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Glyder Folding Wheelchair
Online quote form
Custormize & Buy
FRAME COLOUR*
Please select Option
GLYB Frame - Black
GLYS Frame - Silver
GLYC Frame - Custom
Custom frame colour:
CLIENT WEIGHT
Please select Option
GLYWA Up to 250Lbs
GLYWAMF Exceeds 250Lbs
GLYWAMG Exceeds 350Lbs
GLYWAMH Exceeds 400Lbs (Max 600Lbs)
SEAT WIDTH
Please select Option
GLYSW14 Seat Width 14"
GLYSW15 Seat Width 15"
GLYSW16 Seat Width 16"
GLYSW17 Seat Width 17"
GLYSW18 Seat Width 18"
GLYSW19 Seat Width 19"
GLYSW20 Seat Width 20"
GLYSWC Custom Seat Width
If custom seat width:
SEAT DEPTH
Please select Option
GLYSD14 Seat Depth 14"
GLYSD15 Seat Depth 15"
GLYSD16 Seat Depth 16"
GLYSD17 Seat Depth 17"
GLYSD18 Seat Depth 18"
GLYSD19 Seat Depth 19"
GLYSD20 Seat Depth 20"
GLYSDC Custom Seat Depth
If custom seat depth:*
Back Height
Please select Option
GLYBH15 Back Height 15"
GLYBH16 Back Height 16"
GLYBH17 Back Height 17"
GLYBH18 Back Height 18"
GLYBH19 Back Height 19"
GLYBH20 Back Height 20"
GLYBH21 Back Height 21"
GLYBHC Back Height Custom
If custom back height. Please enter custom back height below:*
Foot rest and foot plates:
GLYF6A 60 Degree Hanger
GLYF7A 70 Degree Hanger
GLYF8A 80 Degree Hanger
GLYEA Elevating Legrest
GLYAL Articulating Legrest
GLYEB Elevating Legrest System
GLYPPL Plastic
GLYPXL Extra Large
GLYPAF Angle Adjustable Footplates
GLY1FB One Piece Foot Board
GLYNLS Nylon Leg Strap Padded
GLYNLSC Nylon Leg Strap Custom
GLYCSL Contracture Sling Standard
GLYCSLM Contracture Sling M-Style
Size of custom nylon leg strap?*
Pivot style or pin style?
Please select Option
Pivot
Pin
ARM REST
GLYTA T-Arm Ht. Adj./ Removable (Standard 10 - 14 inches)
GLYFA Flip Back Ht. Adj./ Removable (Standard 10 - 14 inches)
GLYTAS T-Arm Ht. Adj./ Removable (Short 7 - 11 inches)
GLYFAS Flip Back Ht. Adj./ Removable (Short 7 - 11 inches)
GLYGWAPF Gel Waterfall Arm Pads
* Note: Gel Waterfall Arm Pads are only compatible with locking laptrays if required
Seat to floor specifications (± 0.5"):
Please select Option
STF = 13.00 R.Wheel = 20 Caster = 5 Fork = XL SHORT
STF = 13.75 R.Wheel = 20 Caster = 5 Fork = XL SHORT
STF = 14.50 R.Wheel = 20 Caster = 6 Fork = SHORT
STF = 14.50 R.Wheel = 22 Caster = 5 Fork = SHORT
STF = 14.50 R.Wheel = 22 Caster = 6 Fork = SHORT
STF = 15.25 R.Wheel = 20 Caster = 5 Fork = SHT/LONG
STF = 15.25 R.Wheel = 20 Caster = 6 Fork = SHT/LONG
STF = 15.25 R.Wheel = 22 Caster = 5 Fork = SHT/LONG
STF = 15.25 R.Wheel = 22 Caster = 6 Fork = SHT/LONG
STF = 16.00 R.Wheel = 22 Caster = 6 Fork = LONG
STF = 16.75 R.Wheel = 22 Caster = 6 Fork = LONG
STF = 17.50 R.Wheel = 22 Caster = 6 Fork = LONG
STF = 17.50 R.Wheel = 22 Caster = 6 Fork = LONG
STF = 17.50 R.Wheel = 24 Caster = 6 Fork = LONG
STF = 18.25 R.Wheel = 24 Caster = 8 Fork = LONG
For more Seat To Floor combinations, visit our website
