Invacare eForms For additional information, visit www.invacare.com/eForms Customer Service: 800-333-6900 Fax: 800-678-4682 www.invacare.com To order Literature: 800-828-6282 Invacare eForms offer new functionality! Invacare is pleased to offer you an upgraded solution to your ordering process. Our enhanced order forms allow you to fill out a form electronically, print and fax the form, save and email* it to Customer Service, or maintain the business practices that work for you today. The format has been revised to reveal a cleaner look with electronic selection and input functions. *Saving and emailing the eForms is available with Acrobat Professional software If you are using Adobe Acrobat Professional If you are using Adobe Reader • View and download all forms • View and download all forms • Save blank versions of the forms to your desktop • Save blank AND completed versions of the forms to maintain electronic records • Complete forms electronically • Print blank or completed forms • Complete forms electronically • Fax completed forms to Customer Service • Print blank or completed forms • Fax completed forms to Customer Service • Email completed forms to Customer Service by using the 'Email' button at the end of the form. Please note: The 'Email' button at the end of the form will not work with Adobe Reader. The 'Email' button will only work while using Adobe Acrobat Professional. For information on downloading Adobe Reader for free, or puchasing Adobe Acrobat Professional, please visit www.adobe.com. All prices subject to change without notice. All prices in U.S. dollars. All orders F.O.B. Pinellas Park, Florida USA For the most current pricing information go to www.invacare.com. Page 1 of 10 Personal Care Price List Price List and Order Form Customer Service: 800-333-6900 www.invacare.com Fax: 800-678-4682 To order literature: 800-828-6282 TRANSACTION TYPE: Order Date Quote Account # P.O. # Company Name Phone # Address State 0 City Contact Name Country Zip Code Comments Special Note Volume discount for ambulatory products is determined by the total number of ambulatory products ordered from the pricelist. AMBULATORY Quantity Model Number Description Suggested List Price Items Per Carton WALKERS I-CLASS PADDLE WALKERS 6291-A Dual - Release Paddle Adult Walker $101.85 4 6291-JR Dual - Release Paddle Junior Walker $101.85 4 6291-3F Dual - Release Paddle Adult with 3" Fixed Wheels and Glide Tips $137.03 4 6291-JR3F Dual - Release Paddle Junior Walker with 3" Fixed Wheels and Glide Tips $137.03 4 6291-5F Dual - Release Paddle Adult with 5" Fixed Wheels and Glide Tips $148.58 4 6291-JR5F Dual - Release Paddle Junior with 5" Fixed Wheels and Glide Tips $148.58 4 6291-1 Single - Pack Dual-Release Paddle Adult Walker $107.36 1 6291-HDA Heavy - Duty Dual-Release Adult Paddle Walker $122.85 2 6291HDA-1 Heavy - Duty Dual-Release Adult Paddle Walker $112.46 1 BLUE-RELEASE WALKERS 6240-A Dual Blue-Release Adult Walker $92.93 4 6240-JR Dual Blue-Release Junior Walker $92.93 4 6240-5F Blue-Release Adult Walker with 5" Fixed Wheels and Glide Tips $136.76 4 6240-JR5F Blue-Release Junior Walker with 5" Fixed Wheels and Glide Tips $136.76 4 6441-A Bariatric Dual-Release Adult