Koala Miniflex. Price list: 27 Spain EUR. Dealer Information. Client Information. Client Measurements
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1 list: 27 Spain EUR Dealer Information Contact: Customer Code: Customer Name: Address 1: City: Post code: Phone: Fax: PO: Client Information First Name: Last Name: Diagnosis: Address 1: Address 2: Postal code: City: Country: Phone: Client Measurements Weight: Height: 1) Upper leg length: 2) Chest Depth: 3) Seat pan to elbow: 4) Arm pit height: 5) Top of shoulders: 6) Top of head: 7) Elbow to Hand: 8) Chest width: 9) Knee to Foot: 10) Hip width: kg All specifications and prices are subject to change without notice. Please note that displayed prices are only valid if ordered with the wheelchair. Any parts ordered for service or future alterations will carry different prices and warranty. Rabobank Parkstad Limburg Rekening: IBAN: NL84RABO BIC/SWIFT: RABONL2U Permobil Europe B.V. De Doom 22 NL 6419 CX HEERLEN Phone: +31 (0) Fax: +31 (0) Page 1 of 6
2 Chassis Model KOALA MINIFLEX INCL SEAT ELEVATOR EUR 9, User manual USER MANUAL EU KOALA / MINIFLEX EUR - Colour covers COVERS KOALA RED EUR COVERS KOALA YELLOW EUR - Hub cap HUB CAP INCL. REFLECTOR SILVER METALLIC EUR - Charger connector CHARGER CONNECTOR XLR COMMON EUR - Front wheels WHEELS 2.5x8" SOLID TIRES EUR WHEELS 2.5x8" AIR FILLED TIRES EUR - Accessories chassis Batteries BATTERIES, 38Ah, SET OF 2 EUR - Charger CHARGER PERMOBIL 24V/8A EU EUR - Running time meter (+) RUNNING TIME METER C400/C500 EUR Light kit (+) LIGHT KIT KOALA KOALA EUR Bumper (+) BUMPER FRONT KOALA EUR Rain cover (+) TARPAULIN/RAINCOVER FOR ALL MODLES EUR Remote stop (+) REMOTE STOP R-NET/P+ EUR User manual Remote stop (+) USER MANUAL ES REMOTE STOP EUR - Seat Seat SEAT 250x270 CUSHION TEXTILE EUR SEAT 300x320 CUSHION TEXTILE EUR SEAT 350x370 CUSHION TEXTILE EUR SEAT 250x270 CUSHION VINYL EUR SEAT 300x320 CUSHION VINYL EUR SEAT 350x370 CUSHION VINYL EUR SEAT 250x270 WITHOUT CUSHION EUR SEAT 300x320 WITHOUT CUSHION EUR SEAT 350x370 WITHOUT CUSHION EUR Backrest BACKR. 270x325 CUSHION TEXTILE EUR BACKR. 320x375 CUSHION TEXTILE EUR BACKR. 370x475 CUSHION TEXTILE EUR BACKR. 270x325 CUSHION VINYL EUR BACKR. 320x375 CUSHION VINYL EUR BACKR. 370x475 CUSHION VINYL EUR BACKR. 270x325 WITHOUT CUSHION EUR BACKR. 320x375 WITHOUT CUSHION EUR BACKR. 370x475 WITHOUT CUSHION EUR Legrest LEGREST,FOOTPLATE LARGE EUR - Page 2 of 6
3 Legrest LEGREST,FOOTPLATE SMALL EUR - Armrest Right ARMREST 200MM,RIGHT TEXTILE EUR ARMREST 250MM,RIGHT TEXTILE EUR ARMREST 200MM,RIGHT VINYL EUR ARMREST 250MM,RIGHT VINYL EUR WITHOUT ARMREST, RIGHT (BODY AND UPHOLSTERY) EUR Armrest Left ARMREST 200MM,LEFT TEXTILE EUR ARMREST 250MM,LEFT TEXTILE EUR ARMREST 200MM,LEFT VINYL EUR ARMREST 250MM,LEFT VINYL EUR WITHOUT ARMREST, LEFT (BODY AND UPHOLSTERY) EUR Accessories seat Headrest (+) HEAD SUPPORT TEXTILE MF EUR HEAD SUPPORT VINYL MF EUR Thigh support (+) THIGH SUPPORTS (PAIR) TEXTILE MF EUR THIGH SUPPORTS (PAIR) VINYL MF EUR Lateral support (+) LATERAL