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PERSONAL FIT BACK
Online quote form
Custermize & Buy
STANDARD SIZES
Please select Option
PFB16 Gentle Fit Back 16" x 18"
PFB18 Gentle Fit Back 18" x 18"
PFBCW Form Fit Back - Gentle Lateral Custom Width (heigth = 18")
PFBCH Form Fit Back - Gentle Lateral Custom height
PFBC 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
  
PFBOLV1 Visco Overlay Half (3 Pieces)
PFBOLV2 Visco Overlay Full (6 pieces)
PFBOLG1 Gel Overlay Half (3 Pieces)
PFBOLG2 Gel Overlay Full (6 Pieces)
PIN OPTIONS?
Please select Option
PFBP1 1" Long Pins
PFBP34 3/4" Long Pins
(Standard)
COVER OPTIONS
Please select Option
PFBCOV1 Standard
PFBCOV2 TEK4 Infection Control Complete Cover
PFBCOV7 TEK4 Infection Control 4" Bottom Protector
EXTRA COVER*
  
PFBCOV3 Standard Cover
PFBCOV4 TEK4 Infection Control Complete Cover
PFBCOV8 TEK4 Infection Control 4" Bottom Protector
PFBCOV5 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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