C350 Corpus 3G R-Net. Price list: 27 Spain EUR. Dealer Information. Client Information. Client Measurements

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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 C350 R-NET WITH CORPUS 3G -SEAT EUR 7, User manual chassis USER MANUAL ES C350 EUR - User manual seat MANUAL CORPUS 3G PORTUGAL EUR MANUAL CORPUS 3G SPAIN EUR MANUAL CORPUS 3G-SEAT R-NET DENMARK EUR MANUAL CORPUS 3G-SEAT R-NET ENGLAND EUR MANUAL CORPUS 3G-SEAT R-NET FINLAND EUR MANUAL CORPUS 3G-SEAT R-NET FRANCE EUR MANUAL CORPUS 3G-SEAT R-NET GERMANY EUR MANUAL CORPUS 3G-SEAT R-NET HOLLAND EUR MANUAL CORPUS 3G-SEAT R-NET ITALY EUR MANUAL CORPUS 3G-SEAT R-NET NORWAY EUR MANUAL CORPUS 3G-SEAT R-NET SWEDEN EUR MANUAL CORPUS 3G-SEAT R-NET USA EUR - Colour covers COVERS C350 BLACK EUR COVERS C350 DARK BLUE METALLIC EUR COVERS C350 RED EUR COVERS C350 SILVER METALLIC EUR COVERS C350 YELLOW EUR WITHOUT COVERS EUR - Hub cap HUB CAP INCL. REFLECTOR BLACK EUR HUB CAP INCL. REFLECTOR DARK BLUE METALLIC EUR HUB CAP INCL. REFLECTOR RED METALLIC EUR HUB CAP INCL. REFLECTOR SILVER METALLIC EUR HUB CAP INCL. REFLECTOR YELLOW EUR - Front wheels WHEELS 210x65 AIR FILLED TIRES EUR WHEELS 2.5-3" SOLID TIRES EUR - Rear wheels WHEELS 3.00x8" AIR FILLED TIRES EUR WHEEL " MUD/SNOW AIR TIRE (1 pair) EUR WHEELS 3.00x8" SOLID TIRES EUR Drive parameters PROGR.SET: C350 10KMH R-NET / CORPUS EUR - Accessories chassis Batteries BATTERIES, 60Ah, SET OF 2 EUR WITHOUT BATTERIES EUR - Charger CHARGER PERMOBIL 24V/8A EU EUR WITHOUT CHARGER EUR - Light kit (+) LIGHT KIT C350/R-NET EUR Curb climber (+) CURB CLIMBERS KIT C 350 EUR Remote stop (+) REMOTE STOP 2 CHANNELS R- NET P+ EUR Chassis adaption for Permolock C3 (+) ADAPT C300/350 FOR PERMOLOCK C3 EUR Rain cover (+) TARPAULIN/RAINCOVER FOR ALL MODLES EUR Page 2 of 16

3 Seat assembly Seat lift system SEAT ELEVATOR C350 C 3G R -NET EUR 1, SEAT TUBE FIXED C350 C3G EUR - Seat tilt options SEAT MOUNT FIXED C 3G EUR SEAT TILT 30 C 3G EUR 2, SEAT TILT 50 C 3G EUR 1, Mounting posetion seat SEAT MOUNT ANTERIOR -5 C 400/C500 C 3G EUR SEAT MOUNT HORIZONTAL C300/C350 C 3G EUR - Seat Model SEAT FRAME CORPUS 3G EUR - Seat width SEAT WIDTH 420 (17") EUR SEAT WIDTH 470 (19") EUR SEAT WIDTH 520 (21") EUR SEAT WIDTH 570 (23") EUR - Seat depth SEAT DEPTH 370mm (14") EUR SEAT DEPTH 395mm (15") EUR SEAT DEPTH 420mm (16") EUR SEAT DEPTH 445mm (17") EUR SEAT DEPTH 470mm (18") EUR SEAT DEPTH 495mm (19") EUR SEAT DEPTH 520mm (20") EUR SEAT DEPTH 545mm (21") EUR SEAT DEPTH 570mm (22") EUR - Seat cushion SEAT CUSHION 420x370mm (1 7"x15") LEATHERETTE EUR SEAT CUSHION 420x370mm (1 7"x15") MESH EUR 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 420x570mm (1 7"x23") LEATHERETTE EUR SEAT CUSHION 420x570mm (1 7"x23") MESH EUR SEAT CUSHION 470x370mm (1 9"x15") LEATHERETTE EUR SEAT CUSHION 470x370mm (1 9"x15") 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 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 - Page 3 of 16

