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SNUG FORM BACK

Online quote form

Custermize & Buy

STANDARD SIZES

Gentle Fit Back Custom Width:*

Gentle Fit Back Custom height:*

Gentle Lateral Custom:*

ADDITIONAL OVERLAYS

SHUMOLV1 Visco Overlay Half (3 Pieces)

SHUMOLV2 Visco Overlay Full (6 pieces)

SHUMOLG1 Gel Overlay Half (3 Pieces)

SHUMOLG2 Gel Overlay Full (6 Pieces)

PIN OPTIONS?

COVER OPTIONS

EXTRA COVER*

SHUMCOV3 Standard Cover

SHUMCOV4 TEK4 Infection Control Complete Cover

SHUMCOV8 TEK4 Infection Control 4" Bottom Protector

SHUMCOV5 Custom Cover

*Note: Please enter the size above for standard or custom cover

Custom Cover:*

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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Hours of Operation:
Monday - Friday
07:30 - 17:00

General

Wheelchairs

Super TIlt Plus (STP)

Seating & More!

Need Help?

Telephone (519)-763-9976

Fax (519)-837-1832

csr@powerplusmobility.com

50 Malcolm Rd
Guelph, Ontario
N1K 1A9 Canada

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SNUG FORM BACK

Online quote form

Custermize & Buy

Join our newsletter to keep updated with FREE training and giveaways! If you wish to schedule a free

Join our newsletter to keep updated with FREE training and giveaways!
If you wish to schedule a free