Order form – Jumbo™

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*


Standard Equipment

  • Frame with castors and brakes
  • Adjustable, folding footrest with feet stabilizing belts
  • Seat
  • Adjustment backrest
  • Pelvic belt
  • Medical upholstery MEDICUS™: MED SEA


Accessories:

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
        (I) INSTEAD OF PELVIC BELT.
        (1) H HARNESS, 4 POINTS AND 6 POINTS SAFETY VESTS SHOULD BE USED WITH ELEMENTS SLK_128, SLK_154 OR SLK_101.
        (2) ELEMENTS SLK_128 AND SLK_154 CANNOT BE USED TOGETHER
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