Common Contracts
1 similar Funded Trial Agreement contracts
One Month Funded Trial AgreementFunded Trial Agreement • November 26th, 2014
☐ I-13 Please Select Mount☐ Table Top☐ Floor Stand ☐ I-16 Please Select Mount☐ Table Top☐ Floor Stand ☐ I-110 Keyguards☐ Indi 7☐ SC Tablet ☐ SCF 2x2 ☐ C5 4x3☐ SCF 3x3 ☐ C5 6x4☐ SCF 4x4 ☐ C5 7x5☐ SCF 5x5 ☐ C5 8x5☐ SCF 6x6 ☐ C5 8x6 Mount Options ☐ Table Top☐ Floor Stand☐ Wheelchair* *Only one mount can be supplied Head Tracking☐ Headmouse☐ TrackerPro Switches☐ Buddy Button☐ Microlight If selecting a Wheelchair Mount, please also select a fastener: ☐ Round Tube ☐ Side ClampIf you are not sure which Chair Fastener is needed, please specify wheel chair make and model: ☐ Channel Nut ☐ Permobil
