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  • Mounting Selection Sheet - Evalprentromcom

Get Mounting Selection Sheet - Evalprentromcom

Prentke Romich Company 1022 Heyl Road Wooster, OH 44691 Phone (800) 2621984 Fax (330) 2634829 prentrom.comPRC MOUNTING SELECTION SHEET CLIENT: The client is the person who will be receiving the equipment.

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How to fill out the Mounting Selection Sheet - Evalprentromcom online

Filling out the Mounting Selection Sheet - Evalprentromcom accurately is essential for ensuring that you receive the appropriate equipment or services. This guide provides clear instructions to help you navigate each section of the form easily.

Follow the steps to complete your Mounting Selection Sheet online.

  1. Click the ‘Get Form’ button to obtain the form and open it in the editor.
  2. Begin by entering the client’s information in the designated fields. Fill in the client’s last name, first name, date of birth, and state of residence. If a wheelchair mount is requested, provide the make and model of the wheelchair.
  3. Identify the contact person who will address any questions regarding the selection sheet. Enter their last name, first name, phone number, and email address.
  4. Select the type of mount required from the options provided. Choose between 'Wheelchair Only,' 'Table or Floor Mount Only,' or 'All Purpose Mounts.' If you select a wheelchair mount, proceed to the relevant step for specific options.
  5. If you are selecting a wheelchair mount, you will need to specify the model. Each model will guide you to the next step based on your choice.
  6. For wheelchair mounts, select the tubing size and specific dimensions required. Ensure to choose the appropriate offset distance if applicable.
  7. Select the top corner joint for the wheelchair mounts. It is important to choose one joint from the available options to ensure the mount's proper functionality.
  8. Choose the frame clamp that will attach the mount to the wheelchair. Select from the provided options and specify if additional frame clamps are needed.
  9. Once all required fields are completed, review your information for accuracy. You can then save changes, download, print, or share the form as needed.

Complete your Mounting Selection Sheet online today to ensure you receive the equipment you need.

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