[email protected]Sunrise Medical (US) LLC 2842 Business Park Fresno, CA 93727 1-800-333-4000 Please submit order to: Buyer Name: City, State, Zip: Marked For: Phone: Date: Name: PO#: Address: Magic Mobility Frontier V4 March 2022 Order Form Account: Ship To: Mar 2022 MK-129947 Rev C 1 of 7 Sunrise Medical (US) LLC
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MM-BAT34G E2359 Group 34 Gel Battery installed - Pair $760.00
MM-AGFRM
Batteries
$888.00MM-BAT24G Group 24 Gel Battery installed - Pair
MM-V4RNPCHD
MM-V4RSPC Magic Mobility - Frontier V4 Rear Wheel Drive Single Power Seating Options - MPS (Captain) $11,931.00
$11,931.00
MM-V4RMPC Magic Mobility - Frontier V4 Rear Wheel Drive Multi Power Seating Options - MPS (Captain) $11,931.00
MM-V4FNPC
MM-V4FSPC Magic Mobility - Frontier V4 Front Wheel Drive Single Power Seating Options - MPS (Captain) $11,931.00
Magic Mobility - Frontier V4 Front Wheel Drive Multi Power Seating Options - MPS (Captain) $11,931.00
Magic Mobility - Frontier V4 Front Wheel Drive No Power Seating Options - MPS (Captain) $11,931.00
Magic Mobility - Frontier V4 Front Wheel Drive Multi Power Seating Options - HD $11,931.00
$11,931.00
MM-V4FMPC
MM-V4FMPCHD Magic Mobility - Frontier V4 Front Wheel Drive Multi Power Seating Options - HD MPS (Captain) $11,931.00
MM-V4FNPCHD Magic Mobility - Frontier V4 Front Wheel Drive No Power Seating Options - HD MPS (Captain) $11,931.00MM-V4FSPCHD Magic Mobility - Frontier V4 Front Wheel Drive Single Power Seating Options - HD MPS (Captain) $11,931.00
MM-V4FNPHD Magic Mobility - Frontier V4 Front Wheel Drive No Power Seating Options - HD $11,931.00MM-V4FSPHD Magic Mobility - Frontier V4 Front Wheel Drive Single Power Seating Options - HD $11,931.00MM-V4FMPHD
MM-V4FSP Magic Mobility - Frontier V4 Front Wheel Drive Single Power Seating Options $11,931.00MM-V4FMP Magic Mobility - Frontier V4 Front Wheel Drive Multi Power Seating Options $11,931.00
Seating Options
MM-RHBSB REHAB Seat & Back (Back canes and Adjustable Flat Seat Pan) N/C
MM-HSDW $130.00
Crash Tested V4 Tie Down Kit - Always IncludedMM-V4TK
MM-MPSSB MPS Seat & Back (Captain Style Seating) N/C
MM-MPSBRHBS MPS Back & REHAB Seat (Captain Style Backrest and Adjustable Flat Seat Pan) N/C
Magic Mobility - Frontier V4 Front Wheel Drive No Power Seating Options
BaseOPTION HCPC Description Retail
Frontier V4 FWD Base End Item Number: EIMMMM-V4FNP
$11,931.00MM-V4RSPHD Magic Mobility - Frontier V4 Rear Wheel Drive Single Power Seating Options - HD $11,931.00MM-V4RMPHD
Frontier V4 RWD Base End Item Number: EIMM
N/C
Magic Mobility - Frontier V4 Rear Wheel Drive Single Power Seating Options $11,931.00MM-V4RMP Magic Mobility - Frontier V4 Rear Wheel Drive Multi Power Seating Options
Magic Mobility - Frontier V4 Rear Wheel Drive No Power Seating Options $11,931.00MM-V4RSP
$11,931.00
MM-V4RNPHD
Magic Mobility - Frontier V4 Rear Wheel Drive Multi Power Seating Options - HD $11,931.00
N/C
Jack for Drive TireMM-01595 $171.00
MM-CASTS
$32.00
Mar 2022 MK-129947 Rev C 3 of 7 Sunrise Medical (US) LLC
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Note: required for lights, power recline, power legrest, steering lock, or future power seat functions.
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Note: MPS Backrest can be paired with the REHAB flat pan - If Flat pan is desired omit the MPS cushion and select the desired REHAB flat pan
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Note: Standard seat pan available 13"-23" wide
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Note: Deep seat pan available 13"-23" wide
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o 13" o 14" o 15" o 16" o 17" o 18" o 19" o 20" o 21" o 22" o 23"
o 13" o 14" o 15" o 16" o 17" o 18" o 19" o 20" o 21" o 22" o 23" o 24"
MM-CRTL5OS $803.00
REHAB Seat Width
REHAB Seat Depth
Seat Sizes (width x depth)
MM-05741
REHAB Seat Sizes - Adjustable in width & depth for most sizes
20" x 18" Vinyl Seat
MM-05690 23" Deep Seat Pan Extension Kit - Requires selection of MM-02792DP $690.00
MM-01673
18" x 20" Vinyl Seat
18" x 18" Vinyl Seat
N/C
N/C
16" x 16" Vinyl Seat
24" Deep Seat Pan Extension Kit - Requires selection of MM-02792DP $690.00
MM-02792DP
Note: MUST be selected if ordering 2 or more actuator functions
Multiple Seat Function Control Kit MM-MFCK E2311
MM-PRMPS E1003 150° Power Recline for MPS Seating - 400 lb. Weight Capacity
Seating System
Power Seat Function
$4,606.00
Power Tilt and Recline
MM-TLTPRMPS E1006
$803.00
18" x 16" Vinyl Seat
Ctrl+5 - 5 Button Box for controlling power seat functions - Includes USB port - Opposite Side
MPS (Captain) Seat Cushion (width x depth)
22" x 18" Vinyl Seat
REHAB Seat PanMM-02792STD Standard Adjustable Flat Seat Pan - 13" to 19" deep N/C
Power Seat Options
MM-01679
MM-01678
MM-01676
MM-01675
MM-01674 16" x 18" Vinyl Seat
N/C
N/C
N/C
N/C
MM-CRTL5JS Ctrl+5 - 5 Button Box for controlling power seat functions - Includes USB port - Joystick Side
MM-STFH2 Seat To Floor Height +2" N/C
Seat To Floor Height +1" N/C
$4,606.00
MM-PRRHB E1003 150° Power Recline w/ Shear Reduction for REHAB Seating - 400 lb. Weight Capacity
V4 Seat to Floor Heights start at 17" +/- 0.25"
$3,050.00
$1,498.00
Note: MUST be selected if ordering 1 actuator functions