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SNUG FORM BACK
Online quote form
Custermize & Buy
STANDARD SIZES
Please select Option
SHUM16 Gentle Fit Back 16" x 18"
SHUM18 Gentle Fit Back 18" x 18"
SHUMCW Form Fit Back - Gentle Lateral Custom Width (heigth = 18")
SHUMCH Form Fit Back - Gentle Lateral Custom height
SHUMC 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
  
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?
Please select Option
SHUMP1 1" Long Pins
SHUMP34 3/4" Long Pins
(Standard)
COVER OPTIONS
Please select Option
SHUMCOV1 Standard
SHUMCOV2 TEK4 Infection Control Complete Cover
SHUMCOV7 TEK4 Infection Control 4" Bottom Protector
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:*
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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