Start M2S. Lightweight wheelchair. Unit price: EUR X,XXX (side panels and footrests included) Provide estimate only Order. Standard equipment
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1 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 Ottobock START_M2S_647F490=EN Technical modifications and printing errors reserved Delivery address Sales person Name.. Date Signature By placing the, you agree to comply with the instructions for use/service manuals for accessories and products of other manufacturers when combining them with an Ottobock product, in addition to the instructions for use/service manuals of the respective Ottobock products. Also you confirm to have read, understood and accepted, our general terms and conditions. In addition, you agree, upon placing an, to conduct your own conformity assessment or approval in accordance with national requirements if and when you implement modifications or attachments that do not meet the specifications of Ottobock instructions for use/service manuals. Standard equipment Aluminium frame Tip-assist integrated into the frame footrests, angle-adustable, plastic footplates calf straps Swing-away footrest holders Side panel standard with height-adjustable armrest, foldable, detachable Seat and back upholstery, nylon black Antibacterial push handles Aluminium push rings Knee lever wheel lock Frame colour silver metallic Folding, max. user weight 125 kg/276 lbs Factory settings: Back height 42.5 cm (adjustable settings: 40 cm, 45 cm and 47.5 cm) Anterior seat height 49 cm, posterior seat height 47 cm Seat depth 43.0 cm (adjustable to 40.5 cm and 45.5 cm without the use of tools) Lower leg length 42 cm Start M2S 1/5
2 Version 1: 24" standard rear wheel with PU tyre, 8" casters with PU tyres (200 mm 50 mm), straight back, standard, adaptable "Economy" back upholstery SW 38 cm Art. no. 480F74=30101 SW 40.5 cm Art. no. 480F74=30102 HC SW 43 cm Art. no. 480F74=30103 SW 45.5 cm Art. no. 480F74=30104 SW 48 cm Art. no. 480F74=30105 SW 50.5 cm Art. no. 480F74=30106 Version 2: 24" standard rear wheel with drum brake and PU tyre, 8" casters with PU tyres (200 mm 50 mm), straight back, standard, adaptable "Economy" back upholstery total SW 38 cm Art. no. 480F74=30201 SW 40.5 cm Art. no. 480F74=30202 SW 43 cm Art. no. 480F74=30203 SW 45.5 cm Art. no. 480F74=30204 SW 48 cm Art. no. 480F74=30205 SW 50.5 cm Art. no. 480F74=30206 Version 3: 24" standard rear wheel with PU tyre, back angle adjustment 30, 6" casters with PU tyres total SW 38 cm Art. no. 480F74=30301 SW 40.5 cm Art. no. 480F74=30302 SW 43 cm Art. no. 480F74=30303 SW 45.5 cm Art. no. 480F74=30304 Price xxx, xxx, xxx, xxx, SW 48 cm Art. no. 480F74=30305 SW 50.5 cm Art. no. 480F74=30306 total Start M2S 2/5
3 Version 4: 24" standard rear wheel with PU tyre, half folding back, 6" casters with PU tyres SW 38 cm Art. no. 480F74=30401 SW 40.5 cm Art. no. 480F74=30402 SW 43 cm Art. no. 480F74=30403 SW 45.5 cm Art. no. 480F74=30404 SW 48 cm Art. no. 480F74=30405 SW 50.5 cm Art. no. 480F74=30406 Version 5: 12" rear wheel with PU tyre, half folding back, 6" casters with PU tyres HC total SW 38 cm Art. no. 480F74=30501 SW 40.5 cm Art. no. 480F74=30502 SW 43 cm Art. no. 480F74=30503 SW 45.5 cm Art. no. 480F74=30504 SW 48 cm Art. no. 480F74=30505 SW 50.5 cm Art. no. 480F74=30506 Version 6: 24" standard rear wheel with PU tyre, standard back, height-adjustable push handles, 6" casters with PU tyres, height-adjustable side panelt total SW 38 cm Art. no. 480F74=30601 SW 40.5 cm Art. no. 480F74=30602 SW 43 cm Art. no. 480F74=30603 SW 45.5 cm Art. no. 480F74=30604 SW 48 cm Art. no. 480F74=30605 SW 50.5 cm Art. no. 480F74=30606 total Start M2S 3/5
4 Version 7: 24" standard rear wheel with PU tyre, straight back, standard, 6" casters with PU tyres, heightadjustable side panel adaptable "Economy" back upholstery Dimensions SW 38 cm Art. no. 480F74=30701 SW 40.5 cm Art. no. 480F74=30702 SW 43 cm Art. no. 480F74=30703 SW 45.5 cm Art. no. 480F74=30704 SW 48 cm Art. no. 480F74=30705 SW 50.5 cm Art. no. 480F74=30706 Version 8: 24" standard rear wheel with PU tyre, standard back, 8" casters with PU tyres Dimensions HC total SW 38 cm Art. no. 480F74=30801 SW 40.5 cm Art. no. 480F74=30802 SW 43 cm Art. no. 480F74=30803 SW 45.5 cm Art. no. 480F74=30804 SW 48 cm Art. no. 480F74=30805 SW 50.5 cm Art. no. 480F74=30806 total Start M2S 4/5
