue TABLE OF CONTENTS Seating Padded Seat Assemblies...... Seat Cushion... 5 6 Backrests Backrest..... Stay Bars.... 7 8 Legrests Legrest Hanger Assemblies.... 9 Manual Elevating Legrest
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Title - 1 - Title - 2 - Table Of Contents LOMAX ACTIVE FOLDING AND VOLANT GS, GT... 4 ARMRESTS AND SKIRT GUARDS... 4 ACTIVE FOLDING AND VOLANT GS,GT: FULL ARMREST ASSEMBLY... 4 ACTIVE FOLDING AND VOLANT
SIDEFRAME AND CROSSBRACE... 3 ARM: FLIP-BACK FIXED-HEIGHT... 4 ARM: FLIP-BACK ADJUSTABLE-HEIGHT... 4 REAR WHEEL... 5 CASTER... 5
PARTS CATALOG CONTENTS SIDEFRAME AND CROSSBRACE... ARM: FLIP-BACK FIXED-HEIGHT... 4 ARM: FLIP-BACK ADJUSTABLE-HEIGHT... 4 REAR WHEEL... 5 CASTER... 5 FRONT RIGGING: FOOTREST, DETACHABLE... 6 FRONT RIGGING:
QUICKIE SHARK /SHARK S PAGE 1
QUICKIE SHARK /SHARK S PAGE 1 QUICKIE SHARK / SHARK-S... 4 BRAKE... 4 SHARK - BRAKE... 4 FOOTREST... 4 SHARK - FOOTREST... 5 STEERING FORK... 5 SHARK - STEERING FORK HIGH... 6 SHARK - STEERING FORK LOW...
BREEZY EC... 4 BREEZY EC (2000, 2000HD, 3000, & 4000)... 4 BASE FRAME... 4 FRAME FRAME FRAME (FIXED ARMREST)...
BREEZY EC PAGE 1 BREEZY EC... 4 BREEZY EC (2000, 2000HD, 3000, & 4000)... 4 BASE FRAME... 4 FRAME... 4 1000 FRAME... 4 2000 FRAME (FIXED ARMREST)... 5 2000 & 3000 FRAME (REMOVABLE ARMREST)... 6 2000 HD
Breezy 250. Strong and durable... Good looks... Complete range of models and accessories... Great warranty and after-sales service...
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2241 N Madera Rd Simi Valley, CA Phone: (800) Fax: (888) Freedom 2 Kids
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MASS Script Form. 160 Kg Weight Capacity Charge. Transit Option. 136 Kg maximum weight capacity. Not available with Removable Seat Pan.
MASS Script Form Australian Order Form Effective 05/07/2014 Company: Account Number: Date: Quote PO Number: RTS: Marked For: Ship To: Address: City: State: Zip: Phone: Email/Fax: Catalyst 5Vx K0005 Charge
- 5 - New Style Frame (Beginning Serial Number QBZM From )
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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
BREEZY EC... 4 BREEZY EC (2000, 2000HD, 3000, & 4000)... 4 BASE FRAME... 4 FRAME FRAME FRAME (FIXED ARMREST)...
BREEZY EC PAGE 1 BREEZY EC... 4 BREEZY EC (2000, 2000HD, 3000, & 4000)... 4 BASE FRAME... 4 FRAME... 4 1000 FRAME... 4 2000 FRAME (FIXED ARMREST)... 5 2000 & 3000 FRAME (REMOVABLE ARMREST)... 6 2000 HD
MODULAR TRAVVLA: ARMREST ONLY (STEM AND TUBE)
Title - 1 - Title - 2 - Table Of Contents LOMAX MODULAR TRAVVLA... 4 ARMRESTS... 4 MODULAR TRAVVLA: ARMREST ONLY (STEM AND TUBE)... 4 MODULAR TRAVVLA: ARMREST SIDE FRAME... 5 MODULAR TRAVVLA: ARMREST CUSHION...
BC MEDEQUIP HOME HEALTH CARE LTD SPRINGER AVE, BURNABY, BC
Basic Wheelchair Bid Work Sheet HMEDA Member Name/Address: BC MEDEQUIP HOME HEALTH CARE LTD. 2230 Springer Avenue, Burnaby, BC, V5B 3M7 Contact Person: ANDRE MONTAGANO Phone/e-mail: 604-888-8811 andre@bcmedequip.com
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BATTERY BOX BATTERY BOX. Pos Item number Description CommentDescription BATTERY COVER QTY
Title - 1 - Title - 2 - Table Of Contents QUICKIE HULA... 5 BASE FRAME... 5 BATTERY BOX... 5 MAIN SHROUD... 6 FRONT SHROUD... 7 FRONT FRAME... 8 REAR FRAME... 9 BEARING SET... 10 FRONT FORK ASSY... 11
BREEZY EC BREEZY EC (2000, 2000HD, 3000, & 4000)... 4 BASE FRAME... 4 FRAME FRAME FRAME (FIXED
BREEZY EC PAGE 1 - - - - - - - BREEZY EC... 4 - - - - - - - BREEZY EC (2000, 2000HD, 3000, & 4000)... 4 BASE FRAME... 4 FRAME... 4 1000 FRAME... 4 2000 FRAME (FIXED ARMREST)... 5 2000 & 3000 FRAME (REMOVABLE
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,
RX Kidz - Rear Side Frame
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October 2018 EIQ2X. Mark For: Submitting for: Quote Order. ADDITIONAL SHIPPING INFORMATION Dealer Contact: Price. Option # 1. FRAME 002RS1 002RS2
Quickie 2 October 2018 EIQ2X Mark For: Submitting for: Quote Order Date: PO#: Dealer Acct #: Dealer: ADDITIONAL SHIPPING INFORMATION Dealer Contact: Ship To: Dealer Address: Attention: Dealer City: PV:
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....
