Miller's Adaptive Technologies

2023 Romig Road Akron, OH 44320-3819 Local Phone: 330.753.9799 Tollfree Phone: 800.837.4544 Fax: 330.572.2603 Tollfree Fax: 866.572.2603
HARDWARE STORE	NEW PRODUCTS	CONTACT US	LINKS	OUR STAFF

NOTE: Adobe^® Acrobat^® Reader™ is required to view these pages. To download for free:

Adobe and Acrobat Reader are registered trademarks of Adobe Systems Incorporated in the United States and/or other countries.

Website Updated: 11/16/2006

Miller's Adaptive Reach System — M.A.R.S.

Headrest Hardware Loaner Package Special

An active Miller's account number is required to process this special offer. If you do not have an account with us, please call 800.837.3454 to establish one. It is also necessary to use a purchase order number for tracking purposes. All fields are required and must be completed to confirm this request.

First Name:
Last Name:
Dealer Name:
Miller's Account #:
Street Address:
City:
State:
ZIP:
Country:
Telephone #:
Fax #:
E-Mail Address:
P.O. #
SuperSoft Headrest:	Quantity:
2-Step Supersoft, 8" — #96117
2-Step Supersoft, 10" — #96127
Oval SuperSoft — #96131
4" Bell SuperSoft, 18" — #94111
4" Bell SuperSoft, 14" — #94116
Additional Comments/Requests:


By clicking "Submit" below, you agree to the terms of this 90 day loaner offer. After 90 days you either return the product with a Return Authorization Number from Miller's OR purchase the product at Dealer Cost less a 25% discount.