Order Additional Accessories

Order Information

Please enter the quantities in the field to the left of each item you would like to order.

Headrest

Velcro Strap

Drainpan

Shipping and handling costs for accessories will be added: $18 for Headrest, $18 for Drainpan, $8 for Velcro Strap

Shipping Address

Address

City/Town

State/Province

ZIP/Postal Code

Shipping Contact & Facility Info

Facility Name

Attention

Email

(invoice will be emailed along with directions and warranty paperwork upon shipment)

Is your facility tax-exempt or non-profit?

Yes

No

If yes, please upload a copy of your tax-exempt or non-profit status.

Wheelchair Recline Product Video