Walker $193.46 2 6441A-1 Bariatric Dual-Release Adult Walker $193.46 1 SINGLE-RELEASE WALKERS 6281-A Single-Release Adult Walker $109.20 4 6281-JR Single-Release Junior Walker $109.20 4 P421B Single-Release Two Step Walker $120.00 4 NOTE: All specifications and dimensions are approximate. For the most current pricing information, go to www.invacare.com/homecare. Revised August 7, 2012 Form No. 94-40LS Personal Care List Price List AMBULATORY continued Quantity Model Number Description Suggested List Price Items Per Carton HEMI WALKER 6252 Hemi Walker $105.79 2 WALKLITE WALKER 6300-JRA Adults-Junior WalkLite Walker with 5" Wheels $183.23 1 6300-ATA Tall Adult WalkLite Walker with 5" Wheels $183.23 1 Knee Walker with hand brake - Blue $458.75 1 $50.93 1 3" Single Fixed -Wheel Attachments with Rear Glide Tips $33.60 1 Set 3" Single Fixed -Wheel Attachments with Rear Glide Tips $33.60 4 Sets 5" Single Fixed -Wheel Attachments with Rear Glide Tips $44.89 1 Set 5" Single Fixed -Wheel Attachments with Rear Glide Tips $44.89 4 Sets KNEE WALKER 65960 WALKER ACCESSORIES Walker Accessories not to be used on WalkLite Walkers PLATFORM ATTACHMENT 6027 Platform Attachment FIXED WHEEL ATTACHMENT (3" AND 5") 6270 6270-4 Retail package 6271 6271-4 Retail package. 6277 Tall 3" Single Fixed- Wheels with Rear Glide Tips $42.21 1 Set 6278 Tall 3" Single Fixed -Wheels with Tall Rear Leg Extensions and Glide Tips $44.36 1 Set 6372 Double 5" Fixed Wheel for 6441-A $115.50 1 Set 6375 Double 5" Fixed Wheel for 6291-HDA $115.50 1 Set $51.71 1 Set $34.39 1 Set LEG EXTENSIONS 6275 Tall Leg Extensions (set of 4 legs) REAR LEG EXTENSIONS 6266 13" Rear Leg Extensions with Glide Tips SWIVEL WHEEL ATTACHMENTS (3 AND 5) 6267 5" Swivel Wheels with Glide Tips $86.10 1 Set 6268 5" Swivel Wheels with 13" SureGlide Brakes $120.49 1 Set 6269 3" Swivel Wheels with 13" Rear Leg Extensions with Rear Glide Tips $100.54 1 Set 6272 3" Swivel Wheels with 13" SureGlide Brakes $66.15 1 Set 6273 3" Swivel Wheels with Glide Tips $47.25 1 Set NOTE: All specifications and dimensions are approximate. For the most current pricing information, go to www.invacare.com/homecare. Revised August 7, 2012 Form No. 94-40LS Personal Care List Price List AMBULATORY continued Quantity Model Number Description Suggested List Price Items Per Carton REAR WHEEL BRAKE ATTACHMENTS 6264 10" Rear Wheel Brakes $47.25 1 Pair 6265 13" Rear Wheel Brakes $47.25 1 Pair ASSISTANCE ATTACHMENTS 6096 Walker Basket (6240 Series) $51.71 1 6098 Walker Basket $51.71 1 6002 Walker Tray (6240 Series) $50.93 1 6007 Walker Tray $50.93 1 Walker Pouch $69.30 4 $48.29 24 6015-4 Retail package. GLIDE TIPS 6280 Glide Tips 24 Pack ROLLATORS ROLLITE ROLLATORS 65100 Rollite Rollator with 5" wheels - Adult - Midnight Blue $227.24 1 65100-JR Rollite Rollator with 5" wheels - Junior - Midnight Blue $227.24 1 65100R Rollite Rollator with 5" wheels - Adult - Electric Red $227.24 1 65100R-JR Rollite Rollator with 5" wheels - Junior - Electric Red $227.24 1 68100 Rollite Rollator with 8" wheels - Adult - Midnight Blue $249.08 1 68100-TA Rollite Rollator with 8" wheels - Tall Adult - Midnight Blue $249.08 1 FOUR WHEEL ROLLATORS 67100 FR300 Premium 4-Wheel Rollator