Qbitus Products – Order Form Qbitus Products | Springwood Cornmill | Rawroyds | Holywell Green | Halifax HX4 9ED Tel 01422 377775 | Fax 01422 311750 | Email [email protected] | Web www.qbitus.co.uk Flat Cushion C C Wedge A B A B X B Lateral Support C D B Ramp Cushion A D Back Rest C kness C: Thic A Multi Layered Cushion r at rea C E A B Crescent Seat Crescent Back A C COVER MATERIAL Vapour-Permeable – Black Vapour-Permeable – Royal Blue Vapour-Permeable – Navy Blue Vapour-Permeable – Red Vapour-Permeable – Grey CUSHIONS: BACKRESTS: B CM60 8LB 12LB CHIP COLD MOULD C SUN-MATE D LAMINAR CUSHIONS ONLY COMMUNITY TWO Q-CARE INTEGRA 2 SUPER CONTOUR X INTERUM OPTIMUS Spacer – Black CASTLE TOP MED (FLAT) Wool Pile – Black H CONTOUR CASTLE TOP PLUS MED (CRES) Wool Pile – Cream G Q-CARE 2 (ORIGINAL) W/P Towel – Navy Blue C-Tec Weave Canvas F COMMUNITY THREE Q-CARE INTEGRA 1 (Lateral Support System only) E COMMUNITY ONE Towelling – Navy Blue Spacer – Navy Blue Cms B FOAMS AND CUSHIONS Q-CARE 1 W/P Towel – Black SIZES A RX39 Towelling – Black Towelling – Grey H Inches CM35 PUDGEE Towelling – Red G EVAZOTE PVC – Navy Blue Towelling – Royal Blue C Castellated Cushion B= Depth (front to back) C= Height (Thickness) B= Height C= Thickness FOAMS 6LB B A 1 PIECE RAMP F TYPE OF FOAM PINCORE PVC – Grey A= Width A= Width F G H To add crescent, please tick and specify type of foam PVC – Black PVC – Burgundy B A Inter Liner CASTLE TOP PLUS FIRM (CRES) Non Slip Base CASTLE TOP FIRM (FLAT) QBI-FLEX FLAT CRES QBI-GEL (SET SIZES ONLY) Standard Xtreme MERCURY JUNIOR (SEE SIZING) Ply Back 9mm Plastic Back 1mm MERCURY 50 12mm 3mm MERCURY 100 MERCURY 150 Please supply your own drawing for any other shape or design MERCURY 175 MERCURY 200 Lateral Support System MERCURY 300 MERCURY POSTURE BACK Clients Name: Ref Number: ONE SIZE: Any additional requirements: