C500(S) Corpus 3G Lowrider R-Net

Transcription

1 list: 27 Spain EUR Dealer Information Contact: Customer Code: Customer Name: Address 1: City: Post code: Phone: Fax: PO: Client Information First Name: Last Name: Diagnosis: Address 1: Address 2: Postal code: City: Country: Phone: Client Measurements Weight: Height: 1) Upper leg length: 2) Chest Depth: 3) Seat pan to elbow: 4) Arm pit height: 5) Top of shoulders: 6) Top of head: 7) Elbow to Hand: 8) Chest width: 9) Knee to Foot: 10) Hip width: kg All specifications and prices are subject to change without notice. Please note that displayed prices are only valid if ordered with the wheelchair. Any parts ordered for service or future alterations will carry different prices and warranty. Rabobank Parkstad Limburg Rekening: IBAN: NL84RABO BIC/SWIFT: RABONL2U Permobil Europe B.V. De Doom 22 NL 6419 CX HEERLEN Phone: +31 (0) Fax: +31 (0) Page 1 of 16

2 Chassis Model C500 R-NET WITH CORPUS 3G -SEAT 7,5km/h LOWRIDER EUR 10, C500S R-NET WITH CORPUS 3 G-SEAT 10km/h LOWRIDER EUR 11, User manual MANUAL C500 CORPUS 3G LOW RIDER SPAIN EUR - Colour covers COVER KIT COBALT BLUE C50 0 EUR COVER KIT DEEP PURPLE C50 0 EUR COVER KIT ONYX BLACK C500 EUR COVER KIT PHANTOM GREY C5 00 EUR COVER KIT PLATINUM SILVER C500 EUR COVER KIT VULCANO RED C50 0 EUR - Hub cap HUB CAP BLACK ONYX INCL R EFLECTOR EUR HUB CAP COBALT BLUE INCL REFLECTOR EUR HUB CAP DEEP PURPLE INCL REFLECTOR EUR HUB CAP PHANTOM GRAY INCL REFLECTOR EUR HUB CAP INCL. REFLECTOR SILVER METALLIC EUR HUB CAP VOLCANO RED INCL REFLECTOR EUR - Suspension setting SUSPENSION ADJUSTMENT kg ( lbs) EUR SUSPENSION ADJUSTMENT 50-70KG C400/C500 EUR SUSPENSION ADJUSTMENT 70-90KG C400/C500 EUR SUSPENSION ADJUSTMENT KG C400/C500 EUR SUSPENSION ADJUSTMENT 0-50KG C400/C500 EUR - Front wheels WHEELS 3.00x8" AIR FILLED TIRES EUR WHEEL " MUD/SNOW AIR TIRE (1 pair) EUR WHEELS 3.00x8" SOLID TIRES EUR Rear wheels WHEELS 210x65 AIR FILLED TIRES EUR WHEELS 2.5-3" SOLID TIRES EUR - Drive parameters PROGR.SET: C500S R-NET 10KMH EUR SOFTWARE C500/CORPUS R-NET BAS STD 7,5km/h ESP EUR - Accessories chassis Batteries BATTERIES, 73Ah, SET OF 2 EUR WITHOUT BATTERIES EUR - Charger CHARGER PERMOBIL 24V/8A EU EUR WITHOUT CHARGER EUR - Light kit LIGHT KIT WITH FRONT INDI CATOR C400/C500 LR R-NET EUR REFLECTOR KIT C400/C500 EUR - Anti tipper (+) SUPPORT WHEEL KIT C500 FL EUR Transportation loops rear (+) TRANSPORT BRACKET FL EUR Luggage carrier (+) LUGGAGE CARRIER EUR Spacer Luggage Carrier C3G LR (+) SPACER LUGGAGE BOX C3G LR EUR 0.01 Running time meter (+) RUNNING TIME METER C400/C500 EUR Page 2 of 16

3 Chassis adaption Permolock C (+) PLUNGER C400/C500 C 3G EUR Remote stop (+) REMOTE STOP 2 CHANNELS R- NET P+ EUR Rain cover (+) TARPAULIN/RAINCOVER FOR ALL MODLES EUR TARPAULIN/RAINCOVER YELLOW EUR Seat assembly Seat lift system SEAT ELEVATOR C400/C500 L R EUR 1, SEAT TUBE FIXED C400/C500 LR EUR - Seat tilt options SEAT MOUNT FIXED C 3G EUR SEAT TILT 30 CORPUS LR EUR 2, Mounting posetion seat SEAT MOUNT ANTERIOR -5 C 400/C500 C 3G EUR SEAT MOUNT HORIZONTAL COR PUS LR EUR - Seat stabiliser SEAT SUPPORT FOR TILT -5 C400/C500 CORPUS LR EUR SEAT SUPPORT FOR TILT C40 0/C500 CORPUS LR EUR SEAT SUPPORT NO TILT -5 C400/C500 CORPUS LR EUR SEAT SUPPORT NO TILT C400 /C500 CORPUS LR EUR - Seat Model SEAT FRAME NARROW 370 DEP TH CORPUS LR EUR SEAT FRAME NARROW 395 DEP TH CORPUS LR EUR SEAT FRAME NARROW 420 DEP TH CORPUS LR EUR SEAT FRAME NARROW 445 DEP TH CORPUS LR EUR SEAT FRAME NARROW 470 DEP TH CORPUS LR EUR SEAT FRAME NARROW 495 DEP TH CORPUS LR EUR SEAT FRAME NARROW 520 DEP TH CORPUS LR EUR SEAT FRAME NARROW 545 DEP TH CORPUS LR EUR SEAT FRAME NARROW 570 DEP TH CORPUS LR EUR SEAT FRAME WIDE 420 DEPTH CORPUS LR EUR SEAT FRAME WIDE 445 DEPTH CORPUS LR EUR SEAT FRAME WIDE 470 DEPTH CORPUS LR EUR SEAT FRAME WIDE 495 DEPTH CORPUS LR EUR SEAT FRAME WIDE 520 DEPTH CORPUS LR EUR SEAT FRAME WIDE 545 DEPTH CORPUS LR EUR SEAT FRAME WIDE 570 DEPTH CORPUS LR EUR - Seat width SEAT WIDTH 420 C 3G EUR SEAT WIDTH 470 C 3G EUR SEAT WIDTH 520 C 3G EUR SEAT WIDTH 570 C 3G EUR - Seat cushion SEAT CUSHION 420x420 (17" x17") LEATHERETTE EUR SEAT CUSHION 420X420 (17" x17") MESH EUR SEAT CUSHION 420x470 (17" x19") LEATHERETTE EUR SEAT CUSHION 420x470 (17" x19") MESH EUR SEAT CUSHION 420x520 (17" x21") LEATHERETTE EUR SEAT CUSHION 420x520 (17" X21") MESH EUR SEAT CUSHION 470x420 (19" x17") LEATHERETTE EUR SEAT CUSHION 470x420 (19" x17") MESH EUR SEAT CUSHION 470x470mm (1 9"x19") LEATHERETTE EUR SEAT CUSHION 470x470mm (1 9"x19") MESH EUR SEAT CUSHION 470x520mm (1 9"x21") LEATHERETTE EUR - Page 3 of 16