NEW! $425.00 1 65350GR Junior Rollator with hand brakes, Straight Backrest Green $215.80 1 65550 Rollator with hand brakes, No Backrest - Silver $198.64 1 65650 Rollator with hand brakes, Curved Backrest - Blue $204.36 1 65650R Rollator with hand brakes, Curved Backrest - Red $204.36 1 65851R Rollator with hand brakes, Straight Backrest - Red $215.80 1 65851B Rollator with hand brakes, Straight Backrest - Blue $215.80 1 66550 Bariatric 4-Wheel Rollator - Blue $362.96 1 $187.48 1 THREE WHEEL ROLLATOR P429/2 3 Wheel Rollator with hand brakes, tote bag, basket, and tray - Red NOTE: All specifications and dimensions are approximate. For the most current pricing information, go to www.invacare.com/homecare. Revised August 7, 2012 Form No. 94-40LS Personal Care List Price List AMBULATORY continued Model Number Quantity Description Suggested List Price Items Per Carton WALKLITE, ROLLITES AND FOUR WHEEL ROLLATOR ACCESSSORIES 65109 Rollator Basket for use on Rollites (65100-JR, 65100R-JR, 68100) $34.58 1 65110 Rollator Basket for use on WalkLite and Rollites (65100, 65100R, 68100-TA) $34.58 1 65408 Rollator Tray for use on Four Wheel Rollators, WalkLite and Rollites $17.42 1 Standard with Invacare Grip - Black $22.31 6 8917 Offset with Strap with Invacare Grip - Silver $22.31 6 40918-6 Offset with Strap with Invacare Grip - Black $22.31 6 8940-1 Bariatric Offset Handle Cane $40.95 6 8940-6 Bariatric Offset Handle Cane $40.95 6 Orthopedic Grip Cane Right Hand $27.56 6 3920-2 Medium Base Quad Cane with Invacare Grip $58.54 2 7827 Large Base Quad Cane with Invacare Grip $65.10 2 7831-1 Bariatric Small Base Quad Cane $66.68 2 7831-2 Bariatric Small Base Quad Cane $66.68 2 7835-1 Bariatric Large Base Quad Cane $83.48 2 7835-2 Bariatric Large Base Quad Cane $83.48 2 40850-4 Fits Cane Diameter 1" $2.52 4 Pairs 40851-4 Fits Cane Diameter 7/8" $2.52 4 Pairs 40852-4 Fits Cane Diameter 3/4" $2.52 4 Pairs 40853-4 Fits Cane Diameter 5/8" $2.52 4 Pairs CANES STANDARD CROOK CANES 8916 OFFSET CANES ORTHOPEDIC GRIP CANE 8929 QUAD CANES CANE TIPS CRUTCHES QUICK-CHANGE CRUTCHES 8115-J Quick-Change Crutches- Junior 350 lbs. Wt. Capacity $54.86 8 Pairs 8115-A Quick-Change Crutches- Adult 350 lbs. Wt. Capacity $54.86 8 Pairs 8115-T Quick-Change Crutches- Tall Adult 350 lbs. Wt. Capacity $54.86 8 Pairs NOTE: All specifications and dimensions are approximate. For the most current pricing information, go to www.invacare.com/homecare. Revised August 7, 2012 Form No. 94-40LS Personal Care List Price List AMBULATORY continued Quantity Model Number Description Suggested List Price Items Per Carton QUICK-ADJUST CRUTCHES 8120-J Quick-Adjust Crutches- Junior $58.50 8 Pairs 8120-A Quick-Adjust Crutches- Adult $58.50 8 Pairs 8120-T Quick-Adjust Crutches- Tall Adult $58.50 8 Pairs BARIATRIC CRUTCHES 8130-A Bariatric Crutches- Adult $177.75 1 Pair 8130-T Bariatric Crutches- Tall Adult $177.75 1 Pair ELBOW/FOREARM CRUTCH 8153-J Forearm Crutches- Junior $122.72 6 Pairs 8153-A Forearm Crutches- Adult $122.72 6 Pairs 8153-T Forearm Crutches- Tall $122.72 6 Pairs CRUTCH ACCESSORIES CRUTCH TIPS The below Crutch Tips are used with models 8115, 8120, 8130. 