Order form – Kidoo™ 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 5Upholstery:Choose your colour:*Med Sea (standard)Med Skin (optional)Med Green (optional)Med Red (optional)Med Lilac (optional)Med Gray (optional)Standard EquipmentAdjustable backrest tilt angleTilt-In-space adjustmentAdjustable depth of the seat Pelvic beltAdjustable armrestsMedical upholstery MEDICUS™ MED SEAAccessories:SafetyKDO_014 Skis/Rocking chairPositioning:KDO_101 Thigh abduction beltsKDO_102 Head supporting belt for HexagonPro™ Headrest (6)KDO_102 Head supporting belt for VisoPro™ Headrest (6)KDO_104 HexagonPro™ HeadrestKDO_114 H Harness (I) (1) (8)KDO_114 H Harness (A) (8) KDO_125 6 points safety vest S (I) (8) KDO_125 6 points safety vest S (A) (8) KDO_125 6 points safety vest M (I) (8) KDO_125 6 points safety vest M (A) (8) KDO_125 6 points safety vest L (I) (8) KDO_125 6 points safety vest L (A) (8) KDO_125 6 points safety vest XL (I) (8) KDO_125 6 points safety vest XL (A) (8) KDO_128 Abduction blockKDO_130 4 points safety vest (I) (1) (2) (8)KDO_130 4 points safety vest (A) (2) (8)KDO_134 Narrowing pads 6 cm (2) KDO_137 Narrowing pads 10 cm (2)KDO_154 Knee abductor (2) KDO_155 Chest supports (2)KDO_161/1 Foot and ankle stabilizing sandals (EUR: 21 – 24, CM: 13 – 15 cm; UK: 4,5 – 7, IN: 5,1 – 5,9 in) (9)KDO_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) (9)KDO_161/3 Foot and ankle stabilizing sandals (EUR: 27 – 31, CM: 17 – 19,5 cm; UK: 9 – 12, IN: 6,7 – 7,7 in) (9)KDO_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) (9)KDO_162/1Dynamic ankle stabilizers (FP-22) (9) (size XS, perimeter of the ankle CM: 4 – 17 cm; IN: 6 – 7 in)KDO_162/2 Dynamic ankle stabilizers (FP-22) (9) (size S, perimeter of the ankle CM: 16,5 – 20 cm; IN: 6 – 8 in)KDO_162/3 Dynamic ankle stabilizers (FP-22) (9) (size M, perimeter of the ankle CM: 19 cm – 23,5 cm; IN: 7 – 9 in)KDO_162/4 Dynamic ankle stabilizers (FP-22) (9) (size L, perimeter of the ankle CM: 23 cm – 28 cm; IN: 9 – 11 in) KDO_162/5 Dynamic ankle stabilizers (FP-22) (9) (size XL, perimeter of the ankle CM: 26,5 cm – 33 cm; IN: 10 – 13 in) KDO_168 VisoPro™ HeadrestComfort:KDO_403 TrayKDO_431/1 Push handle, height - 1 cm from the backrestKDO_431/2 Push handle, height - 19 cm from the backrestKDO_431/3 Push handle, height - 31 cm from the backrest*KDO_453 PA-VM-15 Cushion (Seat cushion with bolster)Build-up:KDO_616 Footrest with 2 points feet stabilizing beltsKDO_618 Mobile base with footrest and 2 points feet stabilizing belts (3)Additional upholstery:KDO_725 Medical upholstery MEDICUSTM (MED SKIN / MED GREEN / MED RED / MED LILAC / MED GRAY) (I) (5)KDO_739 Medical upholstery EXTREME-MED™ PILLAR BOX (I) (4) (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 cs. 30 DAYS.(1) INSTEAD OF PELVIC BELT.(2) THE PRICE OF ACCESSORIES IN OPTIONAL UPHOLSTERY COLORS INCREASES BY 20 %. LEAD TIME ca. 30 DAYS.(3) WOODEN FOR SIZE 1 – 4; METAL FOR SIZE 5.(4) LEAD TIME CA. 30 DAYS.(6) TO MOUNT THE BELT IT IS NECESSARY TO MOUNT THE HEADREST _104. THE HEADREST IS NOT A STANDARD EQUIPMENT.(8) H HARNESS, 4 POINTS AND 6 POINTS SAFETY VESTS SHOULD BE USED WITH _101, _128 OR _154.(9) TO MOUNT SANDALS OR DYNAMIC ANKLE STABILIZERS IT IS NECESSARY TO MOUNT KDO_616 OR KDO_618.Message to us:SubmitReset
