Page 1 of 2INFINFB4213/RevA/29JAN2020
Raptor 3-Wheel Scooter Order Form
Pride
®
Mobility Products Corporation
182 Susquehanna Ave., Exeter, PA 18643
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. 400 lb. weight capacity. Find more details and specications at pridemobility.com/pride-mobility-scooters.
Raptor ................................................................................ $3299
Part: R3-1700MB1001
Standard Features
• Easy-to-read LCD display
• Front and rear suspension
• Hand brake with regenerative
braking system
• XLR USB charger
• 20″W × 18″D limited recline
fold-flat seat
• Two rearview mirrors
• Lockable under-seat storage
ACCESSORIES
Optional. See Page 2 for back-mounted accessories.
Large Black Weather Cover .............................................. $202
Part: ACCCOVR1018
Safety Flag ............................................................................ $38
Par t: ACCASMB1930
Cell Phone Holder .................................................................$70
Part: ACC1804467
Saddle Bag (11.75″ × 17″) ..................................................... $35
Part: DWR1020D016
Cup Holder, Style D ............................................................. $20
Par t: ACC120 041
INTRODUCTION
This form is interactive when viewed in Adobe Acrobat Reader and may not function correctly if opened with applications other than Acrobat.
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 Service for accurate parts ordering.
Thank you for choosing Pride Mobility Products!
COLOR INSERTS
REQUIRED. Select one color insert (standard). Additional color inserts: $90 each. Colors shown here may dier from actual product depending
on monitor/printer calibration.
Candy Apple Red
Part: DGN1906722
True Blue
Part: DGN1906726
Matte Black
Part: DGN1906728
Pink Topaz
Part: DGN1907070
Lemon Crush
Part: DGN1907063
Green Machine
Part: DGN1907065
Evolution Orange
Part: DGN1907074
Non-Medical Device
This product is not a medical device and is not intended to
assist, treat, diagnose, or alleviate any medical condition
or disability.
Shown in Pink Topaz
Page 2 of 2INFINFB4213/RevA/29JAN2020
BRANCH PATCHES
Optional.
Air Force Patch ............................... $20
Part: ACC140240
Army Patch ..................................... $20
Par t: ACC140241
Coast Guard Patch ........................ $20
Par t: ACC140239
Marines Patch ................................. $20
Par t: ACC140243
Navy Patch ...................................... $20
Par t: ACC14024 4
Purple Heart Patch ........................ $20
Part: ACC140238
Account Number: ___________ Date: ________________ Marked for: _____________________________________
Pride
®
Mobility Products Corporation
182 Susquehanna Ave., Exeter, PA 18643
Phone: 1-800-800-8586 | Fax: 1-800-800-1636 | Email: prideorders@pridemobility.com
© 2020 Pride Mobility Products Corp. All rights reserved.
NOTES
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pridemobility
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PrideMobilityProductsCorp
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pridemobility
instagram.com/
PrideMobilityProducts
BACK-MOUNTED ACCESSORIES
Optional. Only one back-mounted accessory can be used at a time. Includes mounting bracket and hardware.
Rear Basket (15.25″ × 9.75″ × 9.5″) .... $80
Par t: ACCBSKT1010
Oxygen Tank Holder .......................$98
Par t: ACCASMB1017
Walker Holder ..................................$98
Part: ACCASMB1018
CANE/CRUTCH HOLDER
Optional. Only one cane/crutch holder can be used at a time.
Wishbone Crutch Holder .............. $98
Part: FRMASMB2358
Forearm Crutch Holder ................. $98
Par t: ACCASMB1019
Single Rear Mount, 3″.................... $70
Part: ACCINDV1058
Double Rear Mount, 3″ .................. $70
Par t: ACCINDV1019
Quad Cane Holder..........................$98
Par t: ACCASMB1931
LAP BELTS
Optional.
50″ Lap Belt ............................... $39.90
Part: ACCBELT1000
60″ Lap Belt ............................... $39.90
Part: ACCBELT1002
70″ Lap Belt ................................ $39.90
Part: ACCBELT1003
80″ Lap Belt ...............................$39.90
Part: ACCBELT1004
90″ Lap Belt ............................... $39.90
Part: ACCBELT1001
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