4 Seat cushion 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 WITHOUT SEAT CUSHION C 3G EUR Seat support Seat Cushion Ergo (+) THIGH SUPPORT ERGO (L/R) EUR - Backrest Fixed/Sliding BACKREST FIXED C 3G EUR BACKREST SHEERING C 3G EUR Backrest BACKREST SHORT W 360 x H 470 EUR BACKREST SHORT W 410 x H 470 EUR BACKREST SHORT W 460 x H 470 EUR BACKREST SHORT W 510 x H 470 EUR BACKREST W 360 x H EUR BACKREST W 410 x H EUR BACKREST W 460 x H EUR BACKREST W 510 x H EUR DIRECT BACKREST ADAPTER EUR TUBULAR BACKREST FRAME EUR WITHOUT BACKREST CORPUS 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 - Adjustment backrest MANUAL CONTROL BACKREST 1 20 CORPUS EUR POWER CONTROL BACKREST 15 0 C 3G EUR 1, POWER CONTROL BACKREST 18 0 C 3G EUR 1, 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 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 Page 4 of 16

5 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 kit ARMREST NARROW EUR ARMREST WIDE 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 Fixed/Swing ARMREST ASSEMBLY FIXED C 3G EUR ARMREST ASSEMBLY SWIVELL- ING C 3G EUR Armrest Left ARMREST 260 (10") LEFT EUR ARMREST 335 (13") LEFT EUR ARMREST 410 (16") LEFT EUR ARMREST 460 (18") LEFT EUR WITHOUT ARMREST LEFT C 3G EUR _Armrest upholstry Left (+) ARMREST PAD FABRIC 260 (1 0") LEFT EUR ARMREST PAD FABRIC 335 (1 3") LEFT EUR ARMREST PAD FABRIC 410 (1 6") LEFT EUR ARMREST PAD FABRIC 460 (1 8") LEFT EUR ARMREST PAD LEATHERETTE 2 60 (10") LEFT EUR ARMREST PAD LEATHERETTE 3 35 (13") LEFT EUR ARMREST PAD LEATHERETTE 4 10 (16") LEFT EUR ARMREST PAD LEATHERETTE 4 60 (18") LEFT EUR ARMREST PAD STEALTH GEL 2 60 (10") LEFT EUR ARMREST PAD STEALTH GEL 3 35 (13") LEFT EUR ARMREST PAD STEALTH GEL 4 10 (16") LEFT EUR ARMREST PAD STEALTH GEL 4 60 (18") LEFT EUR Armrest Right ARMREST 260 (10") RIGHT EUR ARMREST 335 (13") RIGHT EUR ARMREST 410 (16") RIGHT EUR ARMREST 460 (18") RIGHT EUR WITHOUT ARMREST RIGHT C 3 G EUR _Armrest upholstry Right (+) ARMREST PAD FABRIC 260 (1 0") RIGHT EUR ARMREST PAD FABRIC 335 (1 3") RIGHT EUR ARMREST PAD FABRIC 410 (1 6") RIGHT EUR ARMREST PAD FABRIC 460 (1 8") RIGHT EUR ARMREST PAD LEATHERETTE 2 60 (10") RIGHT EUR ARMREST PAD LEATHERETTE 3 35 (13") RIGHT EUR ARMREST PAD LEATHERETTE 4 10 (16") RIGHT EUR ARMREST PAD LEATHERETTE 4 60 (18") RIGHT EUR ARMREST PAD STEALTH GEL 2 60 (10") RIGHT EUR ARMREST PAD STEALTH GEL 3 35 (13") RIGHT EUR ARMREST PAD STEALTH GEL 4 10 (16") RIGHT EUR ARMREST PAD STEALTH GEL 4 60 (18") RIGHT EUR Legrest LEGREST LONG EXTENSION (205mm) C 3G EUR LEGREST PWR ADJ LONG INCL FOOTPLATE NARROW C 3G EUR 1, LEGREST PWR ADJ SHORT INCL FOOTPL NARROW C 3G EUR 1, LEGREST POWER TRANSFER C 3G EUR 2, Page 5 of 16

