Permobil Positioning Solutions Quick Order Form
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1 POSITIONIN SUPPORT Permobil Positioning Solutions Quick Order orm +1 (512) (800) Toll ree +1 (512) ax +1 (800) Toll ree ax 104 John Kelly rive, urnet, TX facebook.com/stealthproducts PO#: ustomer: ranch: ontact: -mail: Phone: Type: ate: ax: RQUIR INORMTION Mobility ase Information Seating onfiguration: Model Type: 3 Stander Other: SOLUTIONS SN OR MOR SOLUTIONS Qty. PN escription MSRP P in omfort Plus ead Support $142 P in omfort Plus ead Support $142 TW* Mounting ardware TW480-1S. Link ardware $200 TW480-1M. lip own Link ardware $299 TW Multi-xis Link ardware $210 Interface Plate SM300P Interface Plate for 3 acks $25 SSORIS N ONTROL SOLUTIONS omfort Plus (PS9*) Swing way Mount Qty. PN escription MSRP PS9--W 1. oth Side Rods 1 $325 PS9-L-W 2. with Left Side Rod Only 1 $275 PS9-R-W 3. with Right Side Rod Only 1 $275 N600 12in lex Micro Lite Switch Mount $325 Swing way Options igure 8 1, 2 $250 Rods SU264 xtended 13in Lateral Rod with Ring 3 $75 SU265 xtended 18in Lateral Rod with Ring 3 $ omes standard with 9in - SU260 - rod 2. Provides additional accessory mounting 3. No charge if replacing standard 9in rod 4. Required to mount gg Switch Mount on Swing way Mounts acial Pads Qty. PN escription MSRP Lateral acial Pads $ / 2 x x / 8 x 2 1 / / 8 x 1 1 / 2 Swing way ccessories gg Switch S-LK S-LU $77 S-RN S-YL S-R SM gg Switch Mount 4 $50 S-XT gg Switch xtension able $15 M210 Tash Mini up Switch $125 ML210 Micro Lite Switch $125 SP625 Sip & Puff Mount $275 O660 20in lex Tube iber Optic Mount $300 O650 Lateral Rod iber Optic Mount $300 Mark for: PO#: Stealth Products, LL. 1 P123203R1 ugust 21, 2015
2 ll prices (MSRP) are per each item unless specified otherwise Lateral Thoracic ardware - Price per each unless specified TWL ardware Option: only for (K0108) Qty. PN escription MSRP LTW511 ull Surface ontact $75.00 LW129 TW Lateral Link $50.00 overs (K0108) Qty. PN escription Position MSRP TWL - Swing way Link Style Left Right $ TWTL - Thin Swing way Link Style Left Right $ TWSTL - Thin Swing way Link Style with xtra Link Left Right $ Qty. PN escription MSRP LTW520 3 Track & orward racket for and $ LTW523 3 Track & Reverse racket for $46.00 MOUNTIN OPTIONS POSTUR SUPPORT (0960) LW-126 ardware overs $ x5 4x6 Lateral Thoracic Pads (0956) Standard 3 x 5 L R $50.00 pr. Standard 4 x 6 L R $50.00 pr. Qty. PN escription MSRP LTW505 Thoracic Planar Mount $50.00 LTW500 1in ane Mount $50.00 lassic Style XS 7.5 in 12.5 in 2 in 3.5 in 7.5 in 3.5 in 3 in 2 in S 8.5 in 15 in 2 in 4.5 in 9 in 4 in 4 in 2 in M 9.5 in 19 in 2 in 5.5 in 11 in 5 in 5 in 2.75 in L 10.5 in 22.5 in 2 in 6.5 in 13 in 6 in 6 in 3.5 in XL 11.5 in 25.5 in 2.5 in 6.5 in 14 in 7 