4 Seat cushion SEAT CUSHION 470x520mm (1 9"x21") MESH EUR SEAT CUSHION 470x570mm (1 9"x23") LEATHERETTE EUR SEAT CUSHION 470x570mm (1 9"x23") MESH EUR SEAT CUSHION 520x420 (21" x17") LEATHERETTE EUR SEAT CUSHION 520x420 (21" x17") MESH EUR SEAT CUSHION 520x470mm (2 1"x19") LEATHERETTE EUR SEAT CUSHION 520x470mm (2 1"x19") MESH EUR SEAT CUSHION 520x520mm (2 1"x21") LEATHERETTE EUR SEAT CUSHION 520x520mm (2 1"x21") MESH EUR SEAT CUSHION 520x570mm (2 1"x23") LEATHERETTE EUR SEAT CUSHION 520x570mm (2 1"x23") MESH EUR SEAT CUSHION 570x470mm (2 3"x19") LEATHERETTE EUR SEAT CUSHION 570x470mm (2 3"x19") MESH EUR SEAT CUSHION 570x520mm (2 3"x21") LEATHERETTE EUR SEAT CUSHION 570x520mm (2 3"x21") MESH EUR SEAT CUSHION 570x570mm (2 3"x23") LEATHERETTE EUR SEAT CUSHION 570x570mm (2 3"x23") MESH EUR SEAT CUSHION ERGO 600x450 FABRIC EUR SEAT CUSHION ERGO 600x450 LEATHERETTE EUR WITHOUT SEAT CUSHION C 3G EUR Ergo support seat (+) THIGH SUPPORT ERGO (L/R) EUR - Adjustment backrest MANUAL CONTROL BACKREST 1 20 CORPUS LR EUR POWER CONTROL BACKREST 15 0 CORPUS LR EUR 1, POWER CONTROL BACKREST 17 0 CORPUS LR EUR 1, Backrest Fixed/Bio-mech BACKREST FIXED C 3G EUR BACKREST SHEERING C 3G EUR Backrest BACKREST SHORT WIDTH 360 x H 470 CORPUS 3G EUR BACKREST SHORT WIDTH 410 x H 470 CORPUS 3G EUR BACKREST SHORT WIDTH 460 x H 470 CORPUS 3G EUR BACKREST SHORT WIDTH 510 x H 470 CORPUS 3G EUR BACKREST WIDTH 360 x H CORPUS 3G EUR BACKREST WIDTH 410 x H CORPUS 3G EUR BACKREST WIDTH 460 x H CORPUS 3G EUR BACKREST WIDTH 510 x H CORPUS 3G EUR DIRECT BACKREST ADAPTER C 3G EUR DIRECT BACKREST ADAPTER W IDE mm EUR TUBULAR BACKREST FRAME C 3G EUR TUBULAR BACKREST FRAME WI DE mm EUR WITHOUT BACKREST NARROW A RMREST MOUNT mm EUR WITHOUT BACKREST WIDE ARM REST MOUNT mm EUR - Backrest height (+) BACKREST HEIGHT 545 C 3G EUR BACKREST HEIGHT 570 C 3G EUR BACKREST HEIGHT 595 C 3G EUR BACKREST HEIGHT 620 C 3G EUR BACKREST HEIGHT 645 C 3G EUR BACKREST HEIGHT 670 C 3G EUR - Backrest cushion BACKREST CUSHION 360x480 (14"x19") MESH BLACK C 3G EUR BACKREST CUSHION 360x480 (14"x19") SKAI C 3G EUR BACKREST CUSHION 360x (14"x22-24") MESH BLA EUR BACKREST CUSHION 360x (14"x22-24") SKAI EUR BACKREST CUSHION 360x (14"x25-27") MESH BLA EUR BACKREST CUSHION 360x (14"x25-27") SKAI EUR BACKREST CUSHION 410x480 (16"x19") MESH BLACK C 3G EUR BACKREST CUSHION 410x480 (16"x19") SKAI C 3G EUR BACKREST CUSHION 410x (16"x22-24") MESH BL EUR - Page 4 of 16

