Total Send order

Order Form
Handaid AB
Brostugevägen 18
SE-756 53 Uppsala
SWEDEN
Date:
E-mail: [email protected]
Phone: +46 708 252129
Fax: +46 10 10 11 312
Eori No: SE5566887567
Order nr:
Buyer:
Delivery Address:
Invoice Address:
Phone:
Invoice Ref:
E-mail:
VAT No:
Send order
By e-mail
By mail
[email protected]
Handaid AB
Brostugevägen 18
SE-756 53 Uppsala
SWEDEN
By fax
+46 10 10 11 312
Comments:
Handaid AB
www.handaid.se
[email protected]
VAT SE556688756701
Thumb Support
Item
100
Amount
Low, unlined
Left, Beige
Right, Beige
Left, Blue
Right, Blue
Left, Camouflage
Right, Camouflage
Left, Black
Right, Black
XXS
XS
S
M
L
Price
150:-
Total
Unlined, black laminated
XXS
XS
S
M
L
200:-
Total
L
Price
150:-
Total
L
Price
150:-
Total
L
Price
150:-
Left, Laminated
Right, Laminated
Thumb Support
Item
101
Thumb Support
Item
102
Thumb Support
Item
103
Amount
Low, lined
Left, Beige
Right, Beige
Left, Blue
Right, Blue
Left, Camouflage
Right, Camouflage
Left, Black
Right, Black
XXS
XS
S
M
Amount
Low, reinforced
Left, Beige
Right, Beige
Left, Blue
Right, Blue
Left, Camouflage
Right, Camouflage
Left, Black
Right, Black
XXS
XS
S
M
Amount
Low, tripple reinforced
XXS
XS
S
M
Left, Beige
Right, Beige
Left, Blue
Right, Blue
Left, Camouflage
Right, Camouflage
Left, Black
Right, Black
Handaid AB
www.handaid.se
[email protected]
VAT SE556688756701
Item
Thumb Support
104
Thumb Support
Item
105
Amount
Low, double layer
Left, Beige
Right, Beige
Left, Blue
Right, Blue
Left, Camouflage
Right, Camouflage
Left, Black
Right, Black
XXS
XS
S
Price
M
L
200:-
L
Price
200:--
Amount
Low, plastic reinforced
XXS
XS
S
M
Left, Beige
Right, Beige
Left, Blue
Right, Blue
Left, Camouflage
Right, Camouflage
Left, Black
Right, Black
Comments:
Handaid AB
www.handaid.se
[email protected]
VAT SE556688756701
Total
Total
Thumb Support
Item
200
Amount
High
Left, Beige
Right, Beige
Left, Blue
Right, Blue
Left, Camouflage
Right, Camouflage
Left, Black
Right, Black
XXS
XS
S
M
L
Price
150:-
Total
Unlined, black laminated
XXS
XS
S
M
L
200:-
Total
L
Price
150:-
Total
L
Price
150:-
Total
L
Price
150:-
Left, Laminated
Right, Laminated
Thumb Support
Item
201
Thumb Support
Item
202
Thumb Support
Item
203
Amount
High, lined
Left, Beige
Right, Beige
Left, Blue
Right, Blue
Left, Camouflage
Right, Camouflage
Left, Black
Right, Black
XXS
XS
S
M
Amount
High, reinforced
Left, Beige
Right, Beige
Left, Blue
Right, Blue
Left, Camouflage
Right, Camouflage
Left, Black
Right, Black
XXS
XS
S
M
Amount
High, tripple reinforced
XXS
XS
S
M
Left, Beige
Right, Beige
Left, Blue
Right, Blue
Left, Camouflage
Right, Camouflage
Left, Black
Right, Black
Handaid AB
www.handaid.se
[email protected]
VAT SE556688756701
Thumb Support
Item
204
Thumb Support
Item
205
Amount
High, double layer
Left, Beige
Right, Beige
Left, Blue
Right, Blue
Left, Camouflage
