BUDDY "Classicline" Active easy running wheelchair

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1 Im Hofstätt 11 D Dotternhausen Tel +49 (0) Fax +49 (0) Quotation date: Order date: according to GTC PRO ACTIV GmbH BUDDY "Classicline" Active easy running wheelchair Approved up to 100kg user load capacity Medical suppliers / Company address: Cust. no.: Name: Street: Postcode, city: Phone: Fax: Contact: Invoice address: same as company address Invoice address: other (see below) Cust. no.: Name: Street: Postcode, city: Phone: Fax: Contact: Shipping address: same as company address other (see below) Name: Street: Postcode, city: Body size: Customer name / commission: Name: Street: Postcode, city: Phone: Fax: Date of birth: Paying organisation: Indication: Körpergröße: Body size: cm cm Gewicht: Weight: kg kg Unterschenkellänge: cm Lower leg length: cm (anatomisches Maß: Kniekehle bis Fußsohle ) (anatomic dimension: hollow of the knee to the foot sole) / The prices are plus statutory value-added tax and shipping costs = Included in the basic price = Position selected

2 Buddy D3 Frame shape straight , Size M (Frame length 37 cm (to the bend) and frame heigth 21 cm) Seat width SB Seat depth ST Back height RH Lower leg length USL Seat height back SHh 33,5 34,5 35,5 36,5 37,5 38,5 39,5 For 22" tyres Seat height front SHv Tipping point KP Size L ( Frame length 40 cm (to the bend) and frame heigth 24 cm) Seat width SB Seat depth ST Back height RH Lower leg length USL Seat height back SHh For 24" tyres Seat height front SHv Tipping point KP Size XL (Frame length 43 cm (to the bend) and frame heigth 24 cm) Seat width SB Seat depth ST Back height RH Lower leg length USL Seat height back SHh For 24" tyres Seat height front SHv Tipping point KP Please cross on the appropriate dimension (all dimensions are specified in cm). Underlined values are standard settings. The values SHh and SHv may deviate a little from the specified values depending on the wheel size, wheel camber as well as the front and rear frame angle! / The prices are plus statutory value-added tax and shipping costs = Included in the basic price = Position selected

3 Buddy D4 Frame shape abducted , Lower leg lengthusl (wheelchair dimension when considering the seat cushion height) Size M ( Frame length 34 cm (to the bend) and frame heigth 21 cm) Seat width SB Seat depth ST Back height RH Lower leg length USL Seat height back SHh 33,5 34,5 35,5 36,5 37,5 38,5 39,5 For 22" tyres Seat height front SHv Tipping point KP Size L ( Frame length 38 cm (to the bend) and frame heigth 21 cm) Seat width SB Seat depth ST Back height RH Lower leg length USL Seat height back SHh For 24" tyres Seat height front SHv Tipping point KP Size XL( Frame length 43 cm (to the bend) and frame heigth 21 cm) Seat width SB Seat depth ST Back height RH Lower leg length USL Seat height back SHh For 24" tyres Seat height front SHv Tipping point KP Please cross on the appropriate dimension (all dimensions are specified in cm). Underlined values are standard settings. The values SHh and SHv may deviate a little from the specified values depending on the wheel size, wheel camber as well as the front and rear frame angle! / The prices are plus statutory value-added tax and shipping costs = Included in the basic price = Position selected

4 Frame colour - One-colour design Information on current colour designs and example images under: White RAL 9016 gloss matt Brilliant Silver gloss Anthrazit RAL 7016 gloss matt Black RAL 9005 gloss matt Deep black, silver effect gloss Pure orange RAL 2004 gloss Fire Red gloss matt Pink magenta RAL 4010 gloss matt Sky blue gloss Pastel blue RAL 5024 gloss matt Navy blue gloss matt Apple green gloss matt Lemon green gloss matt Purple gloss Yellow RAL 1023 gloss matt Red RAL 3001 gloss matt Colour - Attachment parts Drive wheel Aluminium rim and hub Caster fork and bearing block silver Rahmenfarbe Frame colour - - Einfarbdesign Two-colour design Information on current colour designs and example images under: Note: With two-colour design, according to both colours of the gloss level of the design colour. Two-colour design comprising one basic colour (on the back of the frame) and one design colour (on the front of the frame) Please select from the following colours: Base colours (on the back frame): White Silver Anthracite Black Pastel blue Lemon green Yellow Design colours (on the front frame) Yellow gloss matt Lemon green gloss matt Blue gloss matt Chili gloss matt Pure orange gloss matt Cappuccino gloss matt Black black If no details have been made, the attachment parts are mounted in black. Attachment parts colour design according to customer desires: Drive wheel 1 Aluminium rim and hub Orange RAL white RAL in frame colour Selection from single colour design deviating from the frame colour " Aluminium rim 2 3 spoke design Please enter the last 3 digits of the desired colour (single colour design): gloss matt Special colour requests (frame or attachment parts) Frame colour single procurement Frame from RAL range of colours Surface coating: gloss matt / The prices are plus statutory value-added tax and shipping costs = Included in the basic price = Position selected Colours Rev Colour details with RAL number Note: Attachment parts not possible in design colours 1 Only in combination with aluminium rim drive wheel Only in combination with caster wheel 5" Aluminium rim 3-spoke design smooth running or 5" Aluminium rim 3-spoke design good shock absorption