Transport Chairs / Walkers MRI Transport
MRI Folding Walkers 18 Wide, Depth 17 250 lb weight capacity WA-1000 Adult - 32 to 36 $195.00 ea. WA-1001 Junior - 28 to 32 $195.00 ea. MRI Heavy Duty / Extra Wide Folding Walker 24 Wide, Depth 21 500
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
S E R V I C E M A N U A L
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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
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
BREEZY EC BREEZY EC (2000, 2000HD, 3000, & 4000)... 4 BASE FRAME... 4 FRAME FRAME FRAME (FIXED
PAGE 1 - - - - - - -... 4 - - - - - - - (2000, 2000HD, 3000, & 4000)... 4 BASE FRAME... 4 FRAME... 4 1000 FRAME... 4 2000 FRAME (FIXED ARMREST)... 5 2000 FRAME (REMOVABLE ARMREST)... 6 2000 HD FRAME...
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
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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
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q q q q q q q q q q q q q q q q q q Frame q Titanium Frame K5-CAT5-TITAN $ Includes hangers and base frame. Does not include Cross Braces.
Funder: Order Number: Date: q Quote q PO Number: Therapist: Marked For: Catalyst 5 K5-CAT5-ALI 136kg weight capacity Frame Seat Width / Seat Depth Select box corresponding to desired Seat Width and Depth
BENTLEY. 15" Seat Width 18" Seat Width. Requires Heavy Duty Base and Seat Frame. Extended delivery lead times may apply.
C u s t o m e r a n d O r d e r I n f o r m a t i o n Purchase Order * Dealer/Provider Name * Purchaser Name and Contact Information * Billing Address * Tag v.072318 Shipping Address * * required F r a
STELLAR. 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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R82 Kudu - E1233. Retail Price List/ Order Form. Account #: Purchase Order No.: Kudu Standard Features: Recline No HCPCS Code Assigned to Kudu sz 4
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Parts Catalog Issued: Aug 1, 2018 Patriot Wheelchair Parts Catalog Usage Guide The information contained in this document is subject to change without notice. This catalog contains service parts for. If
Invacare Storm4 Easy Adapt Retail Max User Weight 150kgs (23.5 stone) Standard Features
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
R82 Kudu - E1233. Retail Price List/ Order Form. Account #: Purchase Order No.: Kudu Standard Features: Recline No HCPCS Code Assigned to Kudu sz 4
Account #: Purchase Order No.: Contact: R82 Kudu - E1233 Retail Price List/ Order Form Date: Mark For: Bill To: Address: City/State/Zip: Phone: Email Ship To: Address: City/State/Zip: Phone: Kudu Standard
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
Adjustable Height Raised Toilet Seat Model 101 RTS Pricelist/Order Form December 2014
Adjustable Height Raised Toilet Seat Model 101 RTS Date: Name: P.O.#: Address: Name: City/State/Zip: Mark For: Phone: Account #: Fax: This Activeaid raised toilet seat is unique in its design to accommodate
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
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
Invacare Action 1 NG S E R V I C E M A N U A L
Invacare Action 1 NG S E R V I C E M A N U A L ( M A I N T E N A N C E A N D A D J U S T M E N T ) The procedures in this manual MUST be performed by a qualified technician. 1638511- A December 2016 TABLE
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
FUZE T50. Order Form - USA Prices in U.S. Dollars. January 1, C u s t o m e r a n d O r d e r I n f o r m a t i o n.
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
FUZE T20. Order Form - USA Prices in U.S. Dollars. January 1, C u s t o m e r a n d O r d e r I n f o r m a t i o n.