5 Backrest cushion BACKREST CUSHION 410x (16"x22-24") SKAI EUR BACKREST CUSHION 410x (16"x25-27") MESH BLA EUR BACKREST CUSHION 410x (16"x25-27") SKAI EUR BACKREST CUSHION 460x480 (18"x19") MESH BLACK EUR BACKREST CUSHION 460x480 (18"x19") SKAI C 3G EUR BACKREST CUSHION 460x (18"x22-24") MESH BLA EUR BACKREST CUSHION 460x (18"x22-24") SKAI EUR BACKREST CUSHION 460x (18"x25-27") MESH BLA EUR BACKREST CUSHION 460x (18"x25-27") SKAI EUR BACKREST CUSHION 510x480 (20"x19") MESH BLACK C 3G EUR BACKREST CUSHION 510x480 (20"x19") SKAI BLACK C 3G EUR BACKREST CUSHION 510x (20"x22-24") MESH BL EUR BACKREST CUSHION 510x (20"x22-24") SKAI BL EUR BACKREST CUSHION 510X (20"x25-27") MESH BL EUR BACKREST CUSHION 510x (20"x25-27") SKAI BL EUR WITHOUT BACKREST CUSHION C 3G EUR Ergo support back (+) LATERAL SUPPORT LARGE (ERGO) C 3G EUR LATERAL SUPPORT SMALL (ERGO) C 3G EUR - Width between armrests MOUNT POS BETWEEN ARMREST 380mm C 3G EUR MOUNT POS BETWEEN ARMREST 430mm C 3G EUR MOUNT POS BETWEEN ARMREST 480mm C 3G EUR MOUNT POS BETWEEN ARMREST 530mm C 3G EUR MOUNT POS BETWEEN ARMREST 580mm C 3G EUR - Armrest height adjustment ARMREST HEIGHT POS 1: 230 mm/9" EUR ARMREST HEIGHT POS 2: 255 mm/10" EUR ARMREST HEIGHT POS 3: 280 mm/11" EUR ARMREST HEIGHT POS 4: 305 mm/12" EUR ARMREST HEIGHT POS 5: 330 mm/13" EUR - Armrest holder ARMREST ASSEMBLY FIXED RIGHT C 3G EUR ARMREST ASSEMBLY SWIVELL- ING RIGHT C 3G EUR Armrest Left ARMREST 260 (12") FABRIC LEFT EUR ARMREST 260 SKAI LEFT C 3G EUR ARMREST 360 (14") FABRIC LEFT EUR ARMREST 335 SKAI LEFT C 3G EUR ARMREST 410 (16") FABRIC LEFT EUR ARMREST 410 SKAI LEFT C 3G EUR ARMREST 460 (18") FABRIC LEFT EUR ARMREST 460 (18") SKAI LE FT EUR STEALTH GEL ARMREST PAD - 10" CORPUS 3G LEFT EUR STEALTH GEL ARMREST PAD - 13" CORPUS 3G LEFT EUR STEALTH GEL ARMREST PAD - 16" CORPUS 3G LEFT EUR STEALTH 18" GEL ARMREST P AD LEFT EUR WITHOUT ARMREST LEFT C 3G EUR Armrest Right ARMREST 260 (12") FABRIC RIGHT EUR ARMREST 260 SKAI RIGHT C 3G EUR ARMREST 335 SKAI RIGHT C 3G EUR ARMREST 360 (14") FABRIC RIGHT EUR ARMREST 410 (16") FABRIC RIGHT EUR ARMREST 410 SKAI RIGHT C 3G EUR ARMREST 460 (18") FABRIC RIGHT EUR ARMREST 460 (18") SKAI RI GHT EUR STEALTH GEL ARMREST PAD - 10" CORPUS 3G RIGHT EUR STEALTH GEL ARMREST PAD - 13" CORPUS 3G RIGHT EUR STEALTH GEL ARMREST PAD - 16" CORPUS 3G RIGHT EUR STEALTH 18" GEL ARMREST P AD RIGHT EUR Page 5 of 16

6 Armrest Right WITHOUT ARMREST RIGHT C 3 G EUR Adjustment legrest CONTROL MANUAL LEGREST CO RPUS LR EUR CONTROL POWER LEGREST COR PUS LR EUR 1, WITHOUT ADJUSTMENT LEGRES T C3G EUR - Legrest LEGREST LONG EXTENSION (2 05mm) CORPUS 3G EUR LEGREST PWR ADJ LONG INCL FOOTPL NARROW CORPUS 3G EUR 2, LEGREST PWR ADJ LONG INCL FOOTPL WIDE CORPUS 3G EUR 2, LEGREST PWR ADJ SHORT INC L FOOTPL NARROW CORPUS 3G EUR 2, LEGREST PWR ADJ SHORT INC L FOOTPL WIDE CORPUS 3G EUR 2, LEGREST PWR TRANSFER CORP US 3G EUR 2, LEGREST SHORT EXTENSION ( 185mm) CORPUS 3G EUR WITHOUT LEGREST C 3G EUR - Footplate FOOTPLATE 1PCS CORPUS 3G EUR FOOTPLATE NARROW (160mm) LONG LEG ( ) C 3G EUR FOOTPLATE NARROW (160MM) SHORT LEG ( ) C 3G EUR FOOTPLATE NARROW PWR TRANSFER C 3G EUR FOOTPLATE WIDE (200mm) LONG LEG ( ) C 3G EUR FOOTPLATE WIDE (200mm) SHORT LEG ( ) C 3G EUR FOOTPLATE WIDE PWR TRANSFER C 3G EUR WITHOUT FOOTPLATES EUR - Combined back/leg (+) ICS PROGRAMS FOR VS & C3G LINKS LEGS TO BACK MOVEM EUR - Program Parameters seat ICS master SOFTWARE C500 C3G LOWRIDE R BASIC ICS DATA EUR SOFTWARE C500S C3G LOWRID ER BASIC ICS DATA EUR - Parameters user weight PROGR.SET: USER WEIGHT: 0-50KG EUR PROGR.SET: USER WEIGHT: KG EUR SOFTWARE USER WEIGHT kg EUR PROGR.SET: USER WEIGHT: KG EUR PROGR.SET: USER WEIGHT: 51-75KG EUR PROGR.SET: USER WEIGHT: KG EUR - Parameters seat lift SOFTWARE C500/CORPUS 3G R-NET SEAT ELEV SWITCHES EUR SOFTWARE C500/CORPUS 3G R-NET FIXED TUBE EUR - Parameters seat tilt SOFTWARE CORPUS 3G R-NET EXCL SEAT TILT EUR SOFTWARE CORPUS 3G R-NET POWER SEAT TILT 30 EUR - Parameters seat mounting (+) SOFTWARE CORPUS 3G R-NET SEAT TILT -5 ADAPTER EUR - Parameters Seat depth SOFTWARE CORPUS 3G R-NET SEAT DEPTH 370mm EUR SOFTWARE CORPUS 3G R-NET SEAT DEPTH 420mm EUR SOFTWARE CORPUS 3G R-NET SEAT DEPTH 470mm EUR SOFTWARE CORPUS 3G R-NET SEAT DEPTH 495mm EUR SOFTWARE CORPUS 3G R-NET SEAT DEPTH 520mm EUR SOFTWARE CORPUS 3G R-NET SEAT DEPTH 545mm EUR SOFTWARE CORPUS 3G R-NET SEAT DEPTH 570mm EUR - Parameters backrest SOFTWARE CORPUS 3G R-NET MANUAL RECLINE BACKREST EUR SOFTWARE CORPUS 3G R-NET POWER RECLINE BACKR 150 EUR SOFTWARE CORPUS 3G R-NET POWER RECLINE BACKR 180 EUR - Parameters legrest Page 6 of 16