6 Legrest LEGREST SHORT EXTENSION (185mm) C 3G EUR WITHOUT LEGREST C 3G EUR - Adjustment legrest CONTROL MANUAL LEGREST C 3G EUR CONTROL POWER LEGREST C 3G EUR 1, WITHOUT ADJUSTMENT LEGRES T C3G 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 WITHOUT FOOTPLATES EUR - Combined back/leg (+) ICS PROGRAMS FOR VS & C3G LINKS LEGS TO BACK MOVEM EUR - _Virtual Seating Coach (+) VIRTUAL SEATING COACH KIT INCL PHONE HOLDER EUR VIRTUAL SEATING COACH KIT INCL TABLET HOLDER EUR - Accessories seat 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 L LONG ARM EUR HEADREST L LONG ARM SHORT BACKREST EUR HEADREST L STD ARM EUR HEADREST L STD ARM SHORT BACKREST EUR HEADREST LEATHERETTE CORP US 3G EUR HEADREST M LONG ARM EUR HEADREST M LONG ARM SHORT BACKREST EUR HEADREST M STD ARM EUR HEADREST M STD ARM SHORT BACKREST EUR HEADREST S LONG ARM EUR HEADREST S LONG ARM SHORT BACKREST EUR HEADREST S STD ARM EUR HEADREST S STD ARM SHORT BACKREST 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 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 Lateral support left (+) LATERAL SUPPORT LARGE 180 x130mm LEFT EUR LATERAL SUPPORT LEFT MOD A C3G FABRIC EUR LATERAL SUPPORT LEFT MOD E C3G FABRIC EUR LATERAL SUPPORT LEFT MOD F C3G FABRIC EUR LATERAL SUPPORT SMALL 130 x80mm LEFT EUR Lateral support right (+) Page 6 of 16

7 Lateral support right (+) LATERAL SUPPORT LARGE 180 x130mm RIGHT EUR LATERAL SUPPORT RIGHT MOD A C3G FABRIC EUR LATERAL SUPPORT RIGHT MOD E C3G FABRIC EUR LATERAL SUPPORT RIGHT MOD F C3G FABRIC EUR LATERAL SUPPORT SMALL 130 x80mm RIGHT EUR Thigh support left (+) THIGH SUPPORT LEFT MOD B FABRIC EUR THIGH SUPPORT LEFT MOD C FABRIC EUR THIGH SUPPORT LEFT MOD G FABRIC EUR THIGH SUPPORT LEFT MOD J FABRIC EUR Thigh support right (+) THIGH SUPPORT RIGHT MOD B FABRIC EUR THIGH SUPPORT RIGHT MOD C FABRIC EUR THIGH SUPPORT RIGHT MOD G FABRIC EUR THIGH SUPPORT RIGHT MOD J FABRIC EUR Hip support left (+) HIP SUPPORT LEFT MOD A FA BRIC EUR HIP SUPPORT LEFT MOD B FA BRIC EUR HIP SUPPORT LEFT MOD C FA BRIC EUR HIP SUPPORT LEFT MOD D FA BRIC EUR Hip support right (+) HIP SUPPORT RIGHT MOD A F ABRIC EUR HIP SUPPORT RIGHT MOD B F ABRIC EUR HIP SUPPORT RIGHT MOD C F ABRIC EUR HIP SUPPORT RIGHT MOD D F ABRIC 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 Elbow support left (+) SUPPORT ARMREST ASSEMBLY ELBOW STOP - LEFT EUR Elbow support right (+) SUPPORT ARMREST ASSEMBLY ELBOW STOP - RIGHT EUR Support armrest outside Left (+) SIDE SUPPORT ARMREST ASSE MBLY LEFT OUTSIDE EUR Support armrest outside Right (+) SIDE SUPPORT ASSEMBLY ARM REST EUR Support armrest inside Left (+) SIDE SUPPORT ASSEMBLY ARM REST LEFT INSIDE EUR Support armrest inside Right (+) SIDE SUPPORT ASSEMBLY ARM REST RIGHT INSIDE EUR Gel pads footplates (+) STEALTH GEL PADS NARROW FOOTPLATES (PAIR) 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 LARGE BODYPOINT EUR SAFETY BELT,AUTOTENSION LONG VERSION EUR SAFETY BELT,BUCKLE EUR SAFETY BELT,4-POINT EUR SAFETY BELT,AUTOTENSION EUR Page 7 of 16

