Order form – RACER® Order number: Order Date:Company name / Name and surname Bill adress:* Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabweCountryE-mail:*Phone* Area Code - Phone Number Click if:shipping adress is the same as bill adressShip to: Shipment adress: Street AddressStreet Address Line 2CityState / Province / RegionPostal / Zip CodeAfghanistanAlbaniaAlgeriaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCentral African RepublicChadChileChinaColombiaComorosCongo (Brazzaville)CongoCosta RicaCote d'IvoireCroatiaCubaCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast Timor (Timor Timur)EcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFijiFinlandFranceGabonGambia, TheGeorgiaGermanyGhanaGreeceGrenadaGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiKorea, NorthKorea, SouthKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorwayOmanPakistanPalauPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint VincentSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbia and MontenegroSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamYemenZambiaZimbabweCountryContact: Area Code - Phone Number Ship product:*AssembledDissasembledProduct size*size 1size 2size 3size 4Choose upholstery:Upholstery colours:*ATMO™ Black - Grass ATMO™ Black - SeaHYDRO™ Black - LimeHYDRO™ Black - AquaHYDRO™ Black - DenimHYDRO™ Black - SteelHYDRO™ Black - CobaltStandard equipmentFoldable frame Footrest with 2 points feet stabilizing beltsSeatSeat cushionAbduction blockReclining backrestHeadrestSafety railSide tubes protectorsAll Terrain wheelsRear wheels brakeAdjustable push handle4 points safety vestReflective safety marksUnder seat storage basketTechnical upholstery + main upholstery with stabilizing side supports (Waterproof upholstery HYDRO™ / Breathable upholstery ATMO™).Accessories:Safety:RCR_001 LED lights RCR_002 Belt for moving the patients AM-P (size 3, 4)Positioning:RCR_101 Thigh abduction belts (size 0)RCR_101 Thigh abduction belts (size 1)RCR_101 Thigh abduction belts (size 2)RCR_101 Thigh abduction belts (size 3)RCR_107 Pelvic brace with pelvic beltRCR_114 H Harness (1)RCR_125 6 points safety vest S (1)RCR_125 6 points safety vest M (1)RCR_125 6 points safety vest L (1)RCR_125 6 points safety vest XL (1)RCR_126 Trunk beltRCR_134 Narrowing pads 6 cmRCR_137 Narrowing pads 10 cm RCR_147 5 points feet stabilizing beltsRCR_161/1 Foot and ankle stabilizing sandals (EUR: 21 – 24, CM: 13 – 15 cm; UK: 4,5 – 7, IN: 5,1 – 5,9 in)RCR_161/2 Foot and ankle stabilizing sandals (EUR: 25 – 27, CM: 15 – 17 cm; UK: 7,5 – 9,5, IN: 5,9 – 6,7 in)RCR_161/3 Foot and ankle stabilizing sandals (EUR: 27 – 31, CM: 17 – 19,5 cm; UK: 9 – 12, IN: 6,7 – 7,7 in)RCR_161/4 Foot and ankle stabilizing sandals (EUR: 31 – 35, CM: 19,5 – 22,4 cm; UK: 12 – 2,5, IN: 6,7 – 8,8 in)RCR_162/1 Dynamic ankle stabilizers (FP-22)(size XS, perimeter of the ankle CM: 4 – 17 cm; IN: 6-7 in)RCR_162/2 Dynamic ankle stabilizers (FP-22)(size S, perimeter of the ankle CM: 16.5 – 20 cm; IN: 6-8 in)RCR_162/3 Dynamic ankle stabilizers (FP-22)(size M, perimeter of the ankle CM: 19 cm – 23.5 cm; IN: 7-9 in)RCR_162/4 Dynamic ankle stabilizers (FP-22)(size L, perimeter of the ankle CM: 23 cm – 28 cm; IN: 9-11 in)RCR_162/5 Dynamic ankle stabilizers (FP-22)(size XL, perimeter of the ankle CM: 26.5 cm – 33 cm; IN: 10-13 in)RCR_163/1 Anatomic thigh abduction belts (FP-23) (size M)RCR_163/2 Anatomic thigh abduction belts (FP-23) (size L)*RCR_170/1 Pelvis stabilizer (FP-16) (size S, pelvic width 19 - 25 cm, depth 18 cm, height 20 cm) (size 1)*RCR_170/2 Pelvis stabilizer (FP-16) (size M, pelvic width 25 - 31 cm, depth 21 cm, height 23 cm) (size 1, 2)*RCR_170/3 Pelvis stabilizer (FP-16) (size L, pelvic width 31 - 38 cm, depth 24 cm, height 25 cm) (size 2, 3)*RCR_170/4 Pelvis stabilizer (FP-16) (size XL, pelvic width 38 - 45 cm, depth 30 cm, height 27 cm) (size 4)Comfort:RCR_402 UmbrellaRCR_403 Tray (black color)RCR_411 Cup holderRCR_412 Elastico seat cushionRCR_415 Wheel coversRCR_417 Winter footmuff with muffsRCR_447 Winter muffsRCR_452 Phone holder (size 1, 2)**RCR_453 PA-VM-15 Cushion (Seat cushion with bolster)RCR_455 Rain cover (N)RCR_456 Side covers (N)RCR_457 Mosquito net (N)RCR_460 Folding canopy (new version)Storage:RCR_501 BagRCR_506 Carrier ag for the strollerRCR_507 Oxygen tank holder RCR_509 Organizer bagRCR_511 VOYAGER backpackRCR_512 FLASH backpackSpare parts:RCR_704 City wheel (I)RCR_704 City wheel (A)RCR_704 All Terrain wheel (A)RCR_791 High side tubes protectors* SUGGESTED SIZES. MORE DETAILS ON WWW.FLEX-POINT.PL/EN** IT IS NOT POSSIBLE TO USE THE ADJUSTABLE ABDUCTION BLOCK WHILE USING THE SEAT CUSHION WITH BOLSTER.(N) ONLY WITH EL_460 FOLDING CANOPY (NEW VERSION).(C) CUSTOM-MADE. LEAD TIME ca. 30 DAYS.(1) HARNESS, 4 POINTS AND 6 POINTS SAFETY VESTS SHOULD BE USED WITH ABDUCTION BLOCK OR ELEMENTS _101 OR _163.Message to us:SubmitReset