7 Parameters legrest SOFTWARE CORPUS 3G R-NET MAN CTRL LEGREST EUR SOFTWARE CORPUS 3G R-NET POWER LEGREST STD EUR - Parameters adjustable footplale (+) SOFTWARE CORPUS 3G R-NET LEGREST POWER EXT EUR - Parameters transfer footplale (+) SOFTWARE CORPUS 3G R-NET LEGREST RA EUR - Accessories seat Lateral support (+) LATERAL SUPPORT mod A (SMALL) FABRIC C 3G EUR LATERAL SUPPORT E 220x150 FABRIC C 3G EUR LATERAL SUPPORT F 220x90 FABRIC C 3G EUR Lateral facial support right for Steath headrest (+) STEALTH 900 FACIAL LATERA L PAD FOR COMFORT PLUS EUR STEALTH 910 FACIAL LATERA L PAD FOR COMFORT PLUS EUR STEALTH 920 FACIAL LATERA L PAD FOR COMFORT PLUS EUR Calf support (+) CALF REST A 150x140 FAB- RIC C 3G EUR CALF REST B 110x90 FABRIC C 3G EUR CALF REST D 200x200 FAB- RIC C 3G EUR CALF REST H 170x175 (CONTOUR) FABRIC C 3G EUR CALF REST J 165x120 FABRIC C 3G EUR Hip support (+) HIP SUPPORTS LARGE (C) 200x90 TEXTILE (MESH) EUR HIP SUPPORTS MEDIUM (A) 150x140 TEXTILE (MESH) EUR HIP SUPPORTS SMALL (B) 110x90 TEXTILE (MESH) EUR HIP SUPPORTS X LARGE (D) 200x200 TEXTILE (MESH) EUR Headrest (+) HEADREST ERGO CORPUS 3G EUR HEADREST ERGO FABRIC CORP US 3G EUR HEADREST ERGO SHORT BACK CORPUS 3G EUR HEADREST ERGO SHORT BACK FABRIC CORPUS 3G EUR HEADREST FABRIC CORPUS 3G EUR HEADREST LEATHERETTE CORP US 3G EUR HEADREST SHORT BACK FABRI C CORPUS 3G EUR HEADREST SHORT BACK SKAI CORPUS 3G EUR STEALTH COMFORT PLUS 8" H EADREST PAD EUR STEALTH COMFORT PLUS MEDI UM 10" HEADREST PAD EUR Headrest holder for Stealth headrest (+) STEALTH HEADREST HARDWARE - 1" BALL, SHORT 6" POST EUR Lateral facial support left for Steath headrest (+) STEALTH 900 FACIAL LATERA L PAD - LEFT EUR STEALTH 910 FACIAL LATERA L PAD - LEFT EUR STEALTH 920 FACIAL LATERA L PAD - LEFT EUR Stealth Lateral support left (+) STEALTH 3" x 5" LATERAL S UPPORTS SHORT HDWR LEFT EUR STEALTH 4" x 6" LATERAL S UPPORTS SHORT HDWR LEFT EUR STEALTH LATERALS 3x5 THIN HDW CORPUS 3G LEFT EUR STEALTH LATERALS 4x6 THIN HDW CORPUS 3G LEFT EUR Stealth Lateral support right (+) STEALTH 3" x 5" LATERAL S UPPORTS SHORT HDWR RIGHT EUR STEALTH 4" x 6" LATERAL S UPPORTS SHORT HDWR RIGHT EUR STEALTH LATERALS 3x5 THIN HDW CORPUS 3G RIGHT EUR STEALTH LATERALS 4x6 THIN HDW CORPUS 3G RIGHT EUR Thigh support (+) THIGH SUPPORTS TEXTILE (MESH) 200x90 LARGE (C) EUR THIGH SUPPORTS TEXTILE (MESH) 165x120 MEDIUM (J) EUR THIGH SUPPORTS TEXTILE (MESH) 110x90 SMALL (B) EUR Page 7 of 16

