www.rollstuhlsonderbau.de

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Start Download customization forms

Customization forms

Please download your customization form that helps you not to forget any of the information we need to build your XXL aid. Forms are available as PDF-files, but - sorry - only in German. Please let us know if you need help in filling in the forms. Click on the appropriate picture to start the download.

After filling in all the data simply send your enquiery or order through fax. We will react soon. 

Anpassbogen für XXL-Rollstuhl

 

Customization for XXL heavy duty foldable wheelchair (PDF)

 

 

Anpassbogen XXL-Toilettenrollstuhl

 

Customization for XXL heavy duty commode chair with wheels (PDF)

 

 

 

Anpassbogen XXL-Nachtstuhl

 

Customization for XXL heavy duty commode chair (PDF)

 

 

 

 Anpassbogen XXL-Rollator

Customization for XXL heavy duty rollators (PDF)

 

 

  

Anpassbogen XXL-DuschtoilettenrollstuhlCustomization for XXL heavy duty shower commode wheelchair (PDF)

 

 

 Anpassbogen XXL-Duschtoilettenstuhl DTS 210-P

 

Customization for XXL heavy duty shower commode P (PDF)

 

 

Anpassbogen XXL-Duschnachtstuhl DTS 210-F

 

Customization for XXL heavy duty shower commode (PDF)

 

Contact

Hotline

HOTLINE
+49 (0) 202 - 9749550

Fax

Fax
+49 (0) 202 - 9749559

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