Order form – Nook ™

Order number:
Order Date:
Company name / Name and surname
Bill adress:*
E-mail:*
Phone*
-
Click if:
Ship to:
Shipment adress:
Contact:
-
Ship product:*
Product size*
Choose upholstery: *


Standard Equipment

  • Base
  • Seat
  • Removable abductor
  • Pelvic support adjustable
  • Pelvic belt
  • Chest support adjustable
  • Chest belt
  • Castors with brakes (size 3 only)

Accessories:

Safety:
Positioning:
Comfort:
Spare parts:
Message to us: