Page 1 of 2INFINFB4155/RevA/19AUG2020
iRIDE
™
Scooter Order Form
Pride
®
Mobility Products Corporation
401 York Avenue, Duryea, PA 18642
Phone: 1-800-800-8586 | Fax: 1-800-800-1636 | Email: prideorders@pridemobility.com
Account Number: ___________ Date: ________________
Provider Name: __________________________________
Contact: ________________________________________
Phone: ___________________ Fax: _________________
Email: __________________________________________
PO Number: _____________________________________
Marked for: _____________________________________
Ship to Address: _________________________________
City: _____________________ State: ______ Zip: ______
MODEL
REQUIRED. Weight capacity: 250 lbs. Find more details and specications at pridemobility.com/iRide.
iRIDE
1
................................................................................$1,499
Part: S25
1
This product is not a medical device and is not intended to assist, treat, diagnose, or alleviate any medical condition or disability.
2
Transport of this item on commercial aircraft is subject to federal regulations and airline policy. Please consult your airline prior to your ight to ensure that your iRide and
its lithium-ion batteries are permitted.
Standard Features
• Manual hand brake
• Supplemental foot brake
• Foldable tiller
• 5.2Ah lithium-ion battery,
TSA-approved
2
INTRODUCTION
This form is interactive when viewed in Adobe Acrobat Reader and may not function correctly if opened with other applications.
All prices are MSRP. Prices, specications, part numbers, and availability are subject to change without notice. Prices and part numbers as
shown are only available when congured as a complete scooter. Pride Providers may contact Technical Services for accurate parts ordering.
Thank you for choosing Pride Mobility Products!
COLOR
REQUIRED. Select one color. Colors shown here may dier from actual product depending on monitor/printer calibration.
Blackberry
Part: S25BLK1001
Arctic Ice
Part: S25BLU1001
Lime
Part: S25GRN1001
Mango
Part: S25ORN1001
Raspberry
Part: S25PNK1001
ACCESSORIES
Optional.
Front Basket ..........................................................................$50
Part: ACC2005604
Battery, 5.2Ah Lithium-ion (Additional) ..........................$298
Par t: MEC1901028
Shown in Lime