in 7 in 4.5 in YNMI Qty. PN escription MSRP IPS1101 Pull own, xtra Small $ IPS1102 Pull own, Small $ IPS1103 Pull own, Medium $ IPS1104 Pull own, Large $ IPS1105 Pull own, xtra Large $ STRUTUR IPS1201 Pull own, xtra Small $ IPS1202 Pull own, Small $ IPS1203 Pull own, Medium $ IPS1204 Pull own, Large $ IPS1205 Pull own, xtra Large $ ontoured Style YNMI Qty. PN escription MSRP IPS2101 Pull own, xtra Small $ IPS2102 Pull own, Small $ IPS2103 Pull own, Medium $ IPS2104 Pull own, Large $ IPS2105 Pull own, xtra Large $ STRUTUR IPS2201 Pull own, xtra Small $ IPS2202 Pull own, Small $ IPS2203 Pull own, Medium $ IPS2204 Pull own, Large $ IPS2205 Pull own, xtra Large $ XS 7.5 in 12.5 in 2 in 3.5 in 7.5 in 1 in 3.5 in 1.25 in S 8.5 in 15 in 2 in 4.5 in 9 in 1 in 4.25 in 1.75 in M 9.5 in 19 in 2 in 5.5 in 11 in 1 in 5.25 in 2.5 in L 10.5 in 22.5 in 2 in 6.5 in 13 in 1.25 in 6 in 3.5 in XL 11.5 in 25.5 in 2.5 in 6.5 in 14 in 1.5 in 7 in 4.5 in Stealth Products, LL. 2 P123203R1 ugust 21, 2015
3 ll prices (MSRP) are per each item unless specified otherwise POSTUR SUPPORT (0960) Y Straps S 19 in 8 in 2 in M 22 in 9 in 2.25 in L 25 in 11 in 2.5 in YNMI Qty. PN escription MSRP IYS3102 Small $ IYS3103 Medium $ IYS3104 Large $ STRUTUR IYS3202 Small $ IYS3203 Medium $ IYS3204 Large $ hest Strap elt nchor Only XS 14 in 2.8 in 3.5 in S 16 in 2.8 in 3.75 in M 18 in 3.1 in 4 in L 21 in 3.1 in 4.5 in XL 23 in 3.25 in 4.75 in Qty. PN escription MSRP IS4111 ynamic, xtra Small $90.00 IS4112 ynamic, Small $90.00 IS4113 ynamic, Medium $90.00 IS4114 ynamic, Large $90.00 IS4115 ynamic, xtra Large $90.00 Pelvic/Thigh - ardware - Price per each unless specified Qty. PN escription Position MSRP TW - Swing way Link Style Left Right $225 TWSTL - Thin Swing way Link Style with xtra Link Left Right $225 LP430 - Removable ixed Swing way Modular Left Right $225 MOUNTIN OPTIONS LPW408 Track Nut $50 LPW405 Planar Pelvic $50 4x4 4x6 Standard Pads - base measurement 4x8 4x10 4x12 $50 Modular ardware Options: only for (K0108) Offset dapters $30.00 LW-121 1in x 1in eight/epth dapters $25.00 LW-120 1in LW-122 2in LW-124 3in LPW dj. Pad Mount $25.00 TWL ardware Options: only for (K0108) Qty PN escription MSRP LPW407 ull Surface ontact $75.00 LW-129 TWL Lateral Link $50.00 overs LW-122 1in x 2in LW-126 ardware overs $25.00 NOTS Stealth Products, LL. 3 P123203R1 ugust 21, 2015