6134 Crutch Tips Large (1 3/4" O.D.) Gray Color $3.90 1 Pair 6135 Crutch Tips Extra Large (2" O.D.) Gray Color $5.20 1 Pair CRUTCH ARM PADS 6131 Crutch Pads Gray Color used with models 8115 and 8120 $5.46 1 Pair 7131 Bariatric Crutch Pads Gray Color used with model 8130 $6.25 1 Pair CRUTCH HANDGRIPS 6125 Crutch Handgrips Solid Grip Gray, only fits 8120 models $5.46 1 Pair 6126 Crutch Handgrips Solid Grip Gray, only fits 8115 models $5.46 1 Pair 7126 Bariatric Crutch Handgrips Solid Gray, only fits 8130 models $6.76 1 Pair BATH SAFETY Special Note Volume Discount for bath safety products is determined by the total number of bath safety products ordered from the pricelist. Quantity Model Number Description Suggested List Price Items Per Carton INVACARE® RIO™ BATH LIFT H605 Invacare Rio Bath Lift $852.00 1 $40.00 5 INVACARE® BATH BOARD H112-5 Invacare Bath Board NOTE: All specifications and dimensions are approximate. For the most current pricing information, go to www.invacare.com/homecare. Revised August 7, 2012 Form No. 94-40LS Personal Care List Price List BATH SAFETY Continued Quantity Model Number Description Suggested List Price Items Per Carton TRANSFER BENCHES CAREGUARD TRANSFER BENCH 98071 Transfer Bench Tool-Less Assembly $101.66 2 TRANSFER BENCH - PADDED VINYL 9871 Transfer Bench Padded Vinyl Partially Assembled $225.68 2 9871-1 Transfer Bench Padded Vinyl Partially Assembled $216.84 1 I-CLASS HEAVY-DUTY TRANSFER BENCHES 9670 Transfer Bench, Assembled $134.42 2 9670U Transfer Bench, Unassembled $122.98 1 9670C Transfer Bench with Commode Opening, Assembled $159.12 2 9670C-1 Transfer Bench with Commode Opening, Assembled $159.29 2 9675-1 Bariatric Transfer Bench $217.91 2 9675-2 Bariatric Transfer Bench $215.54 2 IVC I-Fit Shower Chair Without Back Tool-Less Assembly $71.24 2 IVC I-Fit Shower Chair With Back Tool-Less Assembly $90.48 2 SHOWER CHAIRS IVC SHOWER CHAIRS 9780 9781 Retail package. 9781-1 IVC I-Fit Shower Chair With Back Tool-Less Assembly $90.48 2 9785-1 Bariatric Shower Chair With Back Tool-Less Assembly $186.85 2 9785-2 Bariatric Shower Chair With Back Tool-Less Assembly $185.12 2 CareGuard Shower Chair With Back Tool-Less Assembly $52.00 2 CareGuard Shower Chair Without Back Tool-Less Assembly $46.80 2 $80.08 2 $135.98 2 $237.64 2 CAREGUARD SHOWER CHAIR 96-2 91-2 Retail package. FOLDING SHOWER CHAIR 9981 Folding Shower Chair with Back Assembled Retail package. SHOWER CHAIR - PADDED VINYL 9872 Shower Chair Padded Vinyl Assembled MOBILE SHOWER CHAIR 6358 Mobile Shower Chair Assembled NOTE: All specifications and dimensions are approximate. For the most current pricing information, go to www.invacare.com/homecare. Revised August 7, 2012 Form No. 94-40LS Personal Care List Price List BATH SAFETY Continued Quantity Model Number Description Suggested List Price Items Per Carton TUB BARS I-CLASS TUB BAR 710-4 Tub Bar White Bracket Adjustment 1 1/4" - 6" $26.54 4 $74.62 2 Retail package. TOILET SAFETY TOILET SAFETY FRAME 1392KD Toilet Safety Frame Retail package. I-CLASS CLAMP-ON RAISED TOILET SEATS 1300RTS Raised Toilet Seat $31.20 2 1301RTS Clamp-On Raised Toilet Seat Without Arms $43.68 2 1302RTS Clamp-On Raised Toilet Seat With Arms $74.62 2 GRAB BARS INVACARE® SUCTION CUP GRAB BARS 218-3 17.5" Suction Cup Grab Bar $51.38 3 222-3 21.5" Suction Cup Grab Bar $60.03 3 12" WALL GRAB BARS 512-3 Grab Bar, Knarled Chrome $27.30 3 312-3 Grab Bar, White Vinyl Coated $23.66 3 Retail package. 