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E NO ACCOUNT# P.O. DATE ADDRESS BASE CHAIR TYPE/POWER SEATING BASE 3GAR-CG Arrow for Formula CG w/ MK6i $8,450 When selecting 3GAR-CG, remember to choose your Drive Type Option and User Weight Limits

1 Invacare Formula CG Elevating Seat for Storm Series Suggested Canadian Price List Effective October 21, 2015 NAME PHONE NO ACCOUNT# P.O. DATE ADDRESS BASE CHAIR TYPE/POWER SEATING BASE 3GAR-CG Arrow for Formula CG w/ MK6i $8,450 When selecting 3GAR-CG, remember to choose your Drive Type Option and User Weight Limits 3GTQ-CG Torque SP for Formula CG w/ MK6i $7,500 The Torque SP Base comes standard with Performance 4-Pole Motors and top speed of 6.5 mph OMIT SEAT FRAME OSF Omit Seat Frame for Base Only No Charge TRANSPORT TIE DOWN TRBKTS Wheelchair Transport Brackets No Charge USER WEIGHT LIMITS U300 Under 300 lbs No Charge Performance 4-pole motors, <300 lb. weight limit and 6.5 mph max. speed. When choosen with 3GAR-CG, U300 requires you to pick one of PERF or TRUTK U400 Under 400 lbs No Charge U400 comes standard with 4-pole motors/hd Gearboxes. Reduces speed to 4.5 mph when chosen with 3GAR-CG a Drive Type is not needed. However, if GB motors are required, please choose TRUTK DRIVE TYPE OTION TRUTK True Track GB Driving Package $1,569 TrueTrack includes Gearless Brushless GB motors which reaches 7 mph and has a 300 lb. weight capacity and Monroe spring shock suspension Must upgrade to MK6TT Controller. Must upgrade to an Expandable Controller System. Not compatible with SPJ+ joystick.available on Torque SP. N/A with GTRAC PERF Performance 4-Pole Motor No Charge Standard on Torque SP. Top speed of 6.5 mph FRAME TYPE SFS Short Base No Charge Not available with seat depth range 1922D. Must pick long base. LFS Long Base $432 CASTER OPTIONS '' X 2'' Semi-Pneumatic Casters $ '' X 2 1/4'' Semi-Pneumatic Casters Light Grey Standard '' X 2'' Pneumatic Casters No Charge '' X 2 3/4'' Pneumatic Casters $162 Not available with short base or with TRBKTS '' X 2 3/4'' Foam Filled Casters $295 Not available with short base or with TRBKTS CASTER SUSPENSION Not available with 9" casters or with TRBKTS Shock Fork For 6'' Casters $209 Not available with SFS Shock Fork For 8'' Casters $209 Not available on short base. WHEEL OPTIONS '' X 3'' Pneumatic Tires Standard '' X 3'' Tire w/foam Filled Inserts $ '' X 4'' Pneumatic Tires $ x 4" wheels increase the overall width of the base by 2.5". Does not include 3G design wheel. Not available with True Track '' X 4'' Tires w/foam Filled Inserts $ x 4" wheels increase the overall width of the base by 2.5". Does not include 3G design wheel. Not available with True Track FREE WHEEL HUB FHUB Free Wheel Hub $184 Will add.75" overall width. Does not include 3G design wheel or fender. Not available with TRUTK TrueTrack Package. FRAME FINISH 24P Wet Black No Charge 29P White Snow No Charge 30P Sunny Yellow No Charge 60P Silver Metallic No Charge 61P Electric Red No Charge 62P Electric Blue No Charge 105P Midnight Blue No Charge 115P Black Prism No Charge 116P Sunkissed Orange No Charge 117P Tangerine Red No Charge 119P Bubblegum Pink No Charge 120P Grape Madness No Charge 127P Grasshopper Green No Charge SEAT SYSTEM TYPE CGE 7 Elevating Seat - up to 300 lbs $2,299 CNVACT Conventional Actuator Standard For the most current pricing information visit Page 1 / 5

SEAT SELECTION ADJASBA Adjustable Rehab Seat with Adjustable Seat Tilt Back Angle Standard CTB Contoura Seating $832 Contoura only available in even widths.

