Order form

ONLINE

Show More

Please open and edit the XCR Order Form in Adobe Reader.

Opening in internet browser may cause problems

with editing and saving.

MANUFACTURER / PRODUCENT

Ul. Ścięgny 177B
58-540 Karpacz

POLAND

DISTRIBUTORS / DYSTRYBUTORZY

AUSTRIA

GEORG EGGER & Co GmbH
Kapellenstraße 105,

A-8053 Graz
Telefon: +43 316 715168 23
Fax:       +43 316 715168 66
E-mail: g.knobloch@georgegger.at
www.georgegger.at

SWITZERLAND:

DEFISPORT
S. Meystre & A. Geiger
Route des Rottes 8
1964 Conthey
Phone: 027/455 06 67
e-mail: info@defisport.ch​
www.defisport.ch

 

AUSTRALIA:

​ADAPTIVE CONCEPTS AUSTRALIA

Bryce Alman
33 Connell Rd
Oakleigh, VIC, 3166 – by appointment only
Phone/FAX: 0407502729
e-mail: brycealman@optusnet.com.au

www.melrosewheelchairs.com.au/

USA:

JPM PRO

2033 San Elijo Ave. Suite 625

Cardiff, CA 92007

Phone: 619-335-5607

e-mail: 

jeremy@jpmprosales.com

www.jpmprosales.com

​

 

BELGIUM:

Move All The Way BVBA

Vanneste-Verweestraat 17

B-8540 Deerlijk

Phone : +32(0) 59 19 09 09

 

Email : info@movealltheway.be

https://www.movealltheway.be

SPAIN:

ECC mobility

Enric Comellas Carrera

C/ Montseny, 9 – Urb. Serrabonica

08503 Gurb (Barcelona) Spain

Phone:+34 646 36 38 11

​

e-mail: info@eccmobility.com

www.eccmobility.com

SWITZERLAND:

Associazione Ti-Rex Sport

Via Nante 77,

6780 Airolo-Nante

Phone: +41 763 719 081

​

e-mail:  info@tirex.ch

www.tirex.ch

NEW ZELAND:

​MELROSE KIWI CONCEPT CHAIRS

108 Sawyers Arms Rd, Papanui

Christchurch 8052

New Zealand 
Phone:  0800 4 Melrose


e-mail: philippa@melrosechairs.co.nz

www.wheelchairs.co.nz

USA:

LANCASTER RECUMBENT
1103 W. Market Street,

Marietta, PA 17547, USA

Phone: 717-553-5834

e-mail:

info@lancasterrecumbent.com

www.LancasterRecumbent.com

CZECH REPUBLIC:

PROVOZEJKY

Jiří Kuchta

K Rokli 3/4

190 15 Praha 9 – Satalice

Phone: +420 777 263 203

e-mail: kuchta@provozejky.cz

www.provozejky.cz

UNITED KINGDOM:

DRAFT WHEELCHAIRS LTD.

Units 5&6, Roman Way Small Business Park,

London Road,Godmanchester,

PE29 2LN Cambridgeshire

Phone: 00 44 (0)1480 451247

e-mail: info@draftwheelchairs.com

www.draftwheelchairs.com

 

NORWAY:

HJELPEMIDDELSPESIALISTEN AS.  A/SRosenholmveien 22,

1252 Oslo

Phone: +47 66 81 60 70

​

e-mail: firmapost@hm-spes.no

http://hm-spes.no

CANADA / USA:

TARA LLANES INDUSTRIES
184 Pemberton Ave.
North Vancouver,

BC. V7P 2R5
Phone: (778) 822-7468

e-mail:

info@tarallanesindustries.com

www.tarallanesindustries.com

USA:

​HIGH PERFORMANCE MOBILITY

Carlos Moleda
10 Halburton Circle
Bluffton SC 29910
Phone/FAX: 757 422 1912
e-mail: carlosmoleda@hotmail.com
www.highperformancemobility.com

© 2016 -2018 by Sport-ON