16" WALL GRAB BARS 516-3 Grab Bar, Knarled Chrome $29.12 3 316-3 Grab Bar, White Vinyl Coated $25.22 3 Grab Bar, Knarled Chrome $30.42 3 Grab Bar, White Vinyl Coated $25.74 3 Retail package. 18" WALL GRAB BARS 518-3 318-3 Retail package. 24" WALL GRAB BARS 524-3 Grab Bar, Knarled Chrome $32.76 3 324-3 Grab Bar, White Vinyl Coated $27.56 3 Retail package. 32" WALL GRAB BARS 532-3 Grab Bar, Knarled Chrome $35.36 3 332-3 Grab Bar, White Vinyl Coated $30.94 3 Retail package. NOTE: All specifications and dimensions are approximate. For the most current pricing information, go to www.invacare.com/homecare. Revised August 7, 2012 Form No. 94-40LS Personal Care List Price List Quantity Model Number Description Suggested List Price Items Per Carton BATH ACCESSORIES INVACARE® BATH MAT H190 Invacare Bath Mat $23.00 6 Standard Hand Shower $30.68 4 Deluxe Hand Shower $45.25 4 HAND SHOWERS 826-4 828-4 Retail package. Hand Showers include wall bracket, 84" hose. COMMODES Special Note Volume Discount for commode products is determined by the total number of commode products ordered from the pricelist, with the exception of the Mariner rehab shower commode chairs. Quantity Model Number Description Suggested List Price Items Per Carton COMMODES I-CLASS ALL-IN-ONE COMMODES 9630-1 Single Pack All-In-One Gray Coated Steel Commode $109.45 1 9630-4 All-In-One Gray Coated Steel Commode $103.20 4 9650-4 All-In-One Aluminum Commode $109.45 4 $106.45 4 $98.20 4 $366.60 2 $225.16 2 FOLDING COMMODE 9830-4 Folding Commode SAFEGUARD COMMODE 9610-4 Safeguard Gray Coated Steel Commode BARIATRIC COMMODE 6500-BHD Bariatric Commode HEAVY-DUTY COMMODE 6497 Heavy-Duty Commode DROP-ARM COMMODE 9669 Drop-Arm Commode $256.88 1 6599 Bariatric Drop-Arm Commode $451.10 1 COMMODE ACCESSORIES 6317 Pails with Lids $7.80 12 6319 Splash Shields $6.76 12 MARINER REHAB SHOWER COMMODE CHAIRS 5" CASTERS 6795 Shower Commode 16" Seat Width with 5" front casters and 23" rear wheels $1,220.67 1 6891 Shower Commode 18" Seat Width with 5" casters in front and rear $1,125.36 1 6895 Shower Commode 18" Seat Width with 5" front casters and 23" rear wheels $1,195.83 1 NOTE: All specifications and dimensions are approximate. For the most current pricing information, go to www.invacare.com/homecare. Revised August 7, 2012 Form No. 94-40LS Personal Care List Price List Comments or Special Instructions: Print Form Email Form Clear Form NOTE: All specifications and dimensions are approximate. For the most current pricing information, go to www.invacare.com/homecare. Invacare Corporation USA One Invacare Way Elyria, OH USA 44035-4190 800-333-6900 Revised August 7, 2012 www.invacare.com ©2012 Invacare Corporation All rights reserved. Trademarks are identified by the symbols™ and ®. All trademarks are owned by or licensed to Invacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification. Form No. 94-40LS
* Your assessment is very important for improving the work of artificial intelligence, which forms the content of this project
advertisement