2 SEAT SELECTION ADJASBA Adjustable Rehab Seat with Adjustable Seat Tilt Back Angle Standard CTB Contoura Seating $832 Contoura only available in even widths. Selected seat depth on Contoura assumes 1" of back cushion compression. For example: When choosing 18" depth the measureme from the front of the back cushion to the front of the seat pan equals 17" CURV Curved Standard OMCU Omit Contoura Seat Cushion Less Net ($25) SEAT WIDTH RANGE 1620W 16" to 20" Width (Adjustable) No Charge 2022W 20" to 22" Width (Adjustable) No Charge SEAT WIDTH SETTING W16 16" Seat Width No Charge W17 17" Seat Width (Not Available w/contoura) No Charge W18 18" Seat Width No Charge W19 19" Seat Width (Not Available w/contoura) $297 W20 20" Seat Width $297 W21 21" Seat Width (Not Available w/contoura) $487 W22 22" Seat Width $487 ADJUSTABLE SEAT DEPTH RANGE 1619D 16" to 19" Seat Depth Range (short base) No Charge 1922D 19" to 22" Seat Depth Range (long base) No Charge SEAT DEPTH SETTING D16 Seat Depth 16'' No Charge Not available with Contoura seat cushion on 22 wide D17 Seat Depth 17'' No Charge Not available with Contoura seat cushion on 22 wide D18 Seat Depth 18'' No Charge D19 Seat Depth 19'' $297 D20 Seat Depth 20'' $297 Must pick long base. D21 Seat Depth 21'' $487 Not available with Contoura seat cushion on 22 wide. Must pick long base. Not available with Contoura seat cushion on 16 or 18 wide D22 Seat Depth 22'' $487 Not available with Contoura seat cushion on 16,18 or 22 wide. Must pick long base SEAT TILT Indicates static tilt of seat. Impacts seat-to-floor height, every 5 degrees raises the seat-to-floor heigh 0SA 0º Standard ASBA SEAT BACK HEIGHT SECT Sectional Rear Uprights No Charge SRUP Straight Rear Uprights No Charge 9720P No Push Handles (Straight Canes) $119 BACK HEIGHT CURVED ABS OR ADJUSTABLE ASBA BH16 Back Height 16'' No Charge BH17 Back Height 17'' No Charge BH18 Back Height 18'' No Charge BH19 Back Height 19'' No Charge BH20 Back Height 20'' No Charge BH21 Back Height 21'' No Charge BH22 Back Height 22'' No Charge BH23 Back Height 23'' No Charge BH24 Back Height 24'' No Charge BH25 Back Height 25'' No Charge BH26 Back Height 26'' No Charge BACK HEIGHT CONTOURA TSBH22 Back Height 22" No Charge TSBH25 Back Height 25" No Charge TSBH28 Back Height 28" No Charge ADJUSTABLE ARM TYPE (PAIR) 19F Full Length Adjustable Height Conventional Flip Up $372 29F Desk Length Adjustable Height Conventional Flip Up $372 MIXED ADJUSTABLE ARM TYPE (PAIR) 19FR Full Length Adjustable Height Conventional Flip Up Right $186 29FR Desk Length Adjustable Height Conventional Flip Up Right $186 19FL Full Length Adjustable Height Conventional Flip Up Left $186 29FL Desk Length Adjustable Height Conventional Flip Up Left $186 CANTILEVER ARM TYPE (PAIR) Cantilever Arms only available with 300 lb. rated systems. Not available with BPO, Otto Bock or seat width Must use a Hard Back. CLVF Full Length Arm $488 CLVD Desk Length Arm $488 For the most current pricing information visit Page 2 / 5

CANTILEVER MIXED ARM TYPE (EACH) CLVFR Full Length Arm Right $244 CLVDR Desk Length Arm Right $244 CLVFL Full Length Arm Left $244 CLVDL Desk Length Arm Left $244 ARMPAD OPTIONS (CANTILEVER ARMS) WF