SUPPORTS, TEXTILE MF EUR LATERAL SUPPORTS, VINYL MF EUR Knee stop (+) KNEE SUPPORT MINIFLEX VINYL EUR Seatbelt (+) BELT 2-POINT LARGE NONPAD BODYPOINT INCL BRACK UT EUR BELT 2-POINT LARGE PADDED BODYPOINT INCL BRACK UT EUR BELT 2-POINT MEDIUM NONPA D BODYPOINT INCL BRACK UT EUR BELT 2-POINT MEDIUM PADDE D BODYPOINT INCL BRACK UT EUR SAFETY BELT,BUCKLE EUR SAFETY BELT,4-POINT FOR MINIFLEX EUR SAFETY BELT,AUTOTENSION EUR Mounting position seatbelt (+) MOUNT POS SEATBELT ROLL RIGHT EUR MOUNT POS SEATBELT ROLL LEFT EUR - Foot straps (+) FOOTSTRAPS WITHOUT PADS EUR FOOTSTRAPS WITH PADS EUR User control User control JOYSTICK SIDE STEERING EUR NON STANDARD STEERING EUR - Joystick holder (+) SIDE STEERING,LEFT PARALLEL SWING AWAY/SHORT EUR SIDE STEERING,RIGHT PARALLEL SWING AWAY/SHORT EUR CENTRE MOUNTED STEERING EUR Mounting centre steering (+) MOUNT POS CENTER STEERING LEFT EUR MOUNT POS CENTER STEERING RIGHT EUR - Table steering (+) TABLE STEERING, FLIP-OVER MINIFLEX 410 MM EUR 1, TABLE STEERING, FLIP-OVER MINIFLEX 460 MM EUR 1, TABLE STEERING, FLIP-OVER MINIFLEX 510 MM EUR 1, TABLE STEERING, FLIP-OVER MINIFLEX FOR CUST. TABLE EUR Page 3 of 6
4 Tumble switches for switchbox (+) TUMBLE SWITCHES FOR SWITCH BOX SEAT FUNCTIONS EUR Joystick knobs (+) JOYSTICK KNOB BALL SMALL EUR JOYSTICK KNOB STANDARD EUR JOYSTICK KNOB BALL BIG EUR JOYSTICK KNOB CHIN CUP EUR JOYSTICK KNOB MUSHROOM EUR JOYSTICK KNOB SOFT BALL EUR JOYSTICK KNOB STICK EUR JOYSTICK KNOB T-GRIP EUR JOYSTICK SOFTBALL BLACK WITH CONE EUR Attendant control Co-pilot (+) CO-PILOT MINIFLEX EUR 2, User manual for Co - pilot (+) USER MANUAL EU CO-PILOT EUR - Emergency switch (+) EMERGENCY STOP SWITCH EUR Bracket switch box backrest (+) BRACKET SWITCH BOX BACKREST EUR Special controls Type special control (+) MD+ JOYSTICK CONTROL EUR 3, MD+ MINI JOYSTICK CONTROL EUR 4, MD+ VIC CONTROL EUR 4, MD+ CHIN CONTROL EUR 3, MD+ HEAD CONTROL EUR 4, MD+ ONE SWITCH CONTROL EUR 4, MD+ TWO-SWITCH CONTROL EUR 4, MD+ MULTI SWITCH CONTROL EUR 3, MD+ SIPP&PUFF CONTROL EUR 3, MD+ EC JOYSTICK CONTROL EUR 4, MD+ EC MINI JOYSTICK CONTROL EUR 4, MD+ EC VIC CONTROL EUR 4, MD+ EC CHIN CONTROL EUR 4, MD+ EC HEAD CONTROL EUR 5, MD+ EC ONE SWITCH CONTROL EUR 4, MD+ EC TWO-SWITCH CONTROL EUR 5, MD+ EC MULTI SWITCH CONTROL EUR 3, MD+ EC SIPP&PUFF CONTROL EUR 4, MD+ EC TABLET CONTROL INCL. MOUNTING KIT EUR 5, MD+ EC TABLET CONTROL WITHOUT MOUNT. AND TABLE EUR 5, MD+ EC/RF JOYSTICK CONTROL EUR 4, MD+ EC/RF MINI JOYSTICK CONTROL EUR 5, MD+ EC/RF VIC CONTROL EUR 5, MD+ EC/RF CHIN CONTROL EUR 4, MD+ EC/RF HEAD CONTROL EUR 6, MD+ EC/RF ONE SWITCH CONTROL EUR 5, MD+ EC/RF TWO-SWITCH CONTROL EUR 5, MD+ EC/RF MULTI SWITCH CONTROL EUR 4, MD EC SIP & PUFF CONTROL RF EUR 5, MD+ EC/RF TABLET CONTROL INCL. MOUNTING KIT EUR 6, MD+ EC/RF TABLET CONTROL WITHOUT MOUNT. AND TABLE EUR 6, Joystick holder (+) SIDE STEERING,LEFT PARALLEL SWING AWAY EUR SIDE STEERING,RIGHT PARALLEL SWING AWAY EUR - Table steering MD (+) MD+ FLIPOVER STEERING MINIFLEX WIDE 250 EUR 3, MD+ FLIPOVER STEERING MINIFLEX WIDE 300 EUR 3, Page 4 of 6
