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.comFor 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 . . . . . . . . . . . .
373Blood draw chairs. . .
.435Commode . .
375 ,379 -380.......
386-
387Crutches . . . . . . . . .. .
410Items particularly
for bariatric patients
Item Page
Lift Chairs . . . . . . . . .
360Patient Lift . . . . . . .
366Recliners . . . . . . . . .
359Scales . . . . . .
.432 -433Scooters . . . . . . . . . . .
351Item Page
Trapeze................
431Walkers, Rolling . .
401 ,410Wheelchair,Manual341
,346Gendron . . . . . . . . .
.341Item Page
Shower Chairs . . . . . . .
373Shower Gurnee . . . . . .
.377Step Stools . . . . . . . . . .
438Toilet seats . . . . . . . . .
.390Transfer bench . . . . . . .
376BARIATRIC
EQUIPMENT INDEX
Item Page
Alarms . . . . . . . . .
424 ,437Alternat. Press. Pads. .
423Aspirator . . . . . . .
.436 -437Assist Devices . .
415 -416Barricades . . . . . . . .
451Bath seat . .
367 -369 ,373Bed risers . . . . . .
361 ,414Bedpans . . . . . .
.388 ,391Bedrail bolsters . . .
.425Bedrails . . . . . .
425 -429Beds . . . . . . .
421 -422Blood draw chairs. .
.435Canes . . . . . . .
411 -414Pediatric. . . . . . . . . .
412Seat . . . . . . . . . . . .
413Carts . . . . . . . . . .
.443 -448Chart-holding . . . . .
448Emergency . . . .
443 -444Item Page
Carts, cont. .
Housekeeping . . . . .
453Shopping . . . . . . . .
.449Storage . . . . . . .
444- 447Utility . . . . . . .
.443Changing station(baby
)439Chart/FileHolders. . . .
437Child Carrier . . . . . . .
348Commodes . . . . . .378
-387Commode Bucket . .
.381Crutches . . . . . . . . .
.410Cushions . . . . .355
-357Diaper Change Station
439Fall Preventn . . . .425
,437Faucets & parts . . . . .
.454Grab Bars . . . . . .
391- 393Hampers . . . . . . .
440 -442Inhaler, steam. . . . . . .
.436Item Page
Instrument Stand . . . .
436IV Rods & Access
362 -363Janitorial . . . . . . .452
-453Brooms . . . . . . . . . .
452Mops . . . . . . . . . . .
.452Recycle . . . . . .
452- 453Step-on Waste . . . . .
452Waste Container452
-453Lamps, exam. . . . . . . .
437Lap Tray . . . . . . . . . .
.424LaundryHamper96
,99 -101Lift Chairs . . . . . .
360 -361Lumbar cushions . . .
.355Magnifiers . . . . . . . . .
433Mattress . . . . . . . . . . .
424Monitors,Wheelchairs.
437MRI wheelchairs . . . . .
345Nebulizers . . . . .
366 ,436Item Page
Overbed Tables . .
429 -430Oxy Tank Holder .
364 -365Patient Lift . . .
.366 -367Pedal exercizer . . . . .
433Positioning Items .
353- 355Privacy Screens . . . . .
434Raised Toilets . .
387 -389Ramps . . . . . . . .
.416 -420Reach Aids . . . . . . . . .
.415Recliners . . . . . .
.357 -359Risers,furniture
361, 414Scales . . . . . .
359 ,431 -433Scooters . . . . . . .
.351 -352Seat cane. . . . . . . . . .
.413Sharps containers. . . .
.434Shelves . . . . . . . .449
-451File Shelves . . . . .
.449Utility Shelves .
450- 451Item Page
Walkers,Pediatric . . . . .
403Walkers, Rolling. .
406 -410Walkers,Std . .
394 -403 ,405Wand, Heat. . . . . . . .
436Wheelchair, Man. .
339- 349Close-outs . . . . .
348 -349Drive. . . . . . . . . . . .
339Everest & Jennings .
340Gendron . . . . . .
.341 ,345Invacare . . . . . .
.342 -343Magmedix . . . . . . . .
345MRI . . . . . . . . . . . . . .
345Nova Orthomed. . . .
.344Probasics . . . . . . . . .
345Quickie . . . . . . . . . .
346Tuffcare . . . . . . .
346 -347Wheelchr,Power. . . . . .
350Whlchr(discount) . .
348- 349Item Page
Shower,hand-held . . . .
373Shower Chairs . . .
367 -375Shower Gurnee . . . . . .
377Stimulator . . . . . . . .
.433Stretcher, MRI . . . . . .
422Step Stools . . . . . . . .
.438Stools. . . . . . . . . . . . .
.435Therapy Equip. . . . . . .
433Thermometer . . . . . .
434Toilet Rails . . . . . . . . .
390Toilet seat risers . . . . . .
389Transfer Bench. . . . . . .
.376Transfer boards . . . . .
.347Transport chair . . . . . .
.350Trapeze . . . . . . . . . . .
431Tub bars . . . . . . .
392- 394Walker acces .
.396, 404 ,407Walker, knee . . . . . . . . .
404EQUIPMENT INDEX