Bailey Built Wheelchair Quote

Wheelchair Quote
Base Model
Base Model Choice*
Included with All-Terrain Base Model:
- 350-watt powered wheel set
- Handcrafted rigid aluminum frame
  - Built to your size
  - Forward folding backrest mount
  - Aluminum seat pan and clothing guards
  - Anti-tipper assembly
  - 1.5” standard seating dump
- Joystick Controller
  - Driving light
  - USB A and C ports
- Armrests
- Lithium Ion Battery
- Height-adjustable rigid footplate
- All-Terrain front casters assembly
Included with Junior Base Model:
- 350-watt powered wheel set
- Handcrafted rigid aluminum frame
  - Built to your size
  - Built to adjust as you grow (up to 10" total leg growth)
  - Forward folding backrest mount
  - Aluminum seat pan and clothing guards
  - Anti-tipper assembly
  - 1.5” standard seating dump
- Joystick Controller
  - Driving light
  - USB A and C ports
- Armrests
- Lithium Ion Battery
- Height-adjustable rigid footplate
- All-Terrain front casters assembly
Included with Every Day Base Model:
- 350-watt powered wheel set
- Handcrafted rigid aluminum frame
  - Built to your size
  - Forward folding backrest mount
  - Aluminum seat pan and clothing guards
  - Anti-tipper assembly
  - 1.5” standard seating dump
- Joystick Controller
  - Driving light
  - USB A and C ports
- Armrests
- Lithium Ion Battery
- Height-adjustable rigid footplate
- Every Day front casters assembly
Included with Dual Sport Base Model:
- 350-watt powered wheel set
- Handcrafted rigid aluminum frame
  - Built to your size
  - Forward folding backrest mount
  - Aluminum seat pan and clothing guards
  - Anti-tipper assembly
  - 1.5” standard seating dump
- Joystick Controller
  - Driving light
  - USB A and C ports
- Armrests
- Lithium Ion Battery
- Height-adjustable rigid footplate
- All-Terrain front casters assembly
- Every Day front casters assembly

Back Rest
Back Rest Selection*
Would you like Lateral Trunk Supports?*

YesNo
*Shown with optional headrest and lateral trunk supports.
Junior Back Rest Selection*

Seat Cushion
Would you like us to provide a seat cushion?*

Please provide the following information for whom this chair is being built for:*
Why do you use a wheelchair?*
What will be the primary use of your Bailey Built Wheelchair? (travel, off-road, every day use, etc.)*

Shipping Options
Please Select Shipping Preference*

Pick-Up (We are located in Wildomar, CA)Domestic Delivery -- United States (Lower 48 States)

Contact Information
Buyer's Name*

First NameLast Name
Email*

Confirmation EmailPlease confirm email entry.
Phone Number*

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is there anything else you'd like to share with us pertaining to this build quote?
Would you like our partners at SupportNow to help you with fundraising and grant opportunities?*

YesNo
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Quote Number
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Total Wheelchair Price
Should be Empty:

Wheelchair Quote

Base Model

Back Rest

Seat Cushion

Custom Add-Ons

Shipping Options

Contact Information

Learn more about SupportNow here:

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