Please supply your full contact details
Please supply your accurate prescription dimensions
Please supply your accurate prescription dimensions
Please select the integral parts for your chair
Athlete Prescription Details
Name
Email Address
Telephone Number
Frame Material
Prescription Frame Dimensions A
D. Backrest Height
E. Seat to Floor
F. Backrest to Floor
G. Footrest Height from Floor
H. Axle from Backrest
I. Seat Length (Cushion)
J. Axle from Footrest
K. Seat Camber
L. Backrest Angle
Prescription Frame Dimensions B
