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Informations

Applicant's name*

First Last

E-mail*

Phone*

Delivery address (to estimate delivery costs)*

Street Address City Postal Code

Details

Child's name

First Last

Person in charge

Establishment*

Product

Category*

ÉBÉNAC chair

Toilet bench

Dressing bench

Lectern

Inclined reading surface

Desk

ÉBÉNAC table

Transfer board

Accessories for ÉBÉNAC chair

Other products

Selected product :

Toilet bench models*

Standard toilet bench

Non-standard toilet bench

Dressing bench models

Small dressing bench

Medium dressing bench

Large dressing bench

Non-standard dressing bench

Options

Dimensions: 16 inches long by 11.5 inches wide
Tread height 8 inches
1 hand support: height 24 inches from the ground

Toilet paper holder*

With

Without

Non-standard toilet bench

Toilet paper holder*

With

Without

Length (inches)*

Width (inches)*

Handrail

Number of steps

1 step

2 steps

Handrail height from floor (inches)*

Step height (inches)*

Dressing benches

Dimensions: 12 inches by 24 inches long

Dimensions: 14 inches by 24 inches long

Dimensions: 14 inches by 31 inches long

Adjustable from 10 to 20 inches

Desired dimensions

Upholstery*

With

Without

For all other features, please specify them in the "Remarks" section.

ÉBÉNAC chair

Chair models*

Mini 14/36

Mini 17/43

Mini 19/48

Standard 17/43

Standard 19/48

Intermediate 17/43

Intermediate 19/48

Anti-tipper*

Front anti-tip (included)

Lateral anti-tilt

Anti-tilt front/rear

Number of side anti-tippers*

1 pair

2 pairs

Backrest*

Regular backrest (included)

Curved backrest

Long backrest (+ 4 inches down)

Backrest with adjustable headrest on slides

Backrest*

Regular backrest (included)

Curved backrest

Long backrest (+ 3 inches upwards)

Backrest with adjustable headrest on slides

Seat depth*

10-inch (included)

12 inches

14 inches

Seat depth*

12 inches (included)

14 inches

16 inches

18 inches

Footrest depth*

12 inches (included)

14 inches

Footrest depth*

12 inches

14 inches

16 inches

18 inches

Additional board (incl. crossbar)*

With

Without

Specify board depth*

12 inches

14 inches

16 inches

18 inches

Non-slip varnish*

With

Without

Varnish option*

On the footrest

On the seat

Thoracic support (includes T-shaped cushion)*

With

Without

Thoracic support format*

Mini (3 inches wide by 5 inches deep)

Regular (4 inches wide by 7 inches deep)

Thoracic Belt*

With

Without

Armrests*

With

Without

Armrest-mounted cabaret table with rim (+ 3" down on backrest)*

With

Without

Cabaret table on armrest with rim*

With

Without

Belt*

2-point belt

3-point belt

Auto (X-small)

Without

Transport wheels*

With

Without

Roulettes de transport sur le côté*

With

Without

Pelvic support*

With

Without

Reinforced fasteners*

With

Without

Abduction block*

With

Without

Abduction block option*

Fixed

Retractable

*Long backrest strongly recommended

Back cushion*

With

Without

Seat cushion*

With

Without

Adjustment handles*

With

Without

Chair accessory ÉBÉNAC

Chair model*

Mini 14/36

Mini 17/43

Mini 19/48

Standard 17/43

Standard 19/48

Intermediate 17/43

Intermediate 19/48

Accessories*

Additional boards

Crossbar

Front anti-tip

Front-rear anti-tilt

Lateral anti-tilt

Backrest

Cabaret table with spring button and armrests

Non-slip varnish

Armrests

Thoracic support

Thoracic belt

2-point belt

3-point belt

Car belt

Rear transport wheels

Side transport wheels

Pelvic support

Reinforced fasteners

Abduction block

Regular backrest cushions

Long backrest cushions

Seat cushions

Adjustment handle (4)

Other

Backrest model*

Regular backrest

Curved backrest

Long backrest

Board depth*

12 inches

14 inches

16 inches

18 inches

Board depth*

12 inches

14 inches

Quantity of crossbar*

One

Two

Type of abduction block*

Fixed

Retractable

Quantity of side anti-tip*

1 pair

2 pairs

Thoracic support type*

Mini

Regular

Seat cushion depth*

10 inches

12 inches

14 inches

16 inches

18 inches

Describe your needs*

Lecterns

Lectern models*

Lectern #1

Lectern #2

Dimensions: 18 inches wide by 13 inches high
Removable book-rest
5 lever/support mechanism anchors
For all other sizes or options, please specify them in the "Remarks" section. (e.g. magnetic top, non-slip surface, other dimensions...)

Dimensions: 18 inches wide by 16 inches high
Removable book-rest
9 lever/support mechanism anchors
Document retaining clamp
For all other sizes or options, please specify them in the "Remarks" section. (e.g. magnetic top, non-slip surface, other dimensions, etc.).

Inclined reading surfaces

Models of inclined reading surface*

Basic inclined reading surface

Dimensions: 15 inches high by 13 inches wide
20-degree tilt
6" metal clamps
For all other sizes or options, please specify them in the "Remarks" section. (e.g. other dimensions, non-slip surface, etc.).

Desk

Desk models*

102

103

104

105

106

107

108

Adjustable legs

Possible variations 10 inches from a minimum of 22 inches from the ground

Minimum height (inches)*

Maximum height (inches)*

Total dimensions (or surface area) of desk

Width (inches)*

Center module width (inches)*

Width (inches)*

Depth (inches)*

Center module width (inches)*

Depth (inches)*

Necessary clearance for lower limbs (inches)*

Required clearance from central module (inches)*

Necessary clearance for lower limbs (inches)*

Cabinet

Open front cabinets.
Interior dimensions: 12 inches high, x 12 inches deep x 5 inches wide.
Exterior dimensions: 13 inches high x 23 inches deep x 6 inches wide.

3-section cabinets open on top.

Interior dimensions (inches)

Outside dimensions (inches)

13 inches wide by 12 inches deep. If other preference, please detail.

Specify location in relation to child*

to his right

to his left

Separators*

With

Without

Drawer dimensions

Locker open on top.
Interior dimensions 12 deep x 6 wide.

Height (inches)

Width (inches)

Depth (inches)

Separators*

With

Without

Specify location in relation to child

In front

To his right

To his left

Number of drawers desired*

None

Desk options

Dividers in pull-out drawers (At the front of the drawer, 5 inches from left to right across the width).
Pull-out drawers, full extension (6" wide x 24" deep x 8" high).
Tablet dimensions 10 inches x 24 inches

Tilting top*

With

Without

Magnetic top*

With

Without

Groove*

With

Without

Computer keyboard shelf*

With

Without

Retractable or collapsible shelf

Retractable

Collapsible

Right or left of the child

Left

Right

Dimensions souhaitée de la tablette (pouces)

Inlay width and depth

Desired width (inches)

Desired depth (inches)

ÉBÉNAC table

ÉBÉNAC table models*

ÉBÉNAC standard table

ÉBÉNAC intermediate table

Dimensions: 19 inches deep by 24.5 inches wide
Height-adjustable from 8.5 to 19 inches
4 handles for quick adjustments
Overall height 21.5 inches

Dimensions: 24 inches deep by 25 inches wide
Height-adjustable from 15 to 33 inches
4 handles for quick adjustments
Overall height 35 inches

Tilting top*

With

Without

Magnetic top*

With

Without

Groove*

With

Without

Width of the desired groove*

Desired depth of groove*

Other products

Changing tables, staircases or any other customized product. Please specify your order in the remarks field.

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Informations

Details

Product

Selected product :

Options

Non-standard toilet bench

Dressing benches

ÉBÉNAC chair

Chair accessory ÉBÉNAC

Lecterns

Inclined reading surfaces

Desk

Adjustable legs

Total dimensions (or surface area) of desk

Cabinet

Drawer dimensions

Desk options

Inlay width and depth

ÉBÉNAC table

Other products

Comments

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