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The following order forms are relative to the US domestic markets only. All other International Pride Providers must contact their local Pride corporate office for ordering details.

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Canadian order forms

Please Note:
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Power Chair Seating update information--please read

Quantum Rehab
  Date Modified   Date Modified
Quantum 1103 Ultra Series6/9/2008Quantum 11073/11/2008
Quantum 1121 Series6/9/2008Quantum 1420 Series
Group 3
3/17/2008
Quantum 1420 Series
Group 4
3/13/2008Quantum 1650 Series6/9/2008
Quantum 1650 Series
Group 3
6/9/2008Quantum 600 Series
Group 3
6/6/2008
Quantum 600 Series
Group 4
6/6/2008Quantum 600 XL Series
Group 3
6/6/2008
Quantum 6000 Series
Group 3
6/6/2008Quantum 6000 Series
Group 4
6/6/2008
Quantum 6000 XL
Group 2
(HD)
6/6/2008Quantum 6000 XL
Group 3
(HD)
6/6/2008
Quantum 6000 Z Series
Group 3
6/6/2008Quantum 6000 Z Series
Group 4
6/6/2008
Quantum 600E Series6/9/2008Quantum 610 Series6/10/2008
Quantum Dynamo 11073/11/2008Quantum R-4000 Series
Group 3
6/6/2008
Quantum R-4000 Series
Group 4
6/6/2008  
Manual Wheelchairs
  Date Modified   Date Modified
US LiteStream XF6/23/2008US Stylus4/11/2008
Seating & Positioning
  Date Modified   Date Modified
Positioning Components4/3/2008Set-to-Spec2/23/2007
Solid Seat Inserts7/30/2004Specialty Seat Kit3/11/2008
Structure 2 Cushion1/16/2008Synergy Seating System6/6/2008
Synergy Shape Back
All Inclusive
9/12/2007Synergy Simplicity Cushion1/16/2008
Synergy Solution 1 Cushion1/16/2008Synergy Solution Cushion1/16/2008
Synergy Spectrum Cushion1/16/2008TRU-Balance 2 Power Positioning6/6/2008
TRU-Balance Pediatric Power Tilt6/6/2008TRU-Comfort Back6/3/2008
TRU-Comfort Cushion6/3/2008  
Electronics
  Date Modified   Date Modified
Specialty Electronics6/17/2008Vent Tray4/23/2008
Motion Concepts TRX
UltraLow CG System for Quantum Bases TRx- Easy Does It UltraLow CG System for Quantum Q600
TRx-Super Low Single Pivot Tilt & Recline System for Quantum Power Bases TRx-Bariatric UltraLow system for Quantum Bases
TRx- CG Tilt Intrface for Quantum Q500, Q600 & Q610 TRx-UPLIFT, ELEVATE AND RECLINE Power Positioning System for Quantum Bases
TRx- Latitude System for Quantum Vibe
Jazzy Power Chairs
  Date Modified   Date Modified
Jazzy Select5/27/2008 Jazzy Select 65/27/2008
Jazzy Select 6 Ultra5/27/2008 Jazzy Select 73/11/2008
Jazzy Select 145/27/2008 Jazzy Select 14 XL6/6/2008
Jazzy Select Traveller11/23/2007Jazzy 600 Series
Group 2
6/19/2008
Jazzy 600 Series
Group 3
6/9/2008Jazzy 600 XL6/9/2008
Jazzy 614 HD4/29/2008Jazzy 1103 Ultra3/11/2008
Jazzy 1113 ATS Series6/9/2008Jazzy 1170 XL Plus
Group 2
(VHD)
3/11/2008
Jazzy 1170 XL Plus
Group 3
(VHD)
3/11/2008Jazzy 1420 Series
Group 2
3/13/2008
Jazzy 1420 Series
Group 3
3/13/2008Jazzy 1650 Series3/13/2008
Jazzy 1650 Series
Group 3
3/13/2008Jet 3 Ultra3/11/2008
Z-Chair9/19/2007  
Go-Go Travel Mobility
  Date Modified   Date Modified
Go-Chair2/11/2008Go-Go Elite Traveller Plus5/30/2008
Go-Go Elite Traveller Plus HD5/30/2008Go-Go Elite Traveller Series4/8/2008
Go-Go Ultra X4/3/2008  
Scooters
  Date Modified   Date Modified
Celebrity X9/27/2007Celebrity XL9/20/2007
Legend9/21/2007Legend XL9/21/2007
Maxima9/21/2007Rally9/21/2007
Revo9/19/2007Sundancer9/21/2007
Victory9/21/2007Victory 103/4/2008
Personal Mobility Vehicles
  Date Modified   Date Modified
Hurricane9/21/2007Wrangler9/19/2007
Lift Systems
  Date Modified   Date Modified
Silver Star Backpacker Lift Series5/1/2008Silver Star Exterior Lifts & Ramps4/29/2008
SilverBoom 3007/1/2008  
Lift Chairs
  Date Modified   Date Modified
Lift Chair6/2/2008  

 


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