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Cushion Form B 1
(Please attach to Generic Order Form)
Name: ________________ Company:_____________________ Ref:___________________
CUSHION STYLE
DUALTEC (FLAT) VIGOUR SPEX SPEX AIR
CODES KEY: 1101 XX x YY 1103 XX x YY 1105 XX x YY 1106 XX x YY
XX = Width (Page 13) (Page 14) (Page 15) (Page 16)
YY = Length
CUSHION STD SIZES
(A) WIDTH (B) LENGTH QTY
12” x 12”
12” x 14”
14” x 14”
14” x 16”
16” x 16”
16” x 18”
17” x 17”
18” x 18”
18” x 20”
20” x 20”
CUSHION CUSTOM SIZE
(A) = (B) = (C) = (D) =
(min 2”) (Std 20mm)
ACCESSORIES
FLAT SEAT BASE PAN – FOR SEAT RAIL WIDTH
(Page 12)
RIGIDISER (INSIDE CUSHION COVER) SPARE OUTER COVER
O
SPACE GROWTH BRACKET (CONNECTS THE BACKREST TO THE SEAT BASE PAN)
(Page 18)
HIGH CONTOURING (50mm) #1111 0352
SOFT PRESSURE RELIEVING OVERLAY #1111 0391
rder Form
SPEX
s
GROWTH BRACKET
Form B1
152
