Order form – Lifter™

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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Standard Equipment

  • Frame with castors and brakes
  • Footplate with foot stabilization
  • Battery with controller
  • Electric actuator
  • Adjustable knee support
  • Lifting mechanism with sit
  • Hand rail
  • Handset
  • Charger
Ship product:*
Product size*
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Accessories:

Safety:
Positioning:
Comfort:
Message to us:
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