Order Forms

Custom Wheelchair Seating Order Form | Matrix Seating USA

AIREZ Cushion and Back Aggressive Contouring 0226_0.1x.png

Matrix Seating Cushion and Back Supports

A single order form will allow you to order both a cushion and back support or choose one.

Each form also allows ordering via a scanned shape capture or using the tailored-by-numbers method. Just follow the directions outlined at the top of page 2.

Don't forget to download and save the PDF linked below before filling it out for the best results.

Itemized Pricing

Bundled Pricing

Matrix 3D Printed Solutions

Two paths to your custom shape - One consistent AIREZ

AIREZ, whether via a shape capture app or our Tailored-by-Number method, Matrix converts your data into a precision 3D printed lattice, delivering uniform comfort, stability, pressure relief, and structural integrity across the cushion or back support.