8 Thigh support (+) THIGH SUPPORTS TEXTILE (MESH) 300x90 XLARGE (G) EUR Elbow support left (+) STEALTH ELBOW SUPPORT WIT H 3" x 10" PAD - LEFT EUR Elbow support right (+) STEALTH ELBOW SUPPORT WIT H 3" x 10" PAD - RIGHT EUR Gel pads footplates (+) STEALTH GEL PADS NARROW FOOTPLATES (PAIR) EUR STEALTH GEL PADS WIDE FOO TPLATES EUR Chest strap (+) CHEST STRAP BODYPOINT ELA STIC LARGE EUR CHEST STRAP BODYPOINT ELA STIC SMALL EUR Seatbelt (+) BELT 2-POINT LARGE NONPAD BODYPOINT INCL BRACK UT EUR BELT 2-POINT LARGE PADDED BODYPOINT INCL BRACK UT EUR BELT 2-POINT MEDIUM NONPA D BODYPOINT INCL BRACK UT EUR BELT 2-POINT MEDIUM PADDE D BODYPOINT INCL BRACK UT EUR BELT, HIP 2-PT, PADDED XL PERMOBIL EU EUR SAFETY BELT,AUTOTENSION LONG VERSION EUR SAFETY BELT,BUCKLE EUR SAFETY BELT,4-POINT EUR SAFETY BELT,AUTOTENSION EUR Mounting position Seatbelt roll (+) MOUNT POS SEATBELT ROLL RIGHT EUR MOUNT POS SEATBELT ROLL LEFT EUR - Abduction wedge (+) ABDUCT WEDGE CORPUS 3G EUR Wedge backrest (+) WEDGE NARROW BACKREST C 3 G EUR WEDGE STD BACKREST C 3G EUR WEDGE WIDE BACKREST C 3G EUR WEDGE BACKREST 510 W EUR Seat Cushion Corpus Ergo Air (+) SEAT CUSHION ROHO 420x420 (17"x17") EUR SEAT CUSHION ROHO 420x470 (17"x19") EUR SEAT CUSHION ROHO 420x520 (17"x21") EUR SEAT CUSHION ROHO 470x420 (19"x17") EUR SEAT CUSHION ROHO 470x470 (19"x19") EUR SEAT CUSHION ROHO 470x520 (19"x21") EUR SEAT CUSHION ROHO 520x420 (21"x17") EUR SEAT CUSHION ROHO 520x470 (21"x19") EUR SEAT CUSHION ROHO 520x520 (21"x21") EUR Manual Corpus Ergo Air (+) MANUAL SEAT CUSHION ROHO EUR - Support handles set (+) SUPPORT HANDLES SET (pair) C 3G EUR Stump support (+) STUMP SUPPORT LARGE (H) 170x175 TEXTILE (MESH) EUR STUMP SUPPORT MEDIUM (J) 165x120 TEXTILE (MESH) EUR STUMP SUPPORT SMALL (A) 150x140 TEXTILE (MESH) EUR STUMP SUPPORT XLARGE (D) 200x200 TEXTILE (MESH) EUR Mounting position stump support (+) MOUNT POS AMPUTATION SUPP -ORT LEFT EUR MOUNT POS AMPUTATION SUPP -ORT RIGHT EUR - Push handles back (+) PUSH HANDLES C 3G EUR PUSH HANDLES C 3G NARROW BACKREST EUR Table Swing able (+) TABLE SWING AWAY CENTER MOUNTED R-NET C 3G 600 EUR Page 8 of 16

9 Table Swing able (+) TABLE SWING AWAY CENTER MOUNTED R-NET C 3G 650 EUR TABLE SWING AWAY SIDE CUT R-NET C 3G 600 EUR TABLE SWING AWAY SIDE CUT R-NET C 3G 650 EUR Mounting position table (+) MOUNT POS TABLE SWINGABLE LEFT EUR MOUNT POS TABLE SWINGABLE RIGHT EUR - Table adjust angel (+) TABLE ADJUSTABLE ANGLE 350mm C 3G EUR TABLE ADJUSTABLE ANGLE 400mm C 3G EUR TABLE ADJUSTABLE ANGLE 450mm C 3G EUR TABLE VARIABLE ANGLE EUR Table small for armrest mount (+) TABLE SMALL LEFT MOUNT C 3G EUR TABLE SMALL RIGHT MOUNT C 3G EUR Incontinence protection (+) INCONTINENCE PROTECTION 4 20x420 17"x17" EUR INCONTINENCE PROTECTION 4 20x470 17"x19" EUR INCONTINENCE PROTECTION 4 20x520 17"x21" EUR INCONTINENCE PROTECTION 4 70x420 19"x17" EUR INCONTINENCE PROTECTION 4 70x470 19"x19" EUR INCONTINENCE PROTECTION 4 70x520 19"x21" EUR INCONTINENCE PROTECTION 4 70x570 19"x23" EUR INCONTINENCE PROTECTION 5 20x420 21"x17" EUR INCONTINENCE PROTECTION 5 20x470 21"x19" EUR INCONTINENCE PROTECTION 5 20x520 21"x21" EUR INCONTINENCE PROTECTION 5 20x570 21"x23" EUR INCONTINENCE PROTECTION 5 70x470 23"x19" EUR INCONTINENCE PROTECTION 5 70x520 23"x21" EUR INCONTINENCE PROTECTION 5 70x570 23"x23" EUR Armrest pouch Right (+) ARMREST POUCH,RIGHT EUR - Armrest pouch Left (+) ARMREST POUCH,LEFT EUR - Seat frame pouch (+) SEATFRAME POUCH EUR Bag hooks (+) BAG HOOKS OPEN UNITRACK EUR Back pack (+) BACK PACK EUR Foot straps (+) FOOTSTRAPS WITHOUT PADS EUR FOOTSTRAPS WITH PADS EUR Lumbar support (+) LUMBAR SUPPORT,AIR EUR Crutch holder (+) CRUTCH HOLDER C 3G EUR Mount. pos. crutch holder (+) MOUNT POS CRUTCH HOLDER LEFT EUR MOUNT POS CRUTCH HOLDER RIGHT EUR - Holder oxygen bottle (+) OXYGEN HOLDER C 3G EUR User control User control CONTROL PANEL COLOUR DIS- PLAY R-NET EUR JOYSTICK R-NET WITH TOGGLESWICH ON/OFF - MODE EUR CONTROL PANEL LED R-NET EUR JOYSTICK R-NET STANDARD EUR - Page 9 of 16