4 ll prices (MSRP) are per each item unless specified otherwise PLVI LTS N PS (0978) 2 POINT NON-P LTS 2 POINT P LTS (SINL PULL) Qty. PN escription MSRP IP5110 Push utton, 1 in, Single Pull $46.00 IP5210 Push utton, 1.5 in, Single Pull $46.00 IP5310 Push utton, 2 in, Single Pull $46.00 IP6110 Side Release, 1 in, Single Pull $40.00 IP6210 Side Release, 1.5 in, Single Pull $40.00 INPNNT LT PS Qty. PN escription MSRP IP in Pad $25.00 ea. IP in Pad $25.00 ea. IP in Pad $25.00 ea. IP in Pad $25.00 ea. IP in Pad $25.00 ea. 4 POINT LTS (V ontour) Qty. PN escription MSRP IP5141 Push utton, 1 in, xtra Small Pads (4.5 in) $ IP5242 Push utton, 1.5 in, Small Pads (5.5 in) $ IP5243 Push utton, 1.5 in, Medium Pads (7.5 in) $ IP5244 Push utton, 1.5 in, Large Pads (9.5 in) $ uckle Sizes 32 in 27 in 20 in 1 in P XS 32 in 27 in 20 in 1.5 in P S / M / L XS 4.25 in 1.75 in 3.25 in S 5.5 in 2.25 in 4 in M 7.5 in 2.5 in 4 in L 9.5 in 2.25 in 4 in Qty. PN escription MSRP IP5111 Push utton, 1 in, xtra Small Pads (4.5 in) $86.00 IP5112 Push utton, 1 in, Small Pads (5.5 in) $86.00 IP5213 Push utton, 1.5 in, Medium Pads (7.5 in) $86.00 IP5214 Push utton, 1.5 in, Large Pads (9.5 in) $86.00 IP5314 Push utton, 2 in, Large Pads (9.5 in) $86.00 IP5315 Push utton, 2 in, xtra Large Pads (11.5 in) $86.00 SI RLS IP6213 Side Release, 1.5 in, Medium Pads (7.5 in) $80.00 IP6214 Side Release, 1.5 in, Large Pads (9.5 in) $80.00 IP6314 Side Release, 2 in, Large Pads (9.5 in) $80.00 IP6315 Side Release, 2 in, xtra Large Pads (11.5 in) $ POINT P LTS (UL PULL) Qty. PN escription MSRP IP5121 Push utton, 1 in, xtra Small Pads (4.5 in) $86.00 IP5122 Push utton, 1 in, Small Pads (5.5 in) $86.00 IP5223 Push utton, 1.5 in, Medium Pads (7.5 in) $86.00 IP5224 Push utton, 1.5 in, Large Pads (9.5 in) $86.00 IP5324 Push utton, 2 in, Large Pads (9.5 in) $86.00 IP5325 Push utton, 2 in, xtra Large Pads (11.5 in) $86.00 SI RLS IP6223 Side Release, 1.5 in, Medium Pads (7.5 in) $80.00 IP6224 Side Release, 1.5 in, Large Pads (9.5 in) $80.00 IP6324 Side Release, 2 in, Large Pads (9.5 in) $80.00 IP6325 Side Release, 2 in, xtra Large Pads (11.5 in) $80.00 Pull Type uckle Pad Sizes SP 32 in 27 in 1 in P NP / XS SP 32 in 27 in 1 in SR NP P 24 in 24 in 1 in P XS / S SP 32 in 27 in 1.5 in P / SR NP / M / L P 24 in 24 in 1.5 in P / SR M / L SP 32 in 27 in 2 in P NP / L / XL SP 32 in 27 in 2 in SR L / XL P 24 in 24 in 2 in P / SR L / XL XS 4.25 in 1.75 in 1.25 in S 5.5 in 1.75 in 1.25 in M 7.5 in 2.5 in 1.75 in L 9.5 in 2.5 in 1.75 in L 9.5 in 2.75 in 2.25 in XL 11.5 in 2.75 in 2.25 in Stealth Products, LL. 4 P123203R1 ugust 21, 2015
5 ll prices (MSRP) are per each item unless specified otherwise UPPR XTRMITY SOLUTIONS lbow Support RMS-S Mounts PN escription Position MSRP RMS-SP. Swing way for orpus 2 L R $175 RMS-S3P. ixed for orpus 3 L R $175 RMS-S3P. Swing way for orpus 3 L R $175 RMSS Pads RMSS-3X3. 3in x 3in Square Pad $50 RMSS-3X3 3in x 3in Square Pad with el $50 RMSS-4X4. 3in x 3in Square Pad $50 RMSS-4X4 4in x 4in Square Pad with el $50 RMSS-3X10. 3in x 10in urved Pad L R $75 RMSS-3X10 3in x 10in urved Pad w/ el L R $75 KN SOLUTIONS Qty. PN escription MSRP KN1-TRK Swing way Knee dductor w/ Track Mount $235 Knee dductor Pads KN13 3in Round Pad $25 KN14 4in Round Pad $25 MIL/POMML SOLUTIONS Qty. PN escription MSRP MTW Removable ixed ardware $ Wedge Pads (2) (0956) MTM-12 Small $ MTM-13 Medium $ MTM-14 Large $ Wedge Pads with Knee ut Out (3) (0956) MTM-32 Small $ MTM-33 Medium $ MTM-34 Large $ Oval Pad (4) (0956) MTM-21 xtra Small $ MTM-22 Small $ MTM-23 Medium $ MTM-24 Large $ djustable Pad (5) MTM-42 djustable Pommel Pad $ Size 1 XS 2 2.5in 3.5in 3in - S 3in 4in 3in 2in M 4.5in 5in 3in 2in L 5in 5in 4in 3in 1. Only applies to Wedge Pads 2. Only available for Oval Pads NOTS Stealth Products, LL. 5 P123203R1 ugust 21, 2015
6 ll prices (MSRP) are per each item unless specified otherwise LTRNTIV RIV SOLUTIONS i-rive ead ontrols Qty. PN escription MSRP I Tri-rray $4,175 I Pro Series $4,220 Sip & Puff I310-1 Pro Series ead rray with Sip & Puff $4, SUS9 Swing way or 8675 (pg 1) must be selected for this option. 2. See page 1 for gg Switch Options TW Mounting ardware TW480-17MM Link Style ardware 17mm all $220 TW485-17MM Link Style Square Tubing 17mm all $210 TW480-17M Link Style ardware 17mm all lip own $299 Swing way Options (1028) 2 SUS9-L-W Left Side Swing way for Tri-rray Only $275 SUS9-R-W Right Side Swing way for Tri rray Only $275 None On Swing way ardware 1 Reset gg Switch Mounting (K0108) 2 SUS9 L SRM inger gg Switch Mount $49.00 R 8675 L R i-rive Tray rrays Precision Mini Joysticks IT Proxi clipse Tray rray $5,200 IT iber clipse Tray rray 3 Switches $4,350 IT iber clipse Tray rray 4 Switches $4,650 Qty. PN escription MSRP IPMP-1. i-rive Mini Joystick $3,775 IPMP-260. IPMP-1 with RMS260 hardware $3,350 IPMP-9. Stealth PMPJ - ully Proportional Joystick $3, lbf 0.71 lbf andle Type: rip one Tip PMPJ Mounting ardware Qty. PN escription MSRP SM670 Swing way hin ontrol Mount $250 RMS260-PMPJ Swing way rm ontrol Mount $275 SM851 hin ib Mount $340 Mounts for atlin ardware 1 T441-PMP 4in x 6in Mini Tray with PMPJ Mount $375 Left enter Right 1. Refer to page 6 for atlin ardware PRIPRL MOUNTIN SOLUTIONS atlin Midline Mount 1 Qty. PN escription MSRP T400P 5/8in atlin 8 Position $575 T405P 5/8in atlin 3 Position $575 lectronic Mounts T435-RN for R-Net Joystick $125 T458P for Omni Light 2 $195 T459P ompact M-RN 2 $195 T472P Omni Light Mount $125 T473P ompact M-RN $125 TWM480 Link S/ ardware 1 PN escription MSRP TWM480-T Tablet Mount $450 TWM480-MPJ MPJ R-Net Joystick Mount $220 RMS260 Swing way ardware 3 RMS260 with gg Switch Mount $250 RMS260-UNI2 ellular Mount $250 RMS260-RNTV R-Net Joystick Mount $250 RMS260-P Omni Plus isplay Mount $ Includes RMS250-P 2. With 360 adjustable mount 3. omes standard with 1in cane clamp Stealth Products, LL. 6 P123203R1 ugust 21, 2015
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