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Matrx Flo-tech Image.pdf - Invacare UK

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<strong>Invacare</strong> Ltd<br />

DEALER PRESCRIPTION FORM<br />

Pencoed Technology Park<br />

<strong>Matrx</strong> <strong>Flo</strong>-Tech <strong>Image</strong><br />

Pencoed . CF35 5AQ 1st January 2013<br />

Tel: 01656 776222 Fax: 01656 776220<br />

E-mail: ordersuk@invacare.com<br />

www.invacare.co.uk<br />

Account Name : Account No :<br />

Address : Order No :<br />

Tel No: Order Qty :<br />

Delivery address : Order Date :<br />

MATRX FLO-TECH IMAGE CUSHION<br />

Dealer Order Form January 2013<br />

Maximum User Weight 140kg (22 stone)<br />

Features<br />

High Risk/Elevated Risk<br />

3 Year Warranty<br />

Two way stretch vapour permeable cover<br />

Accessories available<br />

Range of sizes cushion depth 3"<br />

Anti Slip Base with handle<br />

Retail Price £202.50<br />

Code Description Price<br />

Cushion<br />

0 0 0 0<br />

HFI0001 <strong>Matrx</strong> <strong>Flo</strong>-Tech <strong>Image</strong><br />

Cushion Type<br />

HFI0002 Complete Cushion £202.50<br />

HFI0003 Cover Only £50.80<br />

HFI0004 Foam only £89.09<br />

HFI0005 Gel only £107.62<br />

HFI0006 Pack of 3 Replacement Platilon Liners £7.86<br />

Foam Type 0 0 0 0<br />

HFI0007<br />

Base Type 0 0 0 0<br />

HFI0008 Flat Base (nc 5, 6) <br />

HFI0009 Sag Infill Base (nc 5, 6) <br />

Seat Width<br />

⌧ Please make your selection with a cross in the box Standard feature Free of Charge<br />

NC = Non-compatibility with option HFIXXXX<br />

Standard Foam (nc 3, 5, 6)<br />

25CM25CM - 48CM<br />

HFI0010 36cm (14 Inches) (nc 21, 22, 23, 24, 25) <br />

HFI0011 38cm (15 Inches) <br />

HFI0012 41cm (16 Inches) <br />

HFI0013 43cm (17 Inches) <br />

HFI0014 46cm (18 Inches) <br />

HFI0015 48cm (19 Inches) (nc 17, 18) <br />

HFI0016 51cm (20 Inches) (nc 17, 18, 23, 24, 25) <br />

<br />

Order No.<br />

Customer Ref:<br />

LPF6003V<br />

Dealer<br />

1of2<br />

Subject to <strong>Invacare</strong>'s terms and conditions.<br />

<strong>Invacare</strong> reserve the right to alter product specification without prior notice.


Seat Depth<br />

HFI0017 33cm (13 Inches) <br />

HFI0018 36cm (14 Inches) <br />

HFI0019 38cm (15 Inches) <br />

HFI0020 41cm (16 Inches) <br />

HFI0021 43cm (17 Inches) <br />

HFI0022 46cm (18 Inches) <br />

HFI0023 48cm (19 Inches) <br />

HFI0024 51cm (20 Inches) <br />

HFI0025 53cm (21 Inches) <br />

Fabric Type 0 0 0 0<br />

HFI0026 Standard Coloured (Mulberry stiched version) (Terrecotta - welded version) Wipedown (nc 4, 5, 6) <br />

HFI0027 Black Smooth (nc 4, 5, 6) <br />

HFI0028 Black Wipedown (nc 4, 5, 6) <br />

HFI0042 Black Spacer (nc 4, 5, 6) <br />

Cover Branding 0 0 0 0<br />

HFI0030 Standard <strong>Invacare</strong> Branded Cover (nc 4, 5, 6) <br />

Cover Type 0 0 0 0<br />

HFI0034 Sewn Cover (nc 4, 5, 6) <br />

HFI0035 High Frequency Welded Cover (nc 4, 5, 6, 9, 27, 28, 29, 42) <br />

Liner<br />

HFI0036 Platilon Liner Covering Moulded Foam (nc 3, 4, 5, 6) <br />

HFI0037 No Platilon Liner Required (nc 2) <br />

Velcro<br />

HFI0038 Velcro Pieces Sewn On Cover Base (nc 4, 5, 6) £21.96<br />

HFI0039 No Velcro Required <br />

Homebrand Logo<br />

HFI0041 No Homebrand Logo Required <br />

Total Price<br />

Quantity<br />

Accessories<br />

Description<br />

Product code X Price Qty TOTAL<br />

Rigidiser W14" x D16" 1494494<br />

£29.99<br />

Rigidiser W16" x D16" 1487165<br />

£29.99<br />

Rigidiser W16" x D18" 1494495<br />

£29.99<br />

Rigidiser W16" x D20" 1494496<br />

£60.00<br />

Rigidiser W18" x D16" 1494497<br />

£29.99<br />

Rigidiser W18" x D18" 1494498<br />

£29.99<br />

Rigidiser W18" x D20" 1494499<br />

£60.00<br />

Rigidiser W20" x D16" 1494500<br />

£29.99<br />

Rigidiser W20" x D18" 1494501<br />

£29.99<br />

Rigidiser W20" x D20" 1494502<br />

£60.00<br />

Rigidiser W22" x D18" 1494503<br />

£60.00<br />

Rigidiser W22" x D20" 1494504<br />

£60.00<br />

Office use only: Process cushion on configurator and accessories as line items.<br />

Total Price<br />

Order No.<br />

Customer Ref:<br />

LPF6003V<br />

Dealer<br />

2of2<br />

Subject to <strong>Invacare</strong>'s terms and conditions.<br />

<strong>Invacare</strong> reserve the right to alter product specification without prior notice.

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