10 User control JOYSTICK COMPACT ADV. R-NET EUR JOYSTICK R-NET CJSM HEAVY DUTY EUR TABLESTEERING R-NET FLIP- OVER PANEL C 3G 600 EUR 1, TABLESTEERING R-NET FLIP- OVER PANEL C 3G 650 EUR 1, NON STANDARD STEERING EUR - Parameters Disbale JS Menu Memory Recall (+) SOFTWARE DISABLE SEAT MEMORIES RECALL VIA JS EUR - Parameters Disbale JS Menu Memory Save (+) SOFTWARE DISABLE SEAT MEMORIES SAVE VIA JS EUR - Parameters Disbale JS Menu Seat Functions (+) SOFTWARE DISABLE SEAT POSITIONING VIA JS EUR - Joystick holder (+) PANELHOLDER VR2/R-NET STD L=335 EUR PANELHOLDER VR2/R-NET L=435 EUR PANEL HOLDER CENTRAL STEE RING EUR PANELHOLDER PAR. SW. AWAY VR2/R-NET L/R EUR WITHOUT PANELHOLDER EUR - Height adjustable holder (+) STEALTH HEIGHT ADJUSTABLE MOUNT EUR User manual CJ/CJA (+) USER MANUAL EU COMPACT JOYSTICK ADVANCED EUR - Mounting position joystick (+) MOUNT POS CONTROLBOX LEFT EUR MOUNT POS CONTROLBOX RIGHT EUR - Mounting centre steering (+) MOUNT POS TABLE STEERING FLIPOVER LEFT EUR MOUNT POS TABLE STEERING FLIPOVER RIGHT EUR - Switch box SWITCH BOX WITH PUSH BUTTONS EUR SWITCH BOX WITH TOGGLE SWITCHES EUR WITHOUT SWITCH BOX EUR - Bracket switch box (+) BRACKET SWITCH BOX BACK CORPUS 3G EUR BRACKET SWITCH BOX JOYSTICK EUR BRACKET SWITCH BOX UNITRACK ARMREST EUR - Mounting position switch box (+) MOUNT POS SWITCH KIT LEFT EUR MOUNT POS SWITCH KIT RIGHT EUR SWITCHBOX NOT MOUNTED EUR - Layout switch box (+) SWITCHBOX LAYOUT "A" EUR SWITCHBOX LAYOUT "B" EUR SWITCHBOX LAYOUT "C" EUR SWITCHBOX LAYOUT "D" EUR LAYOUT "L" SWITCH BOX EUR LAYOUT "M" SWITCH BOX EUR - Indication level switch box (+) SWITCHBOX INDICATION LEVEL 1 EUR SWITCHBOX INDICATION LEVEL 2 EUR SWITCHBOX INDICATION LEVEL 3 EUR SWITCHBOX INDICATION LEVEL 4 EUR - External charger socket (+) CHARGER SOCKET EXTERNAL MOUNTED ON ACC. RAIL EUR CHARGER SOCKET EXTERNAL MOUNTED ON THE ARMREST EUR CHARGER SOCKET EXTERNAL MOUNTED UNDER SEAT FRAME EUR Mounting position charger socket (+) MOUNT POS CHARGER SOCKET LEFT EUR MOUNT POS CHARGER SOCKET RIGHT EUR - Page 10 of 16

11 Key (+) LOCKING KEY R-NET EUR Joystick knobs (+) JOYSTICK KNOB BALL SMALL EUR JOYSTICK HANDLE BODYPOINT 3" U-SHAPED EUR JOYSTICK HANDLE BODYPOINT 4" U-SHAPED EUR JOYSTICK HANDLE BODYPOINT RUBBER DOME EUR JOYSTICK KNOB STANDARD EUR JOYSTICK KNOB BALL BIG EUR JOYSTICK KNOB CHIN CUP EUR JOYSTICK KNOB MUSHROOM EUR JOYSTICK KNOB SOFT BALL EUR JOYSTICK KNOB STICK EUR JOYSTICK KNOB T-GRIP EUR JOYSTICK SOFTBALL BLACK WITH CONE EUR Attendant control Attendant control (+) ATTENDANT CONTROL CO-PILO T R-NET INCL BRACK./PANEL EUR 2, ATTENDANT CONTROL R-NET INCL BRACKET C 3G EUR ATTENDANT CONTROL STD R-NET INCL BRACKET C 3G EUR ATTENDANT CONTROL TOGGLE R-NET INCL BRACKET C 3G EUR 1, JOYSTICK ATTENDANT COLOR R-NET DISPLAY COMPL C3G EUR User manual CO-pilot (+) USER MANUAL ES CO-PILOT RNET EUR - Emergency switch (+) EMERGENCY STOP SWITCH EUR Bracket switch box (+) BRACKET SWITCH BOX BACK CORPUS 3G EUR - Special controls Basic set special control (+) MD EC BASIC SET R-NET EUR 3, MD TOUCH 400R EUR 2, MD TOUCH 420R EUR 3, Applications (1) (+) MD TOUCH MULTIMEDIA EUR Applications (2) (+) MD TOUCH TEXT TO SPEECH - MESSENGER EUR Applications (3) (+) MD TOUCH TTS SCANNING EUR TTS Voice (+) MD TOUCH VOICE ES EUR User manual MagicDrive (+) USER MANUAL EU MAGICDRIVE+ EC EUR - Manual MagicDrive Touch (+) USER MANUAL MD TOUCH ES EUR USER MANUAL MD TOUCH UK EUR - Type special control (+) SWITCH CONTROL (STD SCA NNER COLUMN/ROW) EUR SWITCH CONTROL (1 SWITC H WITH MANUAL SCAN) EUR SWITCH CONTROL (STD 3 S WITCH "HEAD" CONTROL) EUR SWITCH CONTROL (STD 4 S WITCH) EUR SWITCH CONTROL (STD 4 S W + EXTRA FUNCTION SW) EUR MD CONTROL: ONE SWITCH EUR MD CONTROL: TWO SWITCHES EUR MD CONTROL: FOUR SWITCHES EUR MD CONTROL: FIVE SWITCHES EUR Page 11 of 16

