AdvenChair and AdvenChair Options Order Form

Order your AdvenChair all-terrain wheelchair and AdvenChair Options for our next production run. We will contact you about payment options and delivery schedules.

Your Name

First Name

Last Name

Billing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

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AdvenChair ($11,950.00)

Upper Footrest Option ($800.00)

Headrest Option ($450.00)

Seat Cushion Option ($500.00)

Towing Package Option ($470.00)

Extra Towing Straps Option ($ 30.00)

Shipping costs will be calculated after our discussion with you.

payment options

funding opportunities