Order form – Jordi

Order number:
Order Date:
Company name / Name and surname
Bill adress:*
E-mail:*
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Upholstery colours:*


      *Optional
      **Available while stocks last
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Standard Equipment

  • Adjustable depth of the seat
  • Adjustable backrest tilt angle
  • Pelvic belt
  • Adjustable armrests
  • Lightweight and simple construction with adjustable height
  • Medical upholstery MEDICUS™ MED SEA 

Accessories:

Safety:
Positioning:
Comfort:
Build-up:
Additional upholstery:
      * IT IS NOT POSSIBLE TO USE THE ADJUSTABLE ABDUCTION BLOCK OR KNEE ABDUCTOR WHILE USING THE SEAT CUSHION WITH BOLSTER.
      ** CUSTOM-MADE. LEAD TIME ca. 30 DAYS.
      (1) INSTEAD OF PELVIC BELT.
      (5) H HARNESS, 4 POINTS AND 6 POINTS SAFETY VESTS SHOULD BE USED WITH _128 OR _154.
      (6) TO MOUNT THE BELT IT IS NECESSARY TO MOUNT THE HEADREST _104. THE HEADREST IS NOT A STANDARD EQUIPMENT.
      (7) TO MOUNT THE SANDALS AND DYNAMIC ANKLE STABILIZERS IT IS NECESSARY TO MOUNT THE FOOTREST JRI_619.
      (W) AVAILABLE UNTIL THE STOCK LASTS
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