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    Request your individual solution right here.
    It's fast and easy, you'll be done in just a few quick steps!

    Please send photos of your client's wheelchair and device as outlined below after submitting this form.
    Take or supply catalog photos of the client's wheelchair from the following vantage points.
    Make sure to also include a photo of the client's device or facsimile at the desired position.
    Email photos to

    Front Angular Side Under Seat Detail Behind
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