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BILL TO:

Customer Number:

P.O.

Facility:

Your Name:

Address:

City State Zip

Phone: ( ) -

Fax: ( ) -

Qty Item Number Color Item Name

To place an order

,

copy this page, complete the requested information, and fax or mail it to us, or call

.

ORDER FORM

Handling charge is only applied to orders under $50.00.

We Accept: ___Visa and ___Mastercard cvv code __ __ __

Card No: __ __ __ __ / __ __ __ __ / __ __ __ __ / __ __ __ __

Signature _________________________Exp. Date ____ / ____

1

TERMS: 30 day net,

1

/2% interest per month, C.O.D. if not current.

F.O.B., source. No discounts allowed. Federal ID#

39-

1368543

If you send us an e-mail, please include your facility name, address, phone number,

and business hours. Our e-mail address is:

orders@landandwheels.com

For ordering information and policies, see page

457

. For measuring guides, see page

455.

For color chart and color list, see page

456

.

___Bill our account

___We are a new customer.

___ Please open an account.

Brand Serial Number Price Amount

+Handling Charge $3.50

+ UPS or FedEx

Total

SHIP TO: (if different from Bill To)

Customer Number:

.

Facility:

Your Name:

Address:

City State Zip

Phone: ( ) -

Fax: ( ) -

U.S. SALES ONLY, PLEASE

10-06

-070

Ordering desks 800-558-5554

24 hour FAX 414-355-4090

C

Page 458 Copyright 2017 , 7811 N. 86th Street, Milwaukee, WI 53224 Catalog 342

Item Page

Bath seat . . . . . . . . . . . .

373

Blood draw chairs. . .

.435

Commode . .

375 ,379 -380

.......

386

-

387

Crutches . . . . . . . . .. .

410

Items particularly

for bariatric patients

Item Page

Lift Chairs . . . . . . . . .

360

Patient Lift . . . . . . .

366

Recliners . . . . . . . . .

359

Scales . . . . . .

.432 -433

Scooters . . . . . . . . . . .

351

Item Page

Trapeze................

431

Walkers, Rolling . .

401 ,410

Wheelchair,Manual341

,346

Gendron . . . . . . . . .

.341

Item Page

Shower Chairs . . . . . . .

373

Shower Gurnee . . . . . .

.377

Step Stools . . . . . . . . . .

438

Toilet seats . . . . . . . . .

.390

Transfer bench . . . . . . .

376

BARIATRIC

EQUIPMENT INDEX

Item Page

Alarms . . . . . . . . .

424 ,437

Alternat. Press. Pads. .

423

Aspirator . . . . . . .

.436 -437

Assist Devices . .

415 -416

Barricades . . . . . . . .

451

Bath seat . .

367 -369 ,373

Bed risers . . . . . .

361 ,414

Bedpans . . . . . .

.388 ,391

Bedrail bolsters . . .

.425

Bedrails . . . . . .

425 -429

Beds . . . . . . .

421 -422

Blood draw chairs. .

.435

Canes . . . . . . .

411 -414

Pediatric. . . . . . . . . .

412

Seat . . . . . . . . . . . .

413

Carts . . . . . . . . . .

.443 -448

Chart-holding . . . . .

448

Emergency . . . .

443 -444

Item Page

Carts, cont. .

Housekeeping . . . . .

453

Shopping . . . . . . . .

.449

Storage . . . . . . .

444- 447

Utility . . . . . . .

.443

Changing station(baby

)439

Chart/FileHolders. . . .

437

Child Carrier . . . . . . .

348

Commodes . . . . . .378

-387

Commode Bucket . .

.381

Crutches . . . . . . . . .

.410

Cushions . . . . .355

-357

Diaper Change Station

439

Fall Preventn . . . .425

,437

Faucets & parts . . . . .

.454

Grab Bars . . . . . .

391- 393

Hampers . . . . . . .

440 -442

Inhaler, steam. . . . . . .

.436

Item Page

Instrument Stand . . . .

436

IV Rods & Access

362 -363

Janitorial . . . . . . .452

-453

Brooms . . . . . . . . . .

452

Mops . . . . . . . . . . .

.452

Recycle . . . . . .

452- 453

Step-on Waste . . . . .

452

Waste Container452

-453

Lamps, exam. . . . . . . .

437

Lap Tray . . . . . . . . . .

.424

LaundryHamper96

,99 -101

Lift Chairs . . . . . .

360 -361

Lumbar cushions . . .

.355

Magnifiers . . . . . . . . .

433

Mattress . . . . . . . . . . .

424

Monitors,Wheelchairs.

437

MRI wheelchairs . . . . .

345

Nebulizers . . . . .

366 ,436

Item Page

Overbed Tables . .

429 -430

Oxy Tank Holder .

364 -365

Patient Lift . . .

.366 -367

Pedal exercizer . . . . .

433

Positioning Items .

353- 355

Privacy Screens . . . . .

434

Raised Toilets . .

387 -389

Ramps . . . . . . . .

.416 -420

Reach Aids . . . . . . . . .

.415

Recliners . . . . . .

.357 -359

Risers,furniture

361, 414

Scales . . . . . .

359 ,431 -433

Scooters . . . . . . .

.351 -352

Seat cane. . . . . . . . . .

.413

Sharps containers. . . .

.434

Shelves . . . . . . . .449

-451

File Shelves . . . . .

.449

Utility Shelves .

450- 451

Item Page

Walkers,Pediatric . . . . .

403

Walkers, Rolling. .

406 -410

Walkers,Std . .

394 -403 ,405

Wand, Heat. . . . . . . .

436

Wheelchair, Man. .

339- 349

Close-outs . . . . .

348 -349

Drive. . . . . . . . . . . .

339

Everest & Jennings .

340

Gendron . . . . . .

.341 ,345

Invacare . . . . . .

.342 -343

Magmedix . . . . . . . .

345

MRI . . . . . . . . . . . . . .

345

Nova Orthomed. . . .

.344

Probasics . . . . . . . . .

345

Quickie . . . . . . . . . .

346

Tuffcare . . . . . . .

346 -347

Wheelchr,Power. . . . . .

350

Whlchr(discount) . .

348- 349

Item Page

Shower,hand-held . . . .

373

Shower Chairs . . .

367 -375

Shower Gurnee . . . . . .

377

Stimulator . . . . . . . .

.433

Stretcher, MRI . . . . . .

422

Step Stools . . . . . . . .

.438

Stools. . . . . . . . . . . . .

.435

Therapy Equip. . . . . . .

433

Thermometer . . . . . .

434

Toilet Rails . . . . . . . . .

390

Toilet seat risers . . . . . .

389

Transfer Bench. . . . . . .

.376

Transfer boards . . . . .

.347

Transport chair . . . . . .

.350

Trapeze . . . . . . . . . . .

431

Tub bars . . . . . . .

392- 394

Walker acces .

.396, 404 ,407

Walker, knee . . . . . . . . .

404

EQUIPMENT INDEX