8 Mounting position seatbelt (+) MOUNT POS SEATBELT ROLL RIGHT EUR MOUNT POS SEATBELT ROLL LEFT EUR - Seat stabiliser SEAT SUPPORT FOR TILT -5 C300/C350 C 3G EUR SEAT SUPPORT FOR TILT C30 0/C350 C 3G EUR SEAT SUPPORT NO TILT -5 C300/C350 C 3G EUR SEAT SUPPORT NO TILT C300 /C350 C 3G 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 CORPUS ERGO AIR 420x370 (17"x15") EUR SEAT CUSHION ROHO 420x420 (17"x17") EUR SEAT CUSHION ROHO 420x470 (17"x19") EUR SEAT CUSHION ROHO 420x520 (17"x21") EUR SEAT CUSHION CORPUS ERGO AIR 420x570 (17"x23") EUR SEAT CUSHION CORPUS ERGO AIR 470x370 (19"x15") 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 (+) LEGREST AMPUTATION mod A (SMALL) FABRIC CORPUS 3G EUR LEGREST AMPUTATION mod D (XLARGE) FABRIC CORPUS 3G EUR LEGREST AMPUTATION mod H (LARGE) FABRIC CORPUS 3G EUR LEGREST AMPUTATION mod D (XLARGE) FABRIC CORPUS 3G EUR Mounting position stump support (+) MOUNT POS AMPUTATION SUPP -ORT LEFT EUR MOUNT POS AMPUTATION SUPP -ORT RIGHT EUR - _2nd Amputation support legrest (+) LEGREST AMPUTATION mod A (SMALL) FABRIC CORPUS 3G EUR LEGREST AMPUTATION mod D (XLARGE) FABRIC CORPUS 3G EUR LEGREST AMPUTATION mod H (LARGE) FABRIC CORPUS 3G EUR LEGREST AMPUTATION mod D (XLARGE) FABRIC CORPUS 3G EUR Push handles back (+) PUSH HANDLES C 3G EUR PUSH HANDLES C 3G NARROW BACKREST EUR Table Swing able (+) 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 _Bracket Table (+) Page 8 of 16

9 _Bracket Table (+) BRACKET ADDITIONAL POSITI ON TABLE ADJ EUR RECEIVER KIT -TRAY HARDWA RE CORPUS 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 20x370 (17"x15") EUR INCONTINENCE PROTECTION 4 20x420 17"x17" EUR INCONTINENCE PROTECTION 4 20x470 17"x19" EUR INCONTINENCE PROTECTION 4 20x520 17"x21" EUR INCONTINENCE PROTECTION 4 20x570 (17"x23") EUR INCONTINENCE PROTECTION 4 70x370 (19"x15") 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 BLACK RIGHT EUR - Armrest pouch Left (+) ARMREST POUCH BLACK LEFT EUR Seat frame pouch (+) ARMREST POUCH BLACK CENTE R MOUNTED 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 Cup holder (+) SELF LEVELING CUP HOLDER EUR Cellphone holder (+) X-GRIP PHONE HOLDER EUR Tablet holder (+) TABLET HOLDER RAM X-GRIP WITH BRAKET 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 Page 9 of 16

10 User control JOYSTICK R-NET STANDARD EUR JOYSTICK COMPACT ADV. R-NET EUR JOYSTICK R-NET CJSM HEAVY DUTY EUR 1, NON STANDARD STEERING EUR - _Table steering (+) TABLESTEERING R-NET FLIP- OVER PANEL C 3G 600 EUR 2, TABLESTEERING R-NET FLIP- OVER PANEL C 3G 650 EUR 2, Cabling CABLE CONTROL PANEL R-NET 0.5m 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 PANEL HOLDER PARALLEL MOTION UNITRACK EUR WITHOUT PANELHOLDER EUR - Panel holder bracket C 3G (+) PANEL HOLDER BRACKET C 3G EUR - Height adjustable holder (+) HEIGHT ADJUSTABLE JOYSTIC K BRACKET CLAMP EUR HEIGHT ADJUSTABLE JOYSTIC K BRACKET LEFT EUR HEIGHT ADJUSTABLE JOYSTIC K BRACKET RIGHT EUR User manual CJ (+) 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 - Page 10 of 16

