Jay Union Back November 2016 Account: Ship To: Date: Name: PO#: Address: Buyer: City,Province,Postal Code: Marked For: Phone: JUNPDCUTM16SH JUNPDCUTM18SH JUNPDCUTM20SH JUNPDCUTM16FS JUNPDCUTM18FS JUNPDCUTM20FS JAY UNION BACK With Standard hardware $893 $893 $893 JAY Union 16" - 18" with SH 1 JAY Union 18" - 20" with SH 2 JAY Union 20" - 22" with SH 3 JAY UNION BACK With 4 Point hardware JAY Union 16" - 18" with 4 Point Hardware1 JAY Union 18" - 20" with 4 Point Hardware 2 JAY Union 20" - 22" with 4 Point Hardware 3 $946 $946 $946 JAY UNION BACK TALL With Standard hardware JUNPDCUTM16SHT JAY Union Tall 16" - 18" with SH 1 JUNPDCUTM18SHT JAY Union Tall 18" - 20" with SH 2 JUNPDCUTM20SHT JAY Union Tall 20" - 22" with SH 3 $1,019 $1,019 $1,019 JAY UNION BACK TALL With 4 Point hardware JUNPDCUTM16FST JAY Union Tall 16" - 18" with 4 Point Hardware 1 $1,071 JUNPDCUTM18FST JAY Union Tall 18" - 20" with 4 Point Hardware 2 $1,071 JAY Union Back JAY Union Tall Back 3 JUNPDCUTM20FST JAY Union Tall 20" - 22" with 4 Point Hardware $1,071 REMOVABLE LATERAL SUPPORT 119833-001 119833-002 Left and Right Laterals 16" Wide $295 Left and Right Laterals 18" Wide 119833-003 Left and Right Laterals 20" Wide $295 $295 JAY UNION WHITMYER HEADREST PACKAGE JUBHPKG8 JUBHPKG10 JUBUB Whitmyer Headrest Package Includes: Union Mounting Plush Pad Choice of Pad: 8" 10" Jay Union Headrest Bracket JUBUHM Universal Headrest Mount LUMBAR JUBSPNSL16 JUBSPNSL18 JUBSPNSL20 WEDGE JUBSPNWE16 JUBSPNWE18 JUBSPNWE20 $158 $63 SPINE ALIGN COMPONENTS Small Lumbar 16" $63 Small Lumbar 18" Small Lumbar 20" $63 $63 Wedge 16" Wedge 18" Wedge 20" $63 $63 $63 POSTERIOR / LATERAL PELVIC JUBSPNLP $578 Posterior / Lateral Pelvic (Each) $63 JAY Union Whitmyer Headrest Package Notes: 1 - Fits wheelchair 15"-16"-17" wide 2 - Fits wheelchair 17"-18"-19" wide 3 - Fits wheelchair 19"-20"-21" wide Sunrise Medical Canada Inc. | PHONE: (800) 263-3390 | FAX: (800) 561-5834 | WEBSITE: www.SunriseMedical.ca Specifications are subject to change without notice. Copyright @ 2016, Sunrise Medical Canada. Jay Union Back 119833 Rev. 3
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