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:-
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