Order form – Nook ™

Order number:
Order Date:
Company name / Name and surname
Bill adress:*
E-mail:*
Phone*
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Click if:
Ship to:
Shipment adress:
Contact:
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Ship product:*
Product size*
Choose upholstery: *
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Standard Equipment

  • Base
  • Seat
  • Tray
  • Removable abductor
  • Chest belt
  • Adjustable chest support
  • Pelvic belt
  • Adjustable pelvic support

Accessories:

Safety:
Positioning:
Bodymap positioning:
Comfort:
Spare parts:
Message to us:
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