REAR WHEEL
Please select Option
GLYRWT0 20” Solid Treaded Tire
GLYRWT2 22” Solid Treaded Tire
GLYRWT4 24” Solid Treaded Tire
GLYRWS0 20” Spoked Treaded Tire
GLYRWS2 22” Spoked Treaded Tire
GLYRWS4 24” Spoked Treaded Tire
GLYRWA2 22” Air Tire
GLYRWA4 24” Air Tire
GLYAQR Axles – Quick Release
CASTER
Please select Option
GLYFC1A 5" X 1.25" Caster
GLYFC1B 6” X 1.25” Caster
GLYFC1C 8” X 1.25” Caster
GLYFC2A 5” X 1.75” Caster (Soft Roll)
GLYFC2B 6” X 1.75” Caster
GLYFC2C 8” X 1.75” Caster
GLYFC4B 6” X 2 Caster (Steel Fork)
GLYFC4C 8” X 2 Caster (Steel Fork)
WHEEL LOCK
GLYALPH Aluminium Push To Lock
GLYALPL Aluminium Pull To Lock
GLYSTPH Steel Push To Lock
GLYSTPL Steel Pull To Lock
GLYBRXC 4” Brake Extension
GLYBRXA 6” Brake Extension
GLYBRXB 9” Brake Extension
SEATING-BACKS
GLYBK01 RELAX Gentle Fit Back
GLYBK02 RELAX Full Fit Back
GLYBK03 RELAX Snug Fit Back
GLYBK04 RELAX Form Fit Back No Laterals
GLYBK06 RELAX Form Fit Back Gentle Laterals
GLYBK07 RELAX Form Fit Back Full Laterals
GLYBK05 RELAX Form Fit Back Snug Laterals
GLYBK10 RELAX Spiral Fit Back Gentle Laterals
GLYBK09 RELAX Spiral Fit Back Snug Laterals
GLYBK11 RELAX Spiral Fit Back Full Laterals
GLYTAB RELAX Tension Back Upto 18”
GLYTAB+ RELAX Tension Back Over 18”
GLYBGL1 Full Overlay Gel (2 Pieces)
GLYBGL2 Gel Center Vertebrae
GLYBGL3 Gel Left Lateral
GLYBGL4 Gel Right Lateral
GLYBK12 Custom Width
GLYBK13 Custom Height
No Back
*Note: Please refer to the Seating Booklet for custom sizes
Enter back width and height:
Enter custom width below:
Enter custom height below:
SEATING - CUSHIONS
GLYC01 RELAX Soft Cushion
GLYC02 RELAX Comfy Cushion
GLYC03 RELAX Firm Cushion
GLYC04 RELAX AIRFLOW Cushion
GLYCGL2 Full Overlay Gel
GLYCCL Contoured Leg Channel (Bolster) Std.
GLYCCLA Contoured Leg Channel (Bolster) with ABS
GLYCCLC Contoured Leg Channel (Bolster) Custom ( *Note: Please refer to the Seating Booklet for custom sizes)
GLYC00 Extra Cushion Cover
No Cushion
*Note: Please refer to the Seating Booklet for custom sizes
Enter Cushion width and length:
ACCESSORIES
GLYSBA Seat Belt (Auto Style)
GLYSBAP Seat Belt (Padded)
GLYSBA4P Seat Belt (4 Point Padded)
GLYTRC Full Plastic Tray ABS Black or Clear
GLYTRD Half Padded Left Tray
GLYTRE Half Padded Right Tray
GLYTRF Half Left Tray ABS Black or Clear
GLYTRG Half Right Tray ABS Black or Clear
GLYTDFB Transport Tie Downs Front
GLYTDRB Transport Tie Downs Rear
GLYOXY Oxygen Tank Holder
GLYIVA Adjustable I V Pole
GLYCHPT-L Left Arm Trough Tray
GLYCHPT-R Right Arm Trough Tray
GLYLATB Lateral Bite out
GLYADD8 8" Adductor
GLYADD10 10" Adductor
GLYADD12 12" Adductor
GLYFRCH Padded Footplates
GLYTRA Full Padded Tray Locking
GLYTRB Full Padded Tray Slide On
Additional Notes
Final Total
First Name*
Last Name*
Company Name:*
Phone Number:*
Official Work Email*
Location:*
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