11 Indication level switch box (+) 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 - 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 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 COLOR R -NET INCL BRACKET EUR ATTENDANT CONTROL CO-PILO T 2 FOR CORPUS/C3G EUR 1, ATTENDANT CONTROL CO-PILO T R-NET INCL BRACK./PANEL EUR 2, ATTENDANT CONTROL LED R-N ET INCL BRACKET EUR ATTENDANT CONTROL R-NET I NCL BRACKET EUR ATTENDANT CONTROL STD R-N ET INCL BRACKET EUR ATTENDANT CONTROL TOGGLE R-NET INCL BRACKET EUR Mounting position attendant control (+) MOUNT POS ATTENDANT CON- TROL LEFT EUR MOUNT POS ATTENDANT CON- TROL RIGHT EUR - User manual CO-pilot (+) USER MANUAL ES CO-PILOT RNET EUR - User manual CO-pilot 2 (+) MANUAL CO-PILOT 2 DENMARK EUR MANUAL CO-PILOT 2 ENGLAND EUR MANUAL CO-PILOT 2 FRANCE EUR MANUAL CO-PILOT 2 GERMANY EUR MANUAL CO-PILOT 2 HOLLAND EUR MANUAL CO-PILOT 2 NORWAY EUR MANUAL CO-PILOT 2 SWEDEN 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 Page 11 of 16

12 Applications (2) (+) MD TOUCH TEXT TO SPEECH - MESSENGER EUR Applications (3) (+) MD TOUCH TTS SCANNING EUR TTS Voice (+) MD TOUCH VOICE DE EUR MD TOUCH VOICE DK EUR MD TOUCH VOICE EN-UK EUR MD TOUCH VOICE EN-US EUR MD TOUCH VOICE ES EUR MD TOUCH VOICE FI EUR MD TOUCH VOICE FR EUR MD TOUCH VOICE IT EUR MD TOUCH VOICE NL-BE EUR MD TOUCH VOICE NL-NL EUR MD TOUCH VOICE NO EUR MD TOUCH VOICE PT EUR MD TOUCH VOICE SV 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 MD CONTROL: CHIN JOYSTICK EUR 1, DL/MD EC HEAD ARRAY BASIC CONFIG EUR 3, 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 1, MD CONTROL: JOYSTICK EUR 1, MD CONTROL: MINI JOYSTICK EUR 1, FOOT CONTROL FOR MDT/RNET EUR 1, JOYSTICK COMPACT ADV. R-NET EUR JOYSTICK COMPACT R-NET EUR JOYSTICK COMPACT LIGHT R- NET EUR 1, JOYSTICK MINI R-NET EUR 1, NO INPUT DEVICE / MDT IS OUTPUT ONLY EUR MD WITHOUT CONTROL EUR - _Cable MD Touch (+) CABLE BUS R-NET 1500mm EUR - Holder (+) HOLDER CHINSTEERING EUR HARNESS FOR CHIN CONTROL EUR PANEL HOLDER PARALLEL MOTION UNITRACK 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 HOLD BRACK UNITRACK V.2 EUR - Mounting position input device (+) Page 12 of 16

13 Mounting position input device (+) MOUNT POS DL/MD CONTROL LEFT EUR MOUNT POS DL/MD CONTROL RIGHT EUR - 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 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 Head array arm left 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 HEAD ARRAY SHORT ARM PROX IMITY LEFT LOW EUR HEAD ARRAY SHORT ARM SUPP ORT PAD LEFT LOW EUR 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 Head arrayoccipital pad (+) HEAD ARRAY OCCIPITAL PAD LARGE EUR HEAD ARRAY OCCIPITAL PAD SMALL EUR - User manual MagicDrive (+) USER MANUAL EU MAGICDRIVE+ EC EUR - Manual MD Touch (+) USER MANUAL MD TOUCH DE EUR USER MANUAL MD TOUCH DK EUR USER MANUAL MD TOUCH ES EUR USER MANUAL MD TOUCH FI EUR USER MANUAL MD TOUCH FR EUR USER MANUAL MD TOUCH IT EUR USER MANUAL MD TOUCH NL EUR USER MANUAL MD TOUCH NO EUR USER MANUAL MD TOUCH PT EUR USER MANUAL MD TOUCH SE EUR USER MANUAL MD TOUCH UK EUR USER MANUAL MD TOUCH US EUR - User manual Tablet Control (+) USER MANUAL EU TABLET CONTROL EUR - Manual Head array (+) MANUAL HEAD ARRAY DENMARK EUR MANUAL HEAD ARRAY ENGLAND EUR MANUAL HEAD ARRAY FRANCE EUR MANUAL HEAD ARRAY GERMANY EUR MANUAL HEAD ARRAY HOLLAND EUR MANUAL HEAD ARRAY NORWAY EUR MANUAL HEAD ARRAY PORTUGA L EUR MANUAL HEAD ARRAY SWEDEN EUR MANUAL HEAD ARRAY US EUR - Page 13 of 16