12 Type special control (+) MD CONTROL: CHIN JOYSTICK EUR DL/MD EC HEAD ARRAY BASIC CONFIG EUR 2, DL/MD EC HEAD ARRAY SPECI AL CONFIGURED EUR 2, MD CONTROL: JS COMPACT EUR MD CONTROL: JS COMPACT ADV. EUR MD CONTROL: JS COMPACT (LOW FORCE) EUR MD EC JOYSTICK COMPACT TILT SENSOR EUR MD CONTROL: JOYSTICK EUR MD CONTROL: MINI JOYSTICK EUR 1, MD CONTROL: SIP&PUFF EUR 2, MD CONTROL: TABLET WITHOUT MOUNT. AND TABLE EUR 2, MD CONTROL: TABLET INCL TABLE 600x500 EUR 3, FOOT CONTROL FOR MDT/RNET EUR 1, JOYSTICK COMPACT ADV. R-NET EUR JOYSTICK COMPACT R-NET EUR JOYSTICK COMPACT LIGHT R- NET EUR JOYSTICK MINI R-NET EUR 1, NO INPUT DEVICE / MDT IS OUTPUT ONLY EUR TABLET CONTROL FOR MDT/RN ET EUR 2, VIC CCD FOR MDT/RNET EUR 1, MD WITHOUT CONTROL EUR - User manual Tablet Control (+) USER MANUAL EU TABLET CONTROL EUR - Holder (+) HOLDER CHINSTEERING EUR HARNESS FOR CHIN CONTROL EUR PANELHOLDER PAR. SW. AWAY VR2/R-NET L/R EUR PERMOFIX HOLDER COMPACT JOYSTICK EUR PERMOFIX HOLDER COMPACT JOYSTICK + DISPLAY EUR PERMOFIX HOLDER MINI JOYSTICK EUR PERMOFIX HOLDER MINI JOYSTICK + DISPLAY EUR PERMOFIX HOLDER CENTRE MOUNTED COMPACT JOYSTICK EUR PERMOFIX HOLDER CENTRE MOUNTED MINI JOYSTICK EUR WITHOUT PANELHOLDER EUR - Holder Display (+) PERMOFIX HOLDER DISPLAY EUR Panel holder bracket C 3G (+) PANEL HOLDER BRACKET C 3G EUR - Mounting position input device (+) MOUNT POS DL/MD CONTROL LEFT EUR MOUNT POS DL/MD CONTROL RIGHT EUR - Special configuration: Head array arm left high (+) HEAD ARRAY LONG ARM EGG S WITCH LEFT HIGH EUR HEAD ARRAY LONG ARM PROXI MITY LEFT HIGH EUR HEAD ARRAY LONG ARM SUPPO RT PAD LEFT HIGH EUR HEAD ARRAY SHORT ARM EGG SWITCH LEFT HIGH EUR HEAD ARRAY SHORT ARM PROX IMITY LEFT HIGH EUR HEAD ARRAY SHORT ARM SUPP ORT PAD LEFT HIGH EUR Special configuration: Head array arm right high (+) HEAD ARRAY LONG ARM EGG S WITCH RIGHT HIGH EUR HEAD ARRAY LONG ARM PROXI MITY RIGHT HIGH EUR HEAD ARRAY LONG ARM SUPPO RT PAD RIGHT HIGH EUR HEAD ARRAY SHORT ARM EGG SWITCH RIGHT HIGH EUR HEAD ARRAY SHORT ARM PROX IMITY RIGHT HIGH EUR HEAD ARRAY SHORT ARM SUPP ORT PAD RIGHT HIGH EUR Special configuration: Head array arm right low (+) HEAD ARRAY LONG ARM EGG S WITCH LEFT LOW EUR HEAD ARRAY LONG ARM PROXI MITY LEFT LOW EUR HEAD ARRAY LONG ARM SUPPO RT PAD LEFT LOW EUR HEAD ARRAY SHORT ARM EGG SWITCH LEFT LOW EUR Page 12 of 16

13 Special configuration: Head array arm right low (+) HEAD ARRAY SHORT ARM PROX IMITY LEFT LOW EUR HEAD ARRAY SHORT ARM SUPP ORT PAD LEFT LOW EUR Special configuration: Head array arm right low (+) HEAD ARRAY LONG ARM EGG S WITCH RIGHT LOW EUR HEAD ARRAY LONG ARM PROXI MITY RIGHT LOW EUR HEAD ARRAY LONG ARM SUPPO RT PAD RIGHT LOW EUR HEAD ARRAY SHORT ARM EGG SWITCH RIGHT LOW EUR HEAD ARRAY SHORT ARM PROX IMITY RIGHT LOW EUR HEAD ARRAY SHORT ARM SUPP ORT PAD RIGHT LOW EUR Special configuration: Head arrayoccipital pad (+) HEAD ARRAY OCCIPITAL PAD LARGE EUR HEAD ARRAY OCCIPITAL PAD SMALL EUR - On/off switch (+) MD EXTERNAL ON/OFF SWITCH EUR HEAD ARRAY LEFT, LONG ARM, EGG SWITCH ON/OFF EUR HEAD ARRAY RIGHT, LONG AR M, EGG SWITCH ON/OFF EUR BUDDY BUTTON BLACK 63 MM EUR BUDDY BUTTON RED 63 MM EUR BUDDY BUTTON YELLOW 63 MM EUR CUP SWITCH 45 MM EUR SWITCH DOUBLE FOR COMP JOYSTICK MD EC R-NET OMNI EUR GRASP SWITCH EUR MICRO LIGHT SWITCH EUR MINI CUP SWITCH 24 MM EUR SWITCH KIT FOR COMPACT JS (CHIN) EUR Function select switch (+) HEAD ARRAY LEFT, LONG ARM, EGG SWITCH "MODE" EUR HEAD ARRAY LEFT, LONG ARM, PROX SWITCH "MODE" EUR HEAD ARRAY RIGHT, LONG AR M, EGG SWITCH "MODE" EUR HEAD ARRAY RIGHT, LONG AR M, PROX SWITCH "MODE" EUR MD SCAN SELECT SWITCH EUR MD SCAN SELECT TOUCH CONTACT EUR BUDDY BUTTON BLACK 63 MM EUR BUDDY BUTTON RED 63 MM EUR BUDDY BUTTON YELLOW 63 MM EUR CUP SWITCH 45 MM EUR GRASP SWITCH EUR MICRO LIGHT SWITCH EUR MINI CUP SWITCH 24 MM EUR Joystick knobs (+) JOYSTICK KNOB BALL SMALL EUR JOYSTICK HANDLE BODYPOINT 3" U-SHAPED EUR JOYSTICK HANDLE BODYPOINT 4" U-SHAPED EUR JOYSTICK HANDLE BODYPOINT RUBBER DOME EUR JOYSTICK KNOB STANDARD EUR JOYSTICK KNOB BALL BIG EUR JOYSTICK KNOB CHIN CUP EUR JOYSTICK KNOB MUSHROOM EUR JOYSTICK KNOB SOFT BALL EUR JOYSTICK KNOB STICK EUR JOYSTICK KNOB T-GRIP EUR JOYSTICK SOFTBALL BLACK WITH CONE EUR MD Accessories Attendant control (+) MD ATTENDANT/DUAL CONTROL EUR 1, IR-mouse receiver (+) MD IR MOUSE RECEIVER USB EUR EC cable right mouse click (+) Page 13 of 16

