Order form – HIPPO™

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:
-
Ship product:*
Product size*

Choose upholstery:

Frame colours:*

Standard Equipment

  • Foldable frame with wheels and rear brake
  • Drive system with shock absorbers,
  • Under seat storage basket
  • Adjustable footrest with supporting belt
  • Removable abduction block
  • Reclining backrest
  • Adjustable lateral supports
  • 5 points safety belts
  • Adjustable headrest
  • Adjustable folding canopy
  • Detachable and reversible seat unit
  • Adjustable push handle made of ECO leather
  • Leg cover
  • Front PU swivel wheels with direction blockade – quick release
  • Rear PU wheels with central brake – quick release
  • Front rail
  • Rain cover
  • Bag
  • Reduction set consisting of additional seat (size 1)
  • Lumbar pad (size 1)
  • Waterproof upholstery HYDRO
    LOTUS / DENIM / FLAMING / MELANGE / VULCANO / AQUA (1) / ANEMON (2)


(1) THE LEAD TIME FOR SELECTED COLORS (DENIM / FLAMING / AQUA / VULCANO / MELANGE) MAY BE LONGER.
(2) ANEMON - FOR AN ADDITIONAL DISCOUNT, ASK THE SALES DEPARTMENT.

Accessories:

Safety:
Positioning:
Comfort:
Storage:
      * IT IS NOT POSSIBLE TO USE THE ADJUSTABLE ABDUCTION BLOCK WHILE USING THE SEAT CUSHION WITH BOLSTER.
      ** CUSTOM-MADE. LEAD TIME ca. 30 DAYS.
      (1) THE LEAD TIME FOR SELECTED COLORS (DENIM / FLAMING / AQUA / VULCANO / MELANGE) MAY BE LONGER.
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