Page 160 - MEDIFAB_Digital_CatalogueCA

Headrest Options Form G

(Please attach to Generic Order Form)

Name: ________________ Company:_____________________ Ref:___________________

STANDARD CONTOURED ADJUSTABLE
ORDER CODES SIZE Qty Qty Qty
SQUARE PAD PAD LATERAL PAD

BASIC HEADREST CHILD 1270 4011 1270 4021 1270 4041
MECHANISM ADULT 1270 4012 1270 4022 1270 4042

CHILD 1270 4111 1270 4121 1270 4141
MULTI-ADJUSTABLE
ADULT 1270 4112 1270 4122 1270 4142

HEADREST PAD OPTIONS: (includes Bracketry)

STANDARD SQUARE CONTOURED ADJUSTABLE LATERAL

HEADREST MECHANISM OPTIONS: (Page 24)

MULTI-ADJUSTABLE
BASIC MECHANISM
MECHANISM

O

rder Form
s

Form G
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