14 On/off switch (+) 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 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 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 Accessoires EC cable right mouse click (+) MD EC ADAPT. CABLE 3.5MM JACK PLUG EUR Powered panel holder (+) POWERED SWING AWAY CHIN / SIPP&PUF UNIT EUR 3, User manual Easy Mobile (+) USER MANUAL EU EASY MOBILE EUR - Charger MagicDrive Touch (+) MD TOUCH CHARGER EU EUR MD TOUCH CHARGER UK EUR Supplementary accessories Compact joystick (+) JOYSTICK COMPACT LIGHT R- NET EUR 1, 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 - Page 14 of 16

15 Joystick holder (+) PANEL BRACKET EXTRA C 3G EUR Chest support table (+) CHEST SUPPORT FOR TABLE CII/VII VINYL EUR Bluetooth mouse (+) BLUETOOTH MODULE FOR 1st MOUSE CTRL R-NET ASSY KIT EUR Extra Bluetooth mouse (+) BLUETOOTH MODULE FOR 2nd MOUSE CTRL R-NET ASSY KIT EUR Bluetooth idevice (+) BLUETOOTH MODULE FOR idev ICES EUR Cable extra switch BT (+) CABLE ADAPTER MOUSE CONTR OL BLUETOOTH R-NET EUR _USB Charger (+) USB CHARGER CORPUS/CORPUS VS EUR _Mounting position USB Charger (+) MOUNT POS USB CHARGER LEF T EUR MOUNT POS USB CHARGER RIG HT 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 Buddy button 63 mm Yellow (+) BUDDY BUTTON YELLOW 63 MM EUR Buddy button 63 mm Red (+) BUDDY BUTTON RED 63 MM EUR Micro light (+) MICRO LIGHT SWITCH EUR Cup (+) CUP SWITCH 45 MM EUR Grasp (+) GRASP SWITCH EUR Mini cup (+) MINI CUP SWITCH 24 MM EUR Switch (Egg) black (+) STEALTH EGG SWITCH BLACK W FLATHEAD PHILLIPS BOLTS EUR Switchbox alternative (+) SWITCH BOX ALTERNATIVE ICS 8-INPUT EUR Connection box external switches R-net (+) REMOTE BUTTON INTERFACE R -NET EUR Program Parameters Accessories Rnet/MagicDrive Touch (+) SOFTWARE MD TOUCH C350 PR OP JS EUR SOFTWARE MD TOUCH C350 SW ITCH INP EUR - Co-Pilot 2 (+) SOFTWARE CO-PILOT 2 FOR C km/h EUR - Extra Bluetooth mouse (+) SOFTWARE TWO BT MOUSE MOD ULES 3 AND 5 EUR 0.01 idevice (+) SOFTWARE SETUP MODES BT M OUSE CTRL BT idevice CTRL EUR - Permolock Page 15 of 16

16 Permolock (+) PERMOLOCK C3 WITH STANDARD SWITCH EUR 1, Manual Permolock (+) USER MANUAL DK PERMOLOCK C3 EUR USER MANUAL EU PERMOLOCK C3 EUR USER MANUAL FI PERMOLOCK C3 EUR USER MANUAL FR PERMOLOCK C3 EUR USER MANUAL DE PERMOLOCK C3 EUR USER MANUAL NL PERMOLOCK C3 EUR USER MANUAL IT PERMOLOCK C3 EUR USER MANUAL NO PERMOLOCK C3 EUR USER MANUAL PT PERMOLOCK C3 EUR USER MANUAL ES PERMOLOCK C3 EUR USER MANUAL SE PERMOLOCK C3 EUR USER MANUAL US PERMOLOCK C3 EUR - Release lever (+) MANUAL RELEASE FOR PERMOLOCK C EUR Quicklock holder release lever (+) QUICKLOCK HOLDER RELEASE LEVER EUR Spacer kit permolock (+) SPACER KIT PERMOLOCK C EUR Install kit fixed (+) PERMOLOCK SNAP IN KIT EUR Car seat adapter (+) CAR SEAT ADAPTER PERMOLOCK C3 EUR Spacer kits wheels (+) WHEEL BUMP FOR PERMOLOCK C3 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

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