Racer EVO BodyMap® 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 0size 1size 2size 31. Head width: 2. The width of the shoulders: 3. The width of the chest in the axillary line (armpit line): 4. The width of the hips in greater trochanter line: 5. Distance from the hips to the top of the head: 6. The distance from the ground to the hips: 7. The distance from the ground to the armpit: 8. The total height of the patient: 9. The distance from the seat to the top of the head: 10. The distance from the seat to the top of the shoulders: 11. The distance from the seat to the armpit: 12. The distance from the ground to popliteal fossa- shin/lower leg length: 13. The distance from the projection/start of the sacrum to the knee - seat depth: 14. The length of the foot: Standard equipmentFoldable frame with 4 fixed wheelsFootrest with feet stabilizing beltsSeatReclining backrestSafety railWheels with glass fiber. Front PU swivel with direction blockade,rear with 2 separate wheel locksAdjustable push handle4 points safety vest or pelvic beltLeg separator equipped with shin beltBodyMap® A+ – seat cushionBodyMap® B+ – backrest cushion with side stabilizationBodyMap® D – headrestElectric pump – mobile pump inflating and deflating BodyMap® cushionsAccessories:Safety:REB_001 LED lightsREB_002 Belt for moving patients AM-P (size 2, 3)Positioning:REB_161/1 Foot and ankle stabilizing sandals (EUR: 21 – 24, CM: 13 – 15 cm; UK: 4,5 – 7, IN: 5,1 – 5,9 in)REB_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)REB_161/3 Foot and ankle stabilizing sandals (EUR: 27 – 31, CM: 17 – 19,5 cm; UK: 9 – 12, IN: 6,7 – 7,7 in)REB_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)REB_162/1 Dynamic ankle stabilizers (FP-22) (size XS, perimeter of the ankle CM: 4 – 17 cm; IN: 6 – 7 in)REB_162/2 Dynamic ankle stabilizers (FP-22) (size S, perimeter of the ankle CM: 16,5 – 20 cm; IN: 6 – 8 in)REB_162/3 Dynamic ankle stabilizers (FP-22) (size M, perimeter of the ankle CM: 19 cm – 23,5 cm; IN: 7 – 9 in)REB_162/4 Dynamic ankle stabilizers (FP-22) (size L, perimeter of the ankle CM: 23 cm – 28 cm; IN: 9 – 11 in)REB_162/5 Dynamic ankle stabilizers (FP-22) (size XL, perimeter of the ankle CM: 26,5 cm – 33 cm; IN: 10 – 13 in)BodyMap® Positioning:REB_307 VISmemo™ cover for BodyMap® A+REB_308 Aerating-massaging pad for BodyMap® A+REB_342 Elastic cover for BodyMap® A+REB_349 3D MESH™ cover for BodyMap® A+REB_359 Incontinence VISmemo™ cover for BodyMap® A+REB_362 Incontinence cover for BodyMap® A+REB_319 VISmemo™ cover for BodyMap® B+REB_320 Aerating-massaging pad for BodyMap® B+REB_345 Elastic cover for BodyMap® B+REB_352 3D MESH™ cover for BodyMap® B+REB_360 Incontinence VISmemo™ cover for BodyMap® B+REB_363 Incontinence cover for BodyMap® B+REB_323 VISmemo™ cover for BodyMap® DREB_346 Elastic cover for BodyMap® DREB_353 3D MESH™ cover for BodyMap® DComfort:REB_402 UmbrellaREB_403 Tray (black color)REB_411 Cup holderREB_415 Rear wheel coversREB_442 Front wheel coversREB_452 Phone holder*REB_455 Rain cover*REB_456 Side covers*REB_457 Mosquito netREB_460 Folding canopy (new version)Storage:REB_501 BagREB_505 Under seat storage basket REB_506 Carrier ag for the strollerREB_507 Oxygen tank holder REB_509 Organizer bagREB_511 VOYAGER backpackREB_512 FLASH bachpackADDITIONAL EQUIPMENT FOR BodyMap® CUSHIONS IS AVAILABLE IN THE CATALOGUE AND BodyMap® PRICE LIST.* ONLY WITH EL_460 FOLDING CANOPY (NEW VERSION).** CUSTOM-MADE. LEAD TIME ca. 30 DAYS.(1) LEAD TIME CA. 30 DAYS.Message to us:SubmitReset