Order form – Kidoo Home 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 4size 5Choose upholstery:Upholstery colours:*Med Sea*Med Skin*Med Red*Med Lilac*Med Green*Med Gray* **PillarboxStandard EquipmentAdjustable backrest tilt angleTilt-In-space adjustmentAdjustable depth of the seatAdjustable armrests4 points safety vestPush handle HexagonPro™ Headrest Mobile base with footrest and 2 points feet stabilizing beltsMedical upholstery MEDICUS™ MED SEAAccessories:SafetyKDH_014 Skis / Rocking chair (A)Positioning:KDH_101 Thigh abduction belts (size 0)KDH_101 Thigh abduction belts (size 1)KDH_101 Thigh abduction belts (size 2)KDH_101 Thigh abduction belts (size 3)KDH_102 Head supporting belt for HexagonPro™ HeadrestKDH_102 Head supporting belt for VisoPro™ HeadrestKDH_107 Pelvic beltKDH_114 H Harness (I) (1) (2)KDH_114 H Harness (A) (2)KDH_125 6 points safety vest S (I)KDH_125 6 points safety vest S (A)KDH_125 6 points safety vest M (I)KDH_125 6 points safety vest M (A)KDH_125 6 points safety vest L (I)KDH_125 6 points safety vest L (A)KDH_125 6 points safety vest XL (I)KDH_125 6 points safety vest XL (A)KDH_128 Abduction block (2)KDH_134 Narrowing pads 6 cm (2)KDH_137 Narrowing pads 10 cm (2)KDH_154 Knee abductor (2)KDH_155 Chest supports (2)KDH_161/1 Foot and ankle stabilizing sandals(EUR: 21 – 24, CM: 13 – 15 cm; UK: 4,5 – 7, IN: 5,1 – 5,9 in)KDH_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)KDH_161/3 Foot and ankle stabilizing sandals(EUR: 27 – 31, CM: 17 – 19,5 cm; UK: 9 – 12, IN: 6,7 – 7,7 in)KDH_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)KDH_162/1 Dynamic ankle stabilizers (FP-22) (size XS, perimeter of the ankle CM: 4 – 17 cm; IN: 6 – 7 in)KDH_162/2 Dynamic ankle stabilizers (FP-22) (size S, perimeter of the ankle CM: 16,5 – 20 cm; IN: 6 – 8 in)KDH_162/3 Dynamic ankle stabilizers (FP-22) (size M, perimeter of the ankle CM: 19 cm – 23,5 cm; IN: 7 – 9 in)KDH_162/4 Dynamic ankle stabilizers (FP-22) (size L, perimeter of the ankle CM: 23 cm – 28 cm; IN: 9 – 11 in)KDH_162/5 Dynamic ankle stabilizers (FP-22) (size XL, perimeter of the ankle CM: 26,5 cm – 33 cm; IN: 10 – 13 in)KDH_168 VisoPro™ HeadrestComfort:KDH_403 Tray*KDH_453 PA-VM-15 Cushion (Seat cushion with bolster)Build-up:KDH_616 Footrest with 2 points feet stabilizing belts (A)Additional upholstery:KDH_725 Medical upholstery MEDICUS™ MED SKIN (I) (3)KDH_725 Medical upholstery MEDICUS™ MED SKIN (A) (3)KDH_725 Medical upholstery MEDICUS™ MED GREEN (I) (3)KDH_725 Medical upholstery MEDICUS™ MED GREEN (A) (3)KDH_725 Medical upholstery MEDICUS™ MED RED (I) (3)KDH_725 Medical upholstery MEDICUS™ MED RED (A) (3)KDH_725 Medical upholstery MEDICUS™ MED LILAC (I) (3)KDH_725 Medical upholstery MEDICUS™ MED LILAC (A) (3)KDH_725 Medical upholstery MEDICUS™ MED GRAY (I) (3)KDH_725 Medical upholstery MEDICUS™ MED GRAY (A) (3)KDH_739 Medical upholstery EXTREME-MED™ PILLAR BOX (I) (3) (W)* 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) HARNESS SHOULD BE USED WITH _128 OR _154.(2) THE PRICE OF ACCESSORIES IN OPTIONAL UPHOLSTERY COLORS INCREASES BY 20 %. LEAD TIME ca. 30 DAYS.(3) LEAD TIME CA. 30 DAYS.(W) AVAILABLE UNTIL THE STOCK LASTSMessage to us:SubmitReset