5 Equipment Quantity per chair Order quantity Price 481A53=SK170 Anti-tipper pluggable 1 piece piece(s) 481A53=SK065 Crutch holder 1 piece piece(s) 481A74=SK025 Transit wheels, complete 2 pieces piece(s) 481G00=SK702 Spoke protector 24", transparent, compl. 1 2 pieces piece(s) 481H74=SK012 Wheel lock lever extension 2 pieces piece(s) 481E74=PK101 Side panel with height-adj. armrest, compl. (silver metallic) 1 pair pair(s) 481F74=SV015 Caster 8" ( mm) 2 pieces piece(s) 481B74=PK167 Elevating footrest SW 38 40,5 cm 1 pair pair(s) 481B74=PK168 Elevating footrest SW 43 45,5 cm 1 pair pair(s) 481B74=PK169 Elevating footrest SW 48 cm 1 pair pair(s) 481B74=PK170 Elevating footrest SW 50,5 cm 1 pair pair(s) 481B74=PK075 Amputation legrest SW 15" 19" 1 pair pair(s) 481B74=PK076 Amputation legrest SW 1 pair pair(s) 481D74=PK015 Height-adjustable push handles 2 pieces piece(s) 481C53=SM155 Seat cushion standard, SW cm 1 piece piece(s) 481C53=SM160 Seat cushion standard, SW 43 cm 1 piece piece(s) 481C53=SM165 Seat cushion standard, SW 45.5 cm 1 piece piece(s) 481C53=SM175 Seat cushion standard, SW 48 cm 1 piece piece(s) 481C53=SM180 Seat cushion standard, SW 50.5 cm 1 piece piece(s) 481S53=SK S53=SK026 1 Can be ed as individual delivery only. Lap belt with plastic buckle, complete (SW cm) Lap belt with plastic buckle, complete (SW cm) 1 piece piece(s) 1 piece piece(s) Note: the equipments are included, not installed. They cannot be returned for credit. Information Versions 1 and 2; country of destination only Germany, Austria and Switzerland all other versions Start M2S 5/5
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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
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 informationBENTLEY. 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
More informationQuickie 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:
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
More informationVISTA IC PARTS CATALOG
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More informationQuickie 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:
More informationBEARINGS 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....
More informationR82 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
More informationMALTE Posterior Walking Aid
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More informationInvacare 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:
More informationR82 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
More informationInvacare Kite (Modulite Flex3 Seating System) Dealer Max User Weight 160Kg (25 stone)
Invacare Ltd Power Prescription Form Pencoed Technology Park Dealer Prescription Form Pencoed CF35 5AQ LPF1U2KITEFLEX011015Dealer Tel: +44 (0) 1656 776222 Fax: +44 (0) 1656 776220 July 2015 email: ordersuk@invacare.com
More informationC300 Corpus VR2. Price list: 27 Spain EUR. Dealer Information. Client Information. Client Measurements
list: 27 Spain EUR Dealer Information Contact: Customer Code: Customer Name: Address 1: City: Post code: Phone: Fax: PO: Client Information First Name: Last Name: Diagnosis: Address 1: Address 2: Postal
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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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 informationIMPORTANT. OPERATION INFORMATION l DO
E ENGLISH IMPORTANT Due to the change of design, some illustrations and pictures in this owners manual may not correspond to the wheelchair that you purchased. KARMA reserves the right to make design
More informationC350 PS VR2. Price list: 27 Spain EUR. Dealer Information. Client Information. Client Measurements
list: 27 Spain EUR Dealer Information Contact: Customer Code: Customer Name: Address 1: City: Post code: Phone: Fax: PO: Client Information First Name: Last Name: Diagnosis: Address 1: Address 2: Postal
More informationBC MEDEQUIP HOME HEALTH CARE LTD SPRINGER AVE, BURNABY, BC
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More informationFUZE T50. Order Form USA. Please send your completed order form by to or by fax to
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
More informationParts Catalog Issued: Nov 10, 2006
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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 informationDash. Seat widths can be chosen between 12 and 20 when using the standard Dash Life. Taking users weighing up to 135kgs (21 stone 3lb s).
The Essence of this chair is in the unique design of the wheel axle block and side frame. This enables the chair to be extremely adaptable and flexible. The essence of this chair is in the unique design
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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
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