Scooter Prescription Form Retail Prescription Form LEO4W010117 JANUARY 2017 Tel: 01656 776222 Fax: 01656 776220 Email: [email protected] Online Spares available at: www.invacare.co.uk Customer Ref : Account No : Contact No : Order No : Delivery Address : Order Qty : Order Date : PRICES ARE INCLUSIVE OF CARRIAGE, BUT EXCLUSIVE OF VAT Invacare® 4 Wheeled Leo® Retail Max User Weight 136Kg (21.4 stone) Standard Features • • • • • • • • • • • • • Leo 4 wheeled scooter, 6km/h (4 mph) 3 colours (Ruby Red, Onyx Blue, Moonstone Silver) Stylish swivel seat with width adjustable arms Delta handlebar with tiller adjustment 10" pneumatic black tyres Adjustable seat height Large front basket in black 2 x 36Ah batteries Intelligent lighting front and rear Two step disengaging lever Built in anti‐splash protects electronics Disassembles into five parts 2 year warranty (12 months on batteries) Invacare Leo : RRP £1,969 Specification and Colour RRP 1579447 Invacare Leo 4W, Ruby Red 1579610 Invacare Leo 4W, Onyx Blue £1,969 1579616 Invacare Leo 4W, Moonstone Silver £1,969 Quantity £1,969 Safety Options REAR VIEW MIRROR SP1518241 RRP Mirror Black (LH or RH) LAP BELT SP1509362 Quantity £18 RRP Lap belt with auto lock Quantity £28 Accessories SEAT SUSPENSION RRP SP1541627 Seat suspension low, seat height 510 mm SP1541628 Seat suspension mid, seat height 535 mm £39 SP1541629 Seat suspension high, seat height 560 mm £39 Quantity £39 Customer Ref: Leo 4Wheeled Order Number: Page 1 of 2 Subject to Invacares standard terms conditions. Invacare reserve the right to alter product specification without prior notice. Note : All Accessories to be fitted by Customer CRUTCH AND CANE HOLDER SP1528274 RRP Crutch & Cane Holder Quantity £50 Note : Only one rear mount possible PERSONAL KEY SP1543154 RRP Cylinder with 2 personal keys £22 COVERS RRP SP1509434 Storage Cover £77 SP1543160 Windscreen £44 REAR BASKET SP1505727 Quantity RRP Rear Basket Quantity Quantity £44 Note : Only one rear mount possible Solid Tyres RRP SP1543155 PU tyre 10 inch, grey, rear wheel (Each) £44 SP1543156 PU tyre 10 inch, grey, front wheel 4W Leo (Each) £44 Lockable front box RRP SP1521595 Silver Front Box Lockable £99 SP1521661 Onyx Blue Front Box Lockable £99 SP1551638 Ruby Red Front Box Lockable £99 Equipment Holders RRP SP1505728 Walking Frame Holder £36 SP1553851 Rollator Holder £231 SP1572971 Oxygen Bottle Holder £50 Quantity Quantity Quantity Note : Only one rear mount possible Off-Board Charger SP1511689 RRP Off-Board Charger Cable (5A) Quantity £61 Note : All Accessories to be fitted by Customer Additional Instructions Customer Ref: Leo 4Wheeled Order Number: Page 2 of 2 Subject to Invacares standard terms conditions. Invacare reserve the right to alter product specification without prior notice.
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