Order form – Racer™

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:
-
Ship product:*
Product size*
Rim colour*

Choose upholstery:

Upholstery colours:*

Standard Equipment

  • Foldable frame with 4 fixed wheels
  • Foot rest with feet stabilizing belts
  • Seat
  • Seat cushion
  • Abduction block
  • Reclining backrest
  • Adjustable side supports
  • Headrest
  • Front rail
  • Side tubes protectors
  • Pump
  • Wheels with glass fiber, inflatable with 2 separate wheel locks
  • 1 piece style height adjustable push handle
  • 5 points feet stabilizing belts with heel support and foot abduction-adduction adjustments
  • 4 points harness or pelvic belt
  • Reflective safety marks
  • Under seat storage basket

Accessories:

Safety:
Positioning:
Comfort:
Storage:
Spare parts:

Attention, some accessories mutually exclusive each other. Please refer to the table below

Message to us: