Power Prescription Form Powerchair Additional Options Prescription Form Retail Tel: 01656 776222, Fax: 01656 776220 JANUARY 2019 Email: [email protected] Online Spares available at www.invacare.co.uk Account No : Order No : Order Qty : Order Date : Customer Ref : Contact No : Delivery Address : The specialist options on this form are available as an alternative selection to the Retail prescription forms, without requiring an extended leadtime through Specials Department. Invacare” •Modulite1'An evolution in seating designed aroimd vpiA.| X | Please make your selection with a cross in the box ♦ Standard feature Q Free of Charge Modulite Seating Options Powerchair Alternative Options Order Number: Subject to Invacare standard terms and conditions. Invacare reserve the right to alter product specification without prior notice

Powerchair Alternative Options Order Number: Subject to Invacare standard terms and conditions. Invacare reserve the right to alter product specification without prior notice

Compact Dual control Invacare IDC Dual control Available on Pronto M41 Only DRIVE OPTIONS OUTDOOR DRIVE OPTION 10 km/h (6m/h), includes LED light system (1437) with indicators and rear wheel fender (1417 fender: only on XTR2/ XTR2 HD) . (only to be chosen if not on main form) LED light system with Indicators (Already included in 1283 10km/h motor) Standard Bracket Swing Away High End Bracket Swing Away Quad Link For TDX2 Ultra only ACCESSORIES REAR VIEW MIRROR REAR VIEW MIRROR RH REAR VIEW MIRROR LH ACS COMPONENTS FOR REMOTE SYSTEM (only added, not mounted / not programmed) REMOTE / JOYSTICK...

Powerchair Alternative Options Order Number: Subject to Invacare standard terms and conditions. Invacare reserve the right to alter product specification without prior notice

CONTROL SYSTEM ACCESSORIES 1650 Standard Ball £26 BUDDY BUTTON - Range of circular switches, push-button action and slip-resistant base and two threaded inserts for mounting. General input switch applications with auditory and tactile feedback. For use as Joystick on/off, mode switch or as inputs for scanning devices. Available on Pronto M41 Only 1685 Red Buddy Button £70 Available on Pronto M41 Only 1687 Green Buddy Button £70 Powerchair Alternative Options Order Number: 1686 Yellow Buddy Button £70 Subject to Invacare standard terms and conditions. Invacare reserve the right to alter product...

1690 Blue Buddy Button £70 1712 Yellow Piko Button £125 1715 Blue Piko Button £125 PIKO BUTTON - The Piko Button has been 1711 Red Piko Button £125 designed to be compact and gives a sensitive response with just 0.8mm activation travel. Featuring auditory and tactile feedback. General input switch applications . For use as Joystick on/off, mode switch or as inputs for scanning devices. 1713 Green Piko Button £125 1714 Orange Piko Button £125 1716 Black Piko Button £125 These are available on the following chairs: BORA KITE PRONTO M41 RANGE SPECTRA XTR2 SPECTRA XTR2 HD STORM 4 STORM 4 MAX TDX...