3 CANTILEVER MIXED ARM TYPE (EACH) CLVFR Full Length Arm Right $244 CLVDR Desk Length Arm Right $244 CLVFL Full Length Arm Left $244 CLVDL Desk Length Arm Left $244 ARMPAD OPTIONS (CANTILEVER ARMS) WF Waterfall Armpads Standard RCL Reclining Armpads No Charge SEAT POSITIONING STRAPS 1311BK Airline Buckle Seat Positioning Strap $ Push Button Style Seat Positioning Strap Standard CHEST POSITIONING STRAPS 7311BK Airline Buckle Chest Positioning Strap $ Push Button Style Chest Positioning Strap $ BK Hook & Loop Chest Positioning Strap $66 FOR ALL YOUR ASL DRIVE SYSTEM NEEDS PLEASE REFER TO ASL PRICE LIST FORM C ELECTRONICS CONTROLLER MK690ACC Controller w/actuator Control Standard MK6TT True Track Controller No Charge GTRAC G-Trac Modue $988 G-Trac provides Improved Tracking Capabilities and Enchanced Traction. Only available on 4-pole motors. Not available w/spj+ joysticks or MK6TT STANDARD DRIVER CONTROL for Torque SP SPJAP SPJ+ With Powered Seating Switch Standard ACTUATOR CONTROL THROUGH SPJ+ for Torque SP SPJAPM Single Actuator Operation through SPJ+ $530 STANDARD DRIVER CONTROL for Arrow CMPJM6 MPJ+ Multiple Drive Joystk w/colour Display Standard EXPANDABLE CONTROLLER SYSTEMS PWH Harness required for Expandable Electronics No Charge Required to interface joystick or MK6i display w/expandable controllers CMPJM6U MPJ+ Multiple Drive Joystk w/colour Display (Used on Torque SP only) $1,024 ASLRDYM6 MK6 Display Only (No Driver Control) $242 Display Only, No Driver control. Allows choice from order form. ALTERNATIVE PROPORTIONAL CONTROL SYSTEMS 1500M6 Prop RIM Head Control w/display $2,425 SMHD Small Headrest $241 LGHD Large Headrest $ MM6 Compact Joystick w/ Display $1,097 ALTERNATIVE DIGITAL CONTROL SYSTEMS SNPM6 Sip-N-Puff $2, M6 Wafer Board & Digital Interface Box $2, M6 Mini Tash Joystick & Digital Interface Box $2,687 PKG32666 Therapin Sip-N-Puff Breath Tube Kit $440 ADDITIONAL CONTROL CHOICES 1558M6 Compact Joystick - Less Std Mount $937 PACM6 Proportional Attendant Control w/quick Release Mount $1, M Attendant Control $567 Requires SNPM6 Interface Box. JOYSTICK MOUNTING HARDWARE QLAM6 Quad Link Retractable Joystick Mnt MPJ+ $358 QLAM6 and QLA includes Stealth Adj. Height Joystick Mount QLA Quad Link Retractable Joystick Mnt SPJ+ $358 QLAM6 and QLA includes Stealth Adj. Height Joystick Mount LEFT Left Hand Mounted Joystick No Charge RIMHW Rim Hardware For 1500 $245 PKG32669 Complete Bib Assembly (Tash/1558) $406 RCM Rear Cane Mount for Compact Joystick $159 For the most current pricing information visit Page 3 / 5

ELECTRONIC ACCESSORIES 1813M6 MK6i Programmer w/pro Memory Card $685 1813SD Pro Memory Card $112 1560 T Handle Flexible Joystick Extension $93 1561 Straight Handle Flexible Joystick Extension $69

4 ELECTRONIC ACCESSORIES 1813M6 MK6i Programmer w/pro Memory Card $ SD Pro Memory Card $ T Handle Flexible Joystick Extension $ Straight Handle Flexible Joystick Extension $ Chin Cup $38 A24VPS 24V MK6i Auxiliary Power Source $252 AUX12M6 Auxillary Module For 1 & 2 $706 AUX34M6 Auxillary Module For 3 & 4 $706 2PB Dual Push Button $182 Option to replace MonoPort "Y" cable when requiring two switch functions of the mode switch port on expandable controller systems. Not compatible with SPJ+ Joystick options. 2SW Dual Toggle $214 Option to replace MonoPort "Y" cable when requiring two switch functions of the mode switch port on expandable controller systems. Not compatible with SPJ+ Joystick options. PBMT Push Button Mounting Kit $352 RFM Wireless (RF) Mouse Only Module $811 RFM includes Transmitter, USB Radio Frequency Mouse Dongle (Receiver), and Stereo Switch with hook and loop mount for mouse clicks. IR Infrared Module with Mouse Emulation $910 Capable of operating up to six remote Infra-Red controlled devices. Also allows wireless (RF) Mouse operation through the driver control. Compatible with RFM module for control of two wireless mice from one chair. Includes two button stereo switch (with hook/ loop mount) for mouse clicks. Not compatible with SPJ+ Joysticks POWER SEATING ACCESSORIES SANODE Single Actuator Operation through Driver Control $375 Required for Tilt Operation through Driver Control - Single Actuator Systems Only. Not available with SPJ+ Joystick. Does not come with Egg switch. MISCELLANEOUS BATTERY BOXES 22NF 22NF Battery Boxes (Std. on Torque) No Charge GP24 Group 24 Battery Boxes $376 Only available on Torque SP (Standard on Arrow). Must select for TRBKTS BATTERIES (REQUIRED) Onchair Batteries are a required pick. 22NFBATTERY 22 NF Battery (On Chair) $572 Not available with Arrow GB or TrueTrack systems. 24BATTERY 24 Gel Battery (On Chair) $701 BATTERY CHARGER OPTIONS 110CHARGER 110 Volt Battery Charger No Charge LESTR Lester 8 Amp Battery Charger $356 L8900 Omit Charger No Charge MISCELLANEOUS ACCESSORIES 1303 Wheel Locks $93 Not available with pneumatic tires Suspension Shocks $ H-3 Suspension Shocks (Heavy Duty) $450 FDR Fender $66 EXTP Extended Anti-Tippers $316 Comes standard with vent tray. Adds 2.5" to overall length FRONT RIGGINGS CENTRE PIVOT STYLE (ASB) (PAIR) 60HD 60 Swingaway Footrest 13.5"-17.5" $241 70NHD 70 Non-Tapered S/A Footrest 13.5"-17" (Steel) $241 70STAPER 70 Tapered Footrests 13"-17" (Aluminum) $281 Not available with 19" or 20" wide and 9" casters. Standard with impact guards on the footrests AT5544 Manual Elevating Legrests (Aluminum) $567 PIN STYLE (PSB) (PAIR) PW93 Swingaway Footrests 13.5" - 19" $175 P904A Swingaway Elevating Leg 16" $357 Manual elevating legrest. PAL4A Smart Articulating Leg 17.25"-21.5" (16 wide plus) $392 Manual elevating legrest. FOOTPLATE OPTIONS (PAIR) 1651 Flip-Up Composite Footplates No Charge 1350 Extra Large Aluminum Footplates $106 AT5543 Adjustable Angle Flip Up Footplates $132 FOOTREST/LEGREST ACCESSORIES 1337 Calf Strap $63 HLOOP Heel Loops $84 LPT2 Longer Pivot Slide Tube For 1350 $132 IMPACTG Impact Guards No Charge ALPT Longer Pivot And Slide Tube $132 ALPT4 Longer Pivot And Slide Tube 4" $132 For the most current pricing information visit Page 4 / 5

