Order form – Ursus™ 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 2size 3Choose upholstery:Waterproof Upholstery HYDRO™ colour:*Light GrayReversible Cotton-Washable Pad COMFORT colours:Rose*RubyOceanSpaceLavaLilacStandard equipmentLight aluminium frameFully foldableWheels with glass fiber, front PU swivel with direction blockade,rear with 2 separate wheel brakesFront shock absorbersErgonomic folding systemSeat unit with ClickClack™ system for easy click in/outErgonomic handle for pushing strollerReflective safety marksDetachable and reversible seat unitFully reclining backrest converting the stroller into a lounger (couch function)Height adjustable backrestAngle adjustable backrest5 points safety belts with height adjustmentAdjustable headrestAnatomical lateral supportsDepth and width adjustable seatPneumatic tilt-in-space system TILT-IQ™Height and angle adjustable footrest5 points feet stabilizing belts with heel support and foot abduction-adduction adjustmentsAngle adjustable foot plateSoft upholstery with spine load reducing and ventilating functionSoft front bar with reflective safety marksWaterproof upholstery HYDROTM / Reversible cotton-washable pad COMFORT (ROSE, SPACE, LAVA, RUBY*,OCEAN, LILAC).*available until the stocks lastAccessories:Safety:USS_001 LED lightsPositioning:USS_107 Pelvic brace with pelvic beltUSS_114 H Harness (I) (4)USS_114 H Harness (A) (4)USS_125 6 points safety vest S (I) (4)USS_125 6 points safety vest S (A) (4)USS_125 6 points safety vest M (I) (4)USS_125 6 points safety vest M (A) (4)USS_125 6 points safety vest L (I) (4)USS_125 6 points safety vest L (A) (4)USS_125 6 points safety vest XL (I) (4)USS_125 6 points safety vest XL (A) (4)USS_126 Trunk belt (size 2)USS_127 Chest supportUSS_128 Abduction block (1)USS_130 4 points safety vest (I) (4)USS_130 4 points safety vest (A) (4)USS_161/1 Foot and ankle stabilizing sandals(EUR: 21 – 24, CM: 13 – 15 cm; UK: 4,5 – 7, IN: 5,1 – 5,9 in)USS_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)USS_161/3 Foot and ankle stabilizing sandals(EUR: 27 – 31, CM: 17 – 19,5 cm; UK: 9 – 12, IN: 6,7 – 7,7 in)USS_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)USS_163/1 Anatomic thigh abduction belts (FP-23) (size M)USS_163/2 Anatomic thigh abduction belts (FP-23) (size L)Comfort:USS_402 UmberllaUSS_403 Tray (black color) (2)USS_403 Tray (light grey color) (2)USS_405 Folding canopy USS_408 Rain cover (3)USS_411 Cup holderUSS_415 Rear wheel coversUSS_417 Winter footmuff with muffsUSS_442 Front wheel coversUSS_447 Winter muffs (2)USS_449 Reversible cotton-washable pad COMFORT™ ROSE (A)USS_449 Reversible cotton-washable pad COMFORT™ SPACE (A)USS_449 Reversible cotton-washable pad COMFORT™ LAVA (A)USS_449 Reversible cotton-washable pad COMFORT™ RUBY (W) (A)USS_449 Reversible cotton-washable pad COMFORT™ OCEAN (A)USS_449 Reversible cotton-washable pad COMFORT™ LILAC (A)USS_452 Phone holder*USS_453 PA-VM-15 Cushion (Seat cushion with bolster)Storage:USS_505 Under seat storage basketUSS_506 Carrier bag for the strollerUSS_507 Oxygen tank holder USS_509 Organizer bagUSS_511 VOYAGER backpackUSS_512 FLASH backpackBuild-up:USS_607 Hi-Low Frame HOMEUSS_615 URSUS seatSpare parts:USS_704 All Terrain wheel (I)USS_704 All Terrain wheel (A)* IT IS NOT POSSIBLE TO USE THE ADJUSTABLE ABDUCTION BLOCK WHILE USING THE SEAT CUSHION WITH BOLSTER.** CUSTOM-MADE. LEAD TIME ca. 30 DAYS.(1) 5 POINTS SAFETY BELTS ARE NOT AVAILABLE WITH _128. PLEASE CHOOSE _114 OR _130 INSTEAD, FREE OF CHARGE. PLEASE CHOOSE _125 INSTEAD, ADDITIONAL CHARGE 30 EUR.(2) CAN BE ASSEMBLED ONLY IF THE SEAT IS FACING FRONT.(3) TO MOUNT THE RAIN COVER ON THE STROLLER, IT IS NECESSARY TO MOUNT THE FOLDING CANOPY FIRST. THE FOLDING CANOPY IS NOT A STANDARD EQUIPMENT.(4) H HARNESS, 4 POINTS AND 6 POINTS SAFETY VESTS SHOULD BE USED WITH _101, _128 OR _163.(W) AVAILABLE UNTIL THE STOCKS LAST.Message to us:SubmitReset