
Revised: January 30, 2014 AADL Page 1 of 4
SPECIFIED DIMENSIONS*
Please Supply Client Information:
Client Height:
Client Weight:
A. Seat Width:
B. Lateral Offset:
C. Hip/Thigh Lateral Offset:
D. Center of Gravity: Optimized based on seat dimensions
E. Seat Depth:
F. Back Height from Pan:
G. Lateral Height from Pan:
H. Armrest Height from Pan:
I. Rigging Length (whole numbers only):
J. Seat to Floor Height (circle one):
Notes:
*Please always use www.pridemobility.com
Date:
PO#:
Account Number:
Bill To:
Address:
Phone Contact:
Ship To:
Address:
Marked For:
Discount:
Terms:
Freight:
FOR AADL USE ONLY
Quantum Rehab
®
A Division of Pride Mobility Products Corporation
®
5096 South Service Rd., Beamsville, Ontario, L0R 1B3
Sales: Phone: (888) 570-1113 • Fax: (866) 514-1303
AADL Quantum
®
Rival Series
Order Form / Standard Seating
300 lbs. weight capacity
Seating System
Low
*
Middle Tall
Synergy
®
Seat (Standard Towers)
16.5” 17.25” 18”
Seat to oor height are +/- 1/8” with 18”W x 18”D with Flat-Free tires (add 3/8” for pneumatic
tires). Increased widths may increase lowest seat to oor heights.
* Lowest STF height may not be available in all congurations based on foot riggings. Contact
your Quantum Specialist for available options.
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