Home Decor, NM225 Order Form - Pride Mobility Products Corp. · INFINF386RevC0NO201 Page 1 of 1...
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Page 1 of 1 INFINFB3786/RevC/09NOV2017 Home Decor, NM-225, Quick Ship Order Form Pride Mobility Products Corp. 182 Susquehanna Ave., Exeter, PA 18643 Phone: 800-800-8586 | Fax: 800-800-1636 | Email: [email protected] Account Number: ___________ Date: ________________ Provider Name: __________________________________ Contact: ________________________________________ Phone: ___________________ Fax: _________________ Email:__________________________________________ PO Number:_____________________________________ Marked for: _____________________________________ Ship to Address: _________________________________ City: _____________________ State: ______ Zip: ______ © 2017 Pride Mobility Products Corp. All rights reserved. LIFT Godiva Part: FABAGD Sand Part: FABASD Merlot Part: FABAML Charcoal Part: FABACL Select a Alcatraz Fabric Color Select Upgrades and Accessories Model 5'2" to 5'10" height range, 20" seat width, and 375 lbs weight capacity. NM-225................................................................................. $999 Part: NM225MODEL This is not a medical device and is not intended to assist, treat, diagnose or alleviate any medical condition or disability. See Multiple Unit Order below Full Recline Capable TV Recline Capable Multiple Unit Order Enter a quantity below and then place check marks in the field with the desired option. Residential Cleaning Kit Protective Pad NM-225 ($999) Godiva Sand Merlot Charcoal This form is interactive when viewed with Adobe Acrobat Reader and may not function correctly if opened with applications other than Acrobat. All prices are MSRP. Prices, specifications, part numbers, and availability are subject to change without notice. Prices and part numbers as shown are only available when configured as a complete power lift recliner. Please contact technical service for accurate parts ordering. Thank you for choosing Pride ® Mobility Products! Introduction youtube.com/ pridemobility facebook.com/ PrideMobilityProductsCorp twitter.com/ pridemobility instagram.com/ PrideMobilityProducts Protective Pad ...................................................................... $30 Part: ACCASMB2514 Residential ......................$39.90 ea. Cleaning Kits Part: ACCASMB2479 QTY Alcatraz Fabrics Upgrades and Accessories
Transcript of Home Decor, NM225 Order Form - Pride Mobility Products Corp. · INFINF386RevC0NO201 Page 1 of 1...
Page 1 of 1INFINFB3786/RevC/09NOV2017
Home Decor, NM-225, Quick Ship Order Form
Pride Mobility Products Corp.182 Susquehanna Ave., Exeter, PA 18643Phone: 800-800-8586 | Fax: 800-800-1636 | Email: [email protected]
Account Number: ___________ Date: ________________
Provider Name: __________________________________
Contact: ________________________________________
Phone: ___________________ Fax: _________________
Email: __________________________________________
PO Number: _____________________________________
Marked for: _____________________________________
Ship to Address: _________________________________
City: _____________________ State: ______ Zip: ______
© 2017 Pride Mobility Products Corp. All rights reserved.LIFT
GodivaPart: FABAGD
SandPart: FABASD
MerlotPart: FABAML
CharcoalPart: FABACL
Select a Alcatraz Fabric Color
Select Upgrades and Accessories
Model5'2" to 5'10" height range, 20" seat width, and 375 lbs weight capacity.
NM-225 ................................................................................. $999Part: NM225MODELThis is not a medical device and is not intended to assist, treat, diagnose or alleviate any medical condition or disability.
See Multiple Unit Order below Full Recline Capable TV Recline Capable
Multiple Unit OrderEnter a quantity below and then place check marks in the field with the desired option.
Residential Cleaning Kit
Protective Pad
NM-225 ($999) Godiva Sand Merlot Charcoal
This form is interactive when viewed with Adobe Acrobat Reader and may not function correctly if opened with applications other than Acrobat. All prices are MSRP. Prices, specifications, part numbers, and availability are subject to change without notice. Prices and part numbers as shown are only available when configured as a complete power lift recliner. Please contact technical service for accurate parts ordering.
Thank you for choosing Pride® Mobility Products!
Introduction
youtube.com/pridemobility
facebook.com/PrideMobilityProductsCorp
twitter.com/pridemobility
instagram.com/PrideMobilityProducts
Protective Pad ......................................................................$30Part: ACCASMB2514
Residential ......................$39.90 ea.Cleaning KitsPart: ACCASMB2479
QTY Alcatraz Fabrics Upgrades and Accessories