Right, Camouflage
Left, Black
Right, Black
XXS
XS
S
M
Total
L
Price
200:-
Total
L
Price
200:-
Amount
High, plastic reinforced
XXS
XS
S
M
förstärkt
Left, Beige
Right, Beige
Left, Blue
Right, Blue
Left, Camouflage
Right, Camouflage
Left, Black
Right, Black
Comments:
Handaid AB
www.handaid.se
[email protected]
VAT SE556688756701
Wrist Support
Item
300
Amount
With thumb hole
Left, Beige
Right, Beige
Left, Blue
Right, Blue
Left, Camouflage
Right, Camouflage
Left, Black
Right, Black
Small
Large
Price
200:-
Black, laminated
Small
Large
250:-
Small
Large
Price
200:-
Small
Large
250:-
Small
Large
Price
200:-
Small
Large
250:-
Total
Left, Laminated
Right, Laminated
Wrist Support
Item
301
Amount
Without thumb hole
Total
Left, Beige
Right, Beige
Left, Blue
Right, Blue
Left, Camouflage
Right, Camouflage
Left, Black
Right, Black
Black, laminated
Left, Laminated
Right, Laminated
LE/ME Wrap
Item
400
Amount
Beige
Blue
Camouflage
Black
Black, laminated
Comments:
Handaid AB
www.handaid.se
[email protected]
VAT SE556688756701
Total
Supination Wrap
Item
500
Amount
Unlined
Left, Beige
Right, Beige
Left, Blue
Right, Blue
Left, Camouflage
Right, Camouflage
Left, Black
Right, Black
XXS
XS
S
M
L
Price
300:-
Total
Unlined, black laminated
XXS
XS
S
M
L
350:-
Total
L
Price
300:-
Total
L
Price
300:-
Total
L
Price
300:-
Left, Laminated
Right, Laminated
Supination Wrap
Item
501
Supination Wrap
Item
502
Supination Wrap
Item
503
Amount
Lined
Left, Beige
Right, Beige
Left, Blue
Right, Blue
Left, Camouflage
Right, Camouflage
Left, Black
Right, Black
XXS
XS
S
M
Amount
Reinforced
Left, Beige
Right, Beige
Left, Blue
Right, Blue
Left, Camouflage
Right, Camouflage
Left, Black
Right, Black
XXS
XS
S
M
Amount
Tripple reinforced
Left, Beige
Right, Beige
Left, Blue
Right, Blue
Left, camouflage
Right, camouflage
Left, Black
Right, Black
XXS
XS
S
M
Comments:
Handaid AB
www.handaid.se
[email protected]
VAT SE556688756701
Item
600
Gripsizer
Amount
Green bag
Blue bag
Price
950:-
Total
Price
75:-
Total
Price
550:-
Total
Price
90:-
Total
Price
400:-
Total
Set of Plexiglas cylinders
ø 1-12 cm.
Delivered with storage bag.
Item
601
FlexFixer
Amount
Hand Therapy disc.
Fabrifoam Material
Item
700
Amount
Black
Blue
Sand
Fabrifoam Fabric sold by the
meter widh 60 cm.
Item
800/801
Outrigger
Amount
Outrigger on metal thread.
Outrigger, no metal thread.
Item
900
CI- glove
Amount
XS
S
M
L
CI-glove for CI-therapy, child.
Contact us for today’s choice
of fabric, color and pattern.
S
M
L
CI-glove for CI-therapy, adult.
Contact us for today’s choice
of fabric, color and pattern.
Prices in SEK. Postage fees will be added.
Total
Send order
By e-mail
By mail
[email protected]
Handaid AB
Brostugevägen 18
SE-756 53 Uppsala
SWEDEN
By fax
+46 10 10 11 312
Handaid AB
www.handaid.se
[email protected]
VAT SE556688756701
400:-