Telephone:
+44 (0) 1432 377 512
Email: sales@chunc.co.uk
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Contact Information
Sales Person
Contact Name
Client Name
Name / Quote Address
Telephone Number for quote
Fax number for quote
Email for quote
Name / Invoice Address Details
Invoice Telephone Number
Name / Delivery Address Details
Delivery Address Telephone Number
Delivery Method
please select
hand delivered
courier
Name / Parental Address Details
Parental Address Telephone Number
Quotation Method
please select
nhs purchase order
private / voucher
free on loan nhs
free on loan private
nhs self prescribing
Please enter purchase order reference
Chair Order
Chair Type
More Info
please select
chunc 45 54
chunc 45 54 Recline
chunc 45 75
chunc 45 75 Recline
chunc spica
chunc adapt 54
chunc adapt 75
Chair colour
please select
pink
black (dartex)
blue
red
yellow
grey
Chair size options
please select
Extra Small
Small
Medium
Large
15 inch rails
18 inch rails
fixed seating
Seat cushions
please select
basic seating
contoured seat
ischial seat
enhanced contour seat
Seat cushion standard mods
please select
Increase length on the left side by 20mm
Increase length on the left side by 40mm
Increase length on the left side by 60mm
Increase length on the right side by 20mm
Increase length on the right side by 40mm
Increase length on the right side by 60mm
Seat cushion non standard modifications
Back Cushion
please select
basic back cushion
supportive back cushion
basic sacral back cushion
supportive sacral back cushion
Backrest Standard Modification
please select
shorten backrest by 20mm
shorten backrest by 40mm
shorten backrest by 60mm
increase height of backrest by 20mm
increase height of backrest by 40mm
increase height of backrest by 60mm
next size backrest up
next size backrest up
Backrest non standard mods
select your psis insert
please select
small psis insert
large psis insert
armrest left
please select
basic armrest left
left height adjustable armrests
left multiplane armrest
armrest right
please select
basic armrest right
right height adjustable armrests
right multiplane armrest
Chair Configuration
foot supports
please select
footplates
footbox
foot supports modification
please select
increase footplate poles by 50mm
larger footplates
footbox crumb cushion
headrests
please select
small contour headset
large contour headset
winged contour headset
headrest modification
please select
increase width by 1 link on left
increase width by 1 link on right
increase height by 1 link
thoracic support left
please select
small left thoracic grey support
large left thoracic grey support
thoracic support right
please select
small right thoracic grey support
large right thoracic grey support
thigh laterals left
please select
small left thigh lateral
large left thigh lateral
thigh laterals right
please select
small right thigh lateral
large right thigh lateral
calf pad left
please select
small calf pad left
large calf pad left
calf pad right
please select
small calf pad right
large calf pad right
pommel
please select
small pommel
large pommel
pommel standard modifications
please select
increase pommel on left side by 20mm
increase pommel on left side by 40mm
increase pommel on right side by 20mm
increase pommel on right side by 40mm
rotate pommel through 180 degrees
Pommel non standard modifications
knee blocks
please select
knee blocks small
knee blocks large
tray
please select
clear tray
opaque tray
elbow blockers left
please select
small elbow blockers left
large elbow blockers left
elbow blockers right
please select
small elbow blockers right
large elbow blockers right
options
small chunc rain cover and sunshade
large chunc rain cover and sunshade
extra large chunc rain cover and sunshade
running disk brakes
power assist
communication aid mount
chunc O2 mount
additional backrest spacer kit
chunc equipment tray
armrest spacer kit
fit buggy pod mounting
handle bar extension kit
hand operated tilt in space
storage bag
respiratory bag
clothes protector pair
left spoke protector
right spoke protector
qlk transportation option
lower body position harness
please select
extra small 2 point lap belt
small 2 point lap belt
medium 2 point lap belt
extra small 4 point lap belt
small 4 point lap belt
medium 4 point lap belt
upper body positioning harness
please select
small trimline front pull shoulder belt
medum trimline front pull shoulder belt
ex small stayflex shoulder harness
small stayflex shoulder harness
medium stayflex shoulder harness
small front pull shoulder harness
medium front pull shoulder harness
ankle huggers
please select
extra small ankle huggers
small ankle huggers
medium ankle huggers
toe straps
please select
pair of toe straps
spare covers
please select
pink
dartex
blue
red
yellow
grey
Modifications
additional modification section 1
additional modification section 2
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Chunc Products
Chunc 45˚
Chunc Adapt
Chunc Spica
Chunc Recline and Tilt
Chunc Power Assist
Chunc Docking Interface
Chunc Options
Harnesses
Cushions
User Information
Online Prescription Form
Online Spica Rental Form
Downloads
To download pdf order forms please click here, fill in and post accordingly
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