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SNUG FIT BACK
Online quote form
Custermize & Buy
STANDARD SIZES
Please select Option
MDU16 Gentle Fit Back 16" x 18"
MDU18 Gentle Fit Back 18" x 18"
MDUCW Form Fit Back - Gentle Lateral Custom Width (heigth = 18")
MDUCH Form Fit Back - Gentle Lateral Custom height
MDUC Form Fit Back - Gentle Lateral Custom
Gentle Fit Back Custom Width:*
Gentle Fit Back Custom Width:*
Please select Option
16"
18"
Gentle Fit Back Custom height:*
Gentle Lateral Custom:*
ADDITIONAL OVERLAYS
  
MDUOLV1 Visco Overlay Half (3 Pieces)
MDUOLV2 Visco Overlay Full (6 pieces)
MDUOLG1 Gel Overlay Half (3 Pieces)
MDUOLG2 Gel Overlay Full (6 Pieces)
PIN OPTIONS?
Please select Option
MDUP1 1" Long Pins
MDUP34 3/4" Long Pins
(Standard)
COVER OPTIONS
Please select Option
MDUCOV1 Standard
MD2COV2 TEK4 Infection Control Complete Cover
MDUCOV7 TEK4 Infection Control 4" Bottom Protector
EXTRA COVER*
  
MDUCOV3 Standard Cover
MDU4OV4 TEK4 Infection Control Complete Cover
MDUCOV8 TEK4 Infection Control 4" Bottom Protector
MDUCOV5 Custom Cover
*Note: Please enter the size above for standard or custom cover
Custom Cover:*
Please select Option
Standard
TEK4
Custom Cover sizes:*
*Note: Please enter the size above for standard or custom cover
Additional Notes
Final Total
First Name*
Last Name*
Company Name:*
Phone Number:*
Official Work Email*
Location:*
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