Freedom Acc Order Form Indian Rupees

Freedom Accessory Order Form – India - INR

Clinic/Hospital/Customer Name Date:

Contact Person

Phone Number Purchase Order #

Invoice To (Name) Ship To

Address Address

Part No Description Size Unit Price

INRQty Total Part No Description Size

Unit PriceINR

Qty Total

Music, Sound & Listening Accessories Care & Maintenance Accessories

Lapel Microphone Dry & Store

Z60831 10990 Z60761 Asia Pacific 7790 TV/Hi-Fi Adaptor Cable

Z60829 7690 Dry & Store Dry-Brik Desiccant Personal Audio Cable

Z60764 Desiccant (minimum order 6) 1260

Z60830 4030

Metal Can Dessicant

FM Cables Z61088 880

Z77089 FM2-E 60cm 3160 Everyday Case

Z77090 FM10-E 60cm 3160 Y61471 700

Z77092 FM12-E 60cm 3160 Drying Capsules

Z77093 FM13-E 60cm 3160 N94527 4 pack 430

Z77094 FM14-E 60cm 3160 Freedom Battery Holder Keyring

Z77095 FM15-E 60cm 3160 Z60876 350

Z77098 FM18-E 60cm 3160 Storage & Accessories Case

Z60369 FM2-E 90cm 3160 Z60821 2640

Z60370 FM10-E 90cm 3160 Everyday Components

Z60372 FM12-E 90cm 3160 Freedom Bodyworn Cable Clip

Z60373 FM13-E 90cm 3160 Z61124 3 per pack 530

Z60374 FM14-E 90cm 3160 Freedom Earhook Set

Z60375 FM15-E 90cm 3160 Z60700 1120

Z60377 FM18-E 90cm 3160 Freedom Enhanced EarhookFreedom Bodyworn Cable (FM)

Z61091 6 (3 small & 3 large) 1120

S50742 Silver 30cm 8070 Z61092 20 large 2800

S50743 Silver 50cm 8070 Z61093 20 small 2800

S50744 Silver 80cm 8070 Freedom Microphone Protector Set (mixed colours) 4 pack

S50798 Silver 100cm 8070 Z60840 Pearl 2000

Z60841 Matt 2000

Freedom Microphone Protector Set (replacement) 4 pack

Z60696 Beige 2000

Z60697 Brown 2000

Z60698 Black 2000

Z60699 Silver 2000

Z60834 Pink 2000

Z60833 Blue 2000

N34403F Issue 1 Prices Effective 01 May 2010 of 4

Cochlear India Head officeLevel 9

Maker Chambers VNariman Point

Mumbai - 400021Toll Free : 1800 2095 095

To: Cochlear India Representative/Distributor

Part No Description SizeUnit price


Unit Price INR

Qty Total

Freedom Microphone Lock Freedom Mini BTE Battery Holders

Z60922 1470 Z61030 Beige 2800

Freedom Mini BTE Back Panels (coloured) Z61031 Brown 2800

Z60972 Beige 430 Z61032 Black 2800

Z60973 Brown 430 Z61033 Silver 2800

Z60974 Black 430 Z61034 Pink 2800

Z60975 Silver 430 Z61035 Blue 2800

Z60977 Pink 430 Sport & Lifestyle Accessories

Z60976 Blue 430 Freedom Bodyworn Controller Pouch

Mini BTE Colour Panels Z61117 White Leather 1740

Z61013 Mixed Colours (x12) 860 Z61118 Grey Leather 1740

Power & Battery Accessories Z61119 Black Leather 1740

Power Base ® Battery Charger C5105

Z60772 ? Freedom Bodyworn Harness

Powerone Implant Plus P675 batteries (6 pack) Z60826 Small 530

B13033 Card Each 450 Z60827 Medium 530

B13033 Box 10 cards 4500 Freedom Bodyworn Armband

B13033 Carton 5 boxes 22500 Z60828 Black 270

Freedom Behind The Ear (BTE) Rechargeable Battery System Freedom Bodyworn Sports Armband

BTE Rechargeable Battery System 33410 Z60842 Red 1780

(Includes-) Z60843 Blue 1780

Please select 2 coloured batteries per system Z60844 Black 1780

Z61020 Beige BTE Battery Z60845 Purple 1780

Z61021 Brown BTE Battery Z60846 Pink 1780

Z61022 Black BTE Battery Freedom Bodyworn Sports Waistband

Z61023 Silver BTE Battery Z60852 Red Small 1830

Z61025 Pink BTE Battery Z60853 Blue Small 1830

Z61024 Blue BTE Battery Z60854 Black Small 1830

Z60839 Recharger 11380 Z60855 Purple Small 1830

Z60838 Power Supply 1370 Z60856 Pink Small 1830

Z60961 International Plug Pack Z60857 Red Medium 1830

Z60837 12v Car Adaptor Z60858 Blue Medium 1830

BTE Rechargeable Batteries *individual batteries only, requires charger Z60859 Black Medium 1830

Z61020 Beige BTE Battery 10680 Z60860 Purple Medium 1830

Z61021 Brown BTE Battery 10680 Z60861 Pink Medium 1830

Z61022 Black BTE Battery 10680 Z60862 Red Large 1830

Z61023 Silver BTE Battery 10680 Z60863 Blue Large 1830

Z61025 Pink BTE Battery 10680 Z60864 Black Large 1830

Z61024 Blue BTE Battery 10680 Z60865 Purple Large 1830

Freedom BTE Battery Holder Z60866 Pink Large 1830

Z60775 Beige 3470 Sonic Boom Vibrating Alarm Clock

Z60776 Brown 3470 Z61094 ?