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 v.070118 Dealer/Provider Name * Purchaser Name and Contact Information * Billing Address * Shipping Address * * required F r a
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:
NAME PHONE NO ACCOUNT# P.O. DATE ADDRESS
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"
Invacare Action 1 NG Range MAINTENANCE AND ADJUSTMENT
Invacare Action 1 NG Range MAINTENANCE AND ADJUSTMENT Action1 NG Range 1 December 2010 TABLE OF CONTENTS TABLE OF CONTENTS SECTION 1 TROUBLESHOOTING A N D M A I N T E N A N C E.....4 Troubleshooting.....4
adult Kanga TS wheelchair
adult Kanga TS wheelchair Item # KGA-8016-2GB KGA-8018-2GB KGA-8020-2GB RV1.03.08.17 2017 Medical Depot, Inc. All rights reserved. Drive DeVilbiss Healthcare 99 Seaview Boulevard Port Washington N.Y. 11050
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:
Invacare REA Azalea Transit RETAIL Max User Weight 135Kg (21 stone)
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:
GLYDER PARTS CATALOGUE PLEASE TRY TO PROVIDE AS MUCH DETAIL AS POSSIBLE WHEN ORDERING PARTS THANK YOU FOR YOUR BUSINESS
GLYDER PARTS CATALOGUE PLEASE TRY TO PROVIDE AS MUCH DETAIL AS POSSIBLE WHEN ORDERING PARTS THANK YOU FOR YOUR BUSINESS Table of Contents Parts Category Page(s) Diagram 3 Headrest 4 Frame 5 Back Post 6
q Little Wave Flip XP-Rigid Base E1233, E1161 $
Funder: Therapist: Date: q MOH q ACC Marked For: Details: Ship To: Address: City: Postcode: Phone: Email: Notes: q Little Wave Flip XP-Rigid Base E1233, E1161 $ 74 kg weight capacity. Price includes one
q Little Wave Flip XP - Rigid Base KF-XPRIGID $
Phone 0800 5 222 Fax 0800 275 65 Effective /06/207 Funder: Account Number: Date: Quote PO Number: Therapist: Marked For: Little Wave Flip XP - Rigid Base KF-XPRIGID $ 9.8kg weight capacity. One time free
MVP / MVP jr. (After 10/15/01) Xtra (After 8/31/04)
Parts Catalog Issued: Apr 9, 2019 MVP / MVP jr. (After 10/15/01) Xtra (After 8/31/04) Wheelchair Parts Catalog Usage Guide The information contained in this document is subject to change without notice.
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
STELLAR. Order Form - USA Prices in U.S. Dollars. January 1, C u s t o m e r a n d O r d e r I n f o r m a t i o n.
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
4.8. 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.
STELLAR GL. Order Form - USA Prices in U.S. Dollars. January 1, C u s t o m e r a n d O r d e r I n f o r m a t i o n.
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
Zippie Family. Album
Zippie Family Album Why Zippie? Bright, busy kids are exciting. Everything they do revolves around their independence and their ability to fit in and be part of the gang. When you think of Zippie think
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
Invacare Action ² Range MAINTENANCE AND ADJUSTMENT
Invacare Action ² Range MAINTENANCE AND ADJUSTMENT Action² Range 1 March 2009 TABLE OF CONTENTS TABLE OF CONTENTS SECTION 1 TROUBLESHOOTING A N D M A I N T E N A N C E... 4 Troubleshooting... 4 Maintenance
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
Frame Width. Seating Setup. q 16 q 15 q 14 q 17 q 16 q 15 q 14 Short q 18 q 17 q 16 q 15 q 14 q 19 q 18 q 17 q 16 q 15 q 14
Phone 0800 5 Fax 0800 5 365 Funder: Account Number: Date: Quote PO Number: Therapist: Marked For: Focus CR $ 36kg weight capacity. Tilt range: -5º anterior to 50º posterior. Effective /0/0 Ship To: Address:
Zippie Family. Album
Zippie Family Album Why Zippie? Bright, busy kids are exciting. Everything they do revolves around their independence and their ability to fit in and be part of the gang. When you think of Zippie think
Invacare Action 3 Junior S E R V I C E M A N U A L
Invacare Action 3 Junior S E R V I C E M A N U A L ( M A I N T E N A N C E A N D A D J U S T M E N T ) The procedures in this manual MUST be performed by a qualified technician. 1638509-A December 2016
QUICKIE PRELUDE PAGE 1
QUICKIE PRELUDE PAGE 1 PAGE 2 QUICKIE PRELUDE QUICKIE PRELUDE... 4 FRAME... 4 PRELUDE FRAME... 4 PRELUDE BATTERY BOXES... 5 PRELUDE FOOTPLATE... 6 PRELUDE MOTOR ASSEMBLY... 7 PRELUDE FRONT ANTI-TIP...
NAME PHONE NO ACCOUNT# P.O. DATE ADDRESS
Invacare 9000 XT Wheelchair Suggested Canadian Price List Effective January 2nd, 2018 NAME PHONE NO ACCOUNT# P.O. DATE ADDRESS Pre-Configured Stock Models Stock Chairs 9XT_PTO_29153 9XT/WD86/88-9000XT