Get Invacare Corporation Form 06-023 2011-2025

Filling out the Invacare Corporation Form 06-023 online can be a straightforward process when guided properly. This document is crucial for ordering custom seating solutions tailored to individual needs, ensuring comfort and functionality for users. Follow the instructions provided in this guide to complete the form accurately.

Follow the steps to fill out the Invacare Corporation Form 06-023 online.

1. Click the ‘Get Form’ button to access the Invacare Corporation Form 06-023 and open it for editing.
2. Begin by entering your company name and contact information in the provided fields. Include your contact name, date, email address, phone number, cell phone number, and fax number.
3. Fill in the shipping address fields, including ship to address, city, state, and zip code. Make sure all information is accurate to ensure prompt delivery.
4. Provide the account number and client reference, if applicable. This information helps in tracking and managing orders.
5. Complete the sensor serial numbers and seat data form fields as required to specify the custom specifications for your order.
6. Detail the mobility base information by entering the brand, model, frame width, inside rail width, and other required measurements.
7. Indicate whether the order is going 'With Chair' or 'On Chair' by checking the corresponding options. Both options require you to fax the form according to instructions.
8. If applicable, provide the Invacare quote number for conversion to order purposes, as well as the order number if the wheelchair order will be installed.
9. Select the items being ordered from the list provided, ensuring to indicate quantities and necessary modifications, such as cushion specifications and cover types.
10. Add any comments or special instructions relevant to your order in the allocated section to ensure all requirements are understood.
11. Review all the information entered to confirm its accuracy. Once satisfied, you can save the changes, download the completed form, print it, or share it as needed.

Complete your order by filling out the Invacare Corporation Form 06-023 online today.