Z60777 Black 3470 Eneloop Rechargeable BatteryZ60778 Silver 3470 B13026 AA 450

Z60825 Pink 3470

Z60824 Blue 3470 B13022? AAA 250


Part No Description SizeUnit Price


Unit Price INR

Qty Total

Paediatric Accessories Freedom Bodyworn Controller

Freedom Babyworn Accessories Pack S50612 48060

Z126961 1050 Freedom Bodyworn Controller Cable

Freedom Babyworn Cable S50709 Beige 30cm 8070

Z126954 Beige 8070 S50710 Brown 30cm 8070

Z126956 Brown 8070 S50711 Black 30cm 8070

Z126955 Black 8070 S50712 Silver 30cm 8070

Z126957 Silver 8070 S50771 Pink 30cm 8070

Z126958 Pink 8070 S50772 Blue 30cm 8070

Z126959 Blue 8070 S50713 Beige 50cm 8070

Freedom Snugfit S50714 Brown 50cm 8070

Z61207 Beige Small 2100 S50715 Black 50cm 8070

Z61208 Brown Small 2100 S50716 Silver 50cm 8070

Z60971 Black Small 2100 S50773 Pink 50cm 8070

Z179839 Beige Large 2100 S50774 Blue 50cm 8070

Z179838 Brown Large 2100 S50717 Beige 80cm 8070

Z179834 Black Large 2100 S50718 Brown 80cm 8070

Freedom Tamper-Resistant Battery Holder & Tool S50719 Black 80cm 8070

Z60800 Beige 2990 S50720 Silver 80cm 8070

Z60786 Brown 2990 S50775 Pink 80cm 8070

Z60787 Black 2990 S50776 Blue 80cm 8070

Z60788 Silver 2990 S50792 Beige 100cm 8070

Z61218 Pink 2990 S50793 Brown 100cm 8070

Z61219 Blue 2990 S50794 Black 100cm 8070

Freedom Tamper-Resistant Mini Battery Holder & Tool S50795 Silver 100cm 8070

Z60714 Beige 2990 S50796 Pink 100cm 8070

Z60965 Brown 2990 S50797 Blue 100cm 8070

Z60716 Black 2990

60886 Silver 2990

Z60771 Pink 2990

Z60885 Blue 2990 Freedom Coil

Freedom Tamper-Resistant Holder Extraction Tool (only) Z61008 Beige 6cm 8250

Z60388 1050 Z61009 Brown 6cm 8250

Freedom Monitor Earphones Z61010 Black 6cm 8250

Z60832 4350 Z61011 Silver 6cm 8250

Signal Check Z60655 Beige 8cm 8250

Z22502 ? Z60656 Brown 8cm 8250

Z60657 Black 8cm 8250

Z60658 Silver 8cm 8250

Z60659 Beige 11cm 8250

Z60660 Brown 11cm 8250

Nucleus Freedom Speech Processor Spares Z60661 Black 11cm 8250

Freedom Behind the Ear (BTE) Controller Z60662 Silver 11cm 8250

S50610 Beige 48060 Z60663 Beige 28cm 8250

S50624 Brown 48060 Z60664 Brown 28cm 8250

S50625 Black 48060 Z60665 Black 28cm 8250

S50626 Silver 48060 Z60666 Silver 28cm 8250

S50780 Pink 48060

S50781 Blue 48060


Part No Description SizeUnit Price


Unit Price INR

Qty Total

Coil Magnet Freedom Mini Behind The Ear (BTE) Controller (Two Zinc Air)

Silver Mini BTE 15820

Z43129 Beige ½ 1930 (includes)

Z29719 Beige 1 1930 S50856 Silver BTE Controller

Z29720 Beige 2 1930 Z61033 Silver BTE Holder

Z29721 Beige 3 1930 Z60975 Silver Cover Back Panel

Z29312 Beige 4 1930 Pink Mini BTE 15820

Z60311 Beige 5 1930 (includes)

Z61148 Beige 6 1930 S50858 Pink BTE Controller

Z43125 Brown ½ 1930 Z61034 Pink BTE Holder

Z29722 Brown 1 1930 Z60977 Pink Cover Back Panel

Z29723 Brown 2 1930 Blue Mini BTE 15820

Z29724 Brown 3 1930 (includes)

Z29313 Brown 4 1930 S50857 Blue BTE Controller

Z60312 Brown 5 1930 Z61035 Blue BTE Holder

Z61149 Brown 6 1930 Z60976 Blue Cover Back Panel

Z43136 Black ½ 1930 Black Mini BTE 15820

Z29725 Black 1 1930 (includes)

Z29726 Black 2 1930 S50855 Black BTE Controller

Z29727 Black 3 1930 Z61032 Black BTE Holder

Z29314 Black 4 1930 Z60974 Black Cover Back Panel

Z60313 Black 5 1930 Brown Mini BTE 15820

Z61150 Black 6 1930 (includes)

Z60416 Silver ½ 1930 S50854 Brown BTE Controller

Z60417 Silver 1 1930 Z61031 Brown BTE Holder

Z60418 Silver 2 1930 Z60973 Brown Cover Back Panel

Z60419 Silver 3 1930 Beige Mini BTE 15820

Z60420 Silver 4 1930 (Includes)

Z60421 Silver 5 1930 S50853 Beige BTE Controller

Z61151 Silver 6 1930 Z61030 Beige BTE Holder

Z60972 Beige Cover Back Panel


Freedom Acc Order Form Indian Rupees

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