MATRX SEATING Seating will ship separately. Order must be entered by Invacare Customer Service.

Cushion 20W x 16D $624 MA2018-Vi Matrx-Vi Cushion 20W x 18D $624 PBE1616 Matrx PB Elite Back 16W x 16H $766 PBE1716 Matrx PB Elite Back 17W x 16H $766 PBE1816 Matrx PB Elite Back 18W x 16H

Matrx-PB Posture Back 18W x 16H $734 MPB2016 Matrx-PB Posture Back 20W x 16H $734 PS1616 Matrx-Vi Posture Seat 16W x 16D $569 PS1618 Matrx-Vi Posture Seat 16W x 18D $569 PS1816 Matrx-Vi

right to change prices and specifications without notice. HEAD OFFICE - 570 Matheson Blvd E.

5 MATRX SEATING Seating will ship separately. Order must be entered by Invacare Customer Service. MA1616-Vi Matrx-Vi Cushion 16W x 16D $624 MA1618-Vi Matrx-Vi Cushion 16W x 18D $624 MA1816-Vi Matrx-Vi Cushion 18W x 16D $624 MA1818-Vi Matrx-Vi Cushion 18W x 18D $624 MA2016-Vi Matrx-Vi Cushion 20W x 16D $624 MA2018-Vi Matrx-Vi Cushion 20W x 18D $624 PBE1616 Matrx PB Elite Back 16W x 16H $766 PBE1716 Matrx PB Elite Back 17W x 16H $766 PBE1816 Matrx PB Elite Back 18W x 16H $766 PBE1916 Matrx PB Elite Back 19W x 16H $766 PBE2016 Matrx PB Elite Back 20W x 16H $766 MPB1616 Matrx-PB Posture Back 16W x 16H $734 MPB1716 Matrx-PB Posture Back 17W x 16H $734 MPB1816 Matrx-PB Posture Back 18W x 16H $734 MPB2016 Matrx-PB Posture Back 20W x 16H $734 PS1616 Matrx-Vi Posture Seat 16W x 16D $569 PS1618 Matrx-Vi Posture Seat 16W x 18D $569 PS1816 Matrx-Vi Posture Seat 18W x 16D $569 PS1818 Matrx-Vi Posture Seat 18W x 18D $569 PS2016 Matrx-Vi Posture Seat 20W x 16D $569 PS2018 Matrx-Vi Posture Seat 20W x 18D $569 Invacare Canada reserves the right to change prices and specifications without notice. HEAD OFFICE Matheson Blvd E., Unit #8, Mississauga, ON L4Z 4G4 Phone: (905) (800) (Canada) Fax: (905) (800) (Canada) Regional Centre Boul. Hymus, Kirkland, P.Q. H9H 3L4 Phones: (514) (800) (P.Q.) Fax: (514) Invacare, and Yes, you can., are trademarks of Invacare Corporation. For the most current pricing information visit Page 5 / 5

NAME PHONE NO ACCOUNT # P.O. DATE ADDRESS

Print Form Save Form Submit Form Clear Form Contents Invacare TDX SP Rehab Seat Power Wheelchair Suggested Canadian Price List Effective July 25, 2017 NAME PHONE NO ACCOUNT # P.O. DATE ADDRESS BASE CHAIR