5 Table steering MD (+) MD+ FLIPOVER STEERING MINIFLEX WIDE 350 EUR 3, MD+ EC FLIPOVER STEERING MINIFLEX WIDE 250 EUR 4, MD+ EC FLIPOVER STEERING MINIFLEX WIDE 300 EUR 4, MD+ EC FLIPOVER STEERING MINIFLEX WIDE 350 EUR 4, MD+ EC/RF FLIPOVER STEER. IN TABLE MF WIDTH 250 EUR 5, MD+ EC/RF FLIPOVER STEER. IN TABLE MF WIDTH 300 EUR 5, MD+ EC/RF FLIPOVER STEER. IN TABLE MF WIDTH 350 EUR 5, User manual MagicDrive (+) USER MANUAL EU MAGICDRIVE+ EUR USER MANUAL EU MAGICDRIVE+ EC EUR - User manual Tablet Control (+) USER MANUAL EU TABLET CONTROL EUR - User manual Headcontrol (+) USER MANUAL EU HEAD CONTROL EUR - MD Accessories Attendant control (+) MD+ ATTENDANT CONTROL P+ CONTROL PANEL COMPLETE EUR JOYSTICK ATTENDANT P+ (DRIVE ONLY) EUR MD ATTENDANT/DUAL CONTROL EUR Function select switch (+) MD SCAN SELECT SWITCH EUR MD SCAN SELECT TOUCH CONTACT EUR _Drive Link EC Touch Contact (+) DL/MD EC TOUCH CONTACT EUR Multiplier Magic Drive (+) MULTIPLIER * EUR IR-mouse receiver Magic Drive (+) MD IR MOUSE RECEIVER USB EUR IR receiver (+) MD EC IR RECEIVER 8 CHANNEL / BOX EUR EC joystick switchbox (+) MD EC JOYSTICK SWITCH BOX EUR Option 1 and 2 output cable (+) MD+ OPT.1&2 OUTPUT CABLE EUR IR-mouse receiver Magic Drive (+) MD EC ADAPT. CABLE DIN PLUG EUR MD EC ADAPT. CABLE 3.5MM JACK PLUG EUR External on/of switch (+) MD EXTERNAL ON/OFF SWITCH EUR Powered swing away steering (+) POWERED SWING AWAY CHIN / SIPP&PUF UNIT EUR 2, Gyro (+) MD+ GYRO STEERING CONTROL EUR EC Messenger (+) MD EC MESSENGER EUR EC Output module (+) MD EC OUTPUT MODULE A0 EUR MD EC OUTPUT MODULE A1 EUR EC programming (+) MD EC PROGRAMMING KIT EUR EC Talker (+) MD EC TALKER EUR _Drive Link EC IR phone soundstation (+) DL/MD EC IR PHONE SOUND S TATION 2 EUR 1, EC Easy Mobile (+) Page 5 of 6
6 EC Easy Mobile (+) MD EC EASY MOBILE EUR 1, User manual EC Easy Mobile (+) USER MANUAL EU EASY MOBILE EUR - Supplementary accessories Control box options (+) CONTROLBOX PILOT+ WITH SPEED POTENTIOMETER EUR Chest support table (+) CHEST SUPPORT FOR TABLE MINIFLEX VINYL EUR Buddy button 63 mm Black (+) BUDDY BUTTON BLACK 63 MM EUR Buddy button 63 mm Red (+) BUDDY BUTTON RED 63 MM EUR Buddy button 63 mm Yellow (+) BUDDY BUTTON YELLOW 63 MM EUR Micro light (+) MICRO LIGHT SWITCH EUR Cup (+) CUP SWITCH 45 MM EUR Grasp (+) GRASP SWITCH EUR Mini cup (+) MINI CUP SWITCH 24 MM EUR Table steering (+) TABLE MIDSTEERING 250 EUR TABLE MIDSTEERING 300 EUR TABLE MIDSTEERING 350 EUR - Chair Order Policy: For other options and special adaptations, please call Permobil for further details. Please also refer to Permobil s Delivery Policy for further information. Your order cannot be processed without the following: - The client s name - The client s measurements - The client s weight For your ordering, please sign below with date and company stamp. Signature: Date: Company Stamp: An order confirmations will be provided by Permobil summarizing the items selected. Please review this carefully. Page 6 of 6
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