14 EC cable right mouse click (+) MD EC ADAPT. CABLE 3.5MM JACK PLUG EUR IR receiver (+) MD EC IR RECEIVER 8 CHANNEL / BOX EUR EC joystick switchbox (+) MD EC JOYSTICK SWITCH BOX EUR Emergency switch (+) EMERGENCY STOP SWITCH EUR Touch contact (+) DL/MD EC TOUCH CONTACT EUR Powered swing away steering (+) POWERED SWING AWAY CHIN / SIPP&PUF UNIT EUR 2, EC Messenger (+) MD EC MESSENGER EUR 1, EC Output module (+) MD EC OUTPUT MODULE A0 EUR EC Talker (+) MD EC TALKER EUR 1, EC Easy Phone (+) DL/MD EC IR PHONE SOUND S TATION 2 EUR 1, EC external speaker (+) MD EC EXTERNAL SPEAKER EUR EC Microphone (+) MD EC MICROPHONE ON GOOSE NECK EUR EC Easy Mobile (+) MD EC EASY MOBILE EUR 2, User manual EC Easy Mobile (+) USER MANUAL EU EASY MOBILE EUR - Charger MagicDrive Touch (+) MD TOUCH CHARGER EU EUR Supplementary accessories Compact joystick (+) JOYSTICK COMPACT LIGHT R- NET EUR JOYSTICK COMPACT R-NET EUR User manual CJ (+) USER MANUAL EU COMPACT JOYSTICK EUR - Mini Joystick (+) JOYSTICK MINI R-NET EUR 1, Manual MJ (+) MANUAL MINI JOYSTICK R-NET SPAIN EUR - Chest support table (+) CHEST SUPPORT FOR TABLE CII/VII VINYL EUR Bluetooth mouse (+) MOUSE CONTROL BLUETOOTH I NCL 2 CABLE ADAPT R-NET EUR BLUETOOTH MOUSE CONTROL EUR _2nd Mouse control Bluetooth (+) ND BT MOUSE CONTROL MODU LE R-NET EUR Swing away switch left for Stealth headsupport (+) STEALTH SWING AWAY EGG SW KIT FOR CMFRT PLUS HEADR EUR Swing away switch right for Stealth headsupport (+) STEALTH SWING AWAY EGG SW KIT HEADR - RIGHT EUR Switch set Chin control (+) SWITCH KIT FOR COMPACT JS (CHIN) EUR Buddy button 63 mm Black (+) BUDDY BUTTON BLACK 63 MM EUR Page 14 of 16

15 Buddy button 63 mm Red (+) BUDDY BUTTON RED 63 MM EUR Buddy button 63 mm Yellow (+) BUDDY BUTTON YELLOW 63 MM EUR Micro light (+) MICRO LIGHT SWITCH EUR Cup (+) CUP SWITCH 45 MM EUR Mini cup (+) MINI CUP SWITCH 24 MM EUR Grasp (+) GRASP SWITCH EUR Switch (Egg) black (+) STEALTH EGG SWITCH BLACK W FLATHEAD PHILLIPS BOLTS EUR Switch (Egg) red (+) STEALTH EGG SWITCH RED W FLATHEAD PHILLIPS BOLTS EUR Connection box external switches seating (+) SWITCH BOX ALTERNATIVE ICS 8-INPUT EUR Connection box external switches R-net (+) REMOTE BUTTON INTERFACE R -NET EUR Program Parameters Accessories Rnet/MagicDrive (+) PROGR.SET: C500S R-NET MD PROP JS 10KMH EUR PROGR.SET: C500 R-NET MD PROP JS 7,5KMH ESP EUR PROGR.SET: C500S R-NET MD SWITCH 10KMH EUR PROGR.SET: C500 R-NET MD SWITCH 7,5KMH ESP EUR - Rnet/MagicDrive Touch (+) SOFTWARE MD TOUCH C500 PR OP JS ESP EUR SOFTWARE MD TOUCH C500 SW ITCH INP ESP EUR SOFTWARE MD TOUCH C500S P ROP JS ESP EUR SOFTWARE MD TOUCH C500S S WITCH INP ESP EUR - Co-Pilot (+) PROGR.SET: C500S R-NET CO-PILOT EUR PROGR.SET: C500 R-NET CO-PILOT 7,5KMH ESP EUR - Compact Joystick CJA (+) PROGR.SET: C500S R-NET COMP JS ADV 10KMH EUR PROGR.SET: C500 R-NET COMP JS ADV 7,5KMH ESP EUR - Compact Joystick (+) PROGR.SET: C500S R-NET COMP JS 10KMH EUR PROGR.SET: C500 R-NET COMP JS 7,5KMH ESP EUR - LED JS panel (+) SOFTWARE CONTROL PANEL LE D R-NET EUR SOFTWARE DISABLE PROFILE 7 EUR - Mini Joystick (+) SOFTWARE C500 R-NET MINI- JS 7,5km/h ESP EUR SOFTWARE C500S R-NET MINI -JS 10km/h ESP EUR - _Program software BT Mouse (+) SOFTWARE TWO BT MOUSE MOD ULES 3 AND 5 EUR 0.01 Permolock Permolock (+) PERMOLOCK C EUR 1, Manual Permolock (+) MANUAL PERMOLOCK C SPAIN EUR - Release lever (+) MANUAL RELEASE FOR PERMOLOCK C EUR Page 15 of 16

16 Car seat adapter (+) CAR SEAT ADAPTER PERMOLOCK C EUR Quicklock holder release lever (+) QUICKLOCK HOLDER RELEASE LEVER EUR Spacer kit permolock (+) SPACER KIT PERMOLOCK C EUR 7.14 Install kit (+) PERMOLOCK SNAP IN KIT EUR Extension cable Permolock (+) EXTENSION CABLE FOR PERMOLOCK C,C3 EUR Chair Order Policy: For other options and special adaptations, please call Permobil for further details. Please also refer to Permobil s Delivery Policy for further information. Your order cannot be processed without the following: - The client s name - The client s measurements - The client s weight For your ordering, please sign below with date and company stamp. Signature: Date: Company Stamp: An order confirmations will be provided by Permobil summarizing the items selected. Please review this carefully. Page 16 of 16