5 Frames From SB 24 cm, the wheelchair can be extended by 4 cm without having to change the frame side parts! Custom-made seat width 39 cm-46 cm with frame reinforcement, double cross-tube bolted, side panel screw connection via the reinforcement inlet Push handles Safety push handles back-positioned length 45 cm continuous height adjustment, Safety push handle holder mounted on the back cross bar max. height = SHh + approx. 53 cm Safety push handles back-positioned length 55cm continuous height adjustment, Safety push handle holder mounted on the back cross bar max. height = SHh + approx. 63 cm Safety push handles aluminium back-positioned with side handle offset Height adjustable central push handle, aluminium handle foldable ,60 (bracket for the push handle welded centrally on the backrest bracket) Compatible with the inclinable, folding backrest and also for the fixed backrest Maximum body weight 50kg and not compatible with the headrest fixture! Backrest Backrest fixed bolted with aluminium side parts Back angle 90 to the ground cannot be folded Folding backrest with integrated aluminium side parts, 7-way inclination adjustment Back equipment Adaptable back with back padding for anatomic adaptation Equipment with back cross bar Colour: black continuous height adjustment Safety push handle holder mounted on the back cross bar Length: 55cm Up to max. SB 38 cm, max. 60 kg body weight Central safety push handle aluminium mounted on the backrest bracket height-adjustable, Up to max. 50 kg body weight and not compatible with headrest fixture! Only possible in combination with ERGO Back backrest bracket, see separate dimensional sheet: "PRO ACTIV seat and back systems" Central push handle aluminium mounted on the backrest bracket height adjustable (bracket for the push handle welded centrally on the backrest bracket) Compatible with the inclinable, folding backrest and also for the fixed backrest Maximum body weight 50kg and not compatible with the headrest fixture! Headrest fixture with square holding fixture for headrests Assembly on the back cross-tube Tube diameter: 15x15mm 12,7x12,7mm Possible from SB 23 cm, not in combination with central push handle Equipment without back upholstery and back padding or back system Further back systems e.g. ergonomic back shell see separate dimension sheet: "PRO ACTIV Seat and back systems" Seat upholstery Body Contour Aluminium seat plate Assembly between the frame tubes on bolted welded seat plate holders / The prices are plus statutory value-added tax and shipping costs = Included in the basic price = Position selected

6 Equipment without seat upholstery Axle plate Standard equipment with 12 mm sockets / axle. Further axle plates on request. 2-slot axle plate Seat cushion Quick-release axle Ø 12 mm, Rear seat height (SHh) 24" wheel: approx cm 22" wheel: approx cm 20" wheel: approx cm With D4 size L and XL dimension +3cm rectangluar contour radius contour 1-slot axle plate Colour: black Only in combination with 10 camber, Rear seat height (SHh), can only be adjusted in some cases. Rear seat height (SHh) please indicate! 2-slot axle plate extended Wheelbase extension by 7.5 cm Extended Bike plate cover: black, breathable, open fabric surface black, closed fabric surface If no specification is given, the cover material "black breathable, open surface" will be delivered. Further seat cushions, e.g., "Anti-Decubitus" see separate dimension sheet: "PRO ACTIV "Seat and back systems" Clothing guard Clothing guard plug-in, removable Clothing guard aluminium fixed Only with Backrest fixed. Armrests Flip-down armrest with 25 cm arm padding No additional clothing guard necessary 25 cm long arm padding, mounted on the clothing guard Only in combination with clothing guard Art.no ! camber integrated Adjustable track Wheel camber * Total width with tight-mounted hand rim. 1 drive wheel camber Total width = approx. SB + 20 cm* 4 drive wheel camber Total width = approx. SB +25cm* 6 drive wheel camber Total width = approx. SB +29cm* 8 drive wheel camber Total width = approx. SB +33cm* 10 drive wheel camber Total width = approx. SB +39cm* 12 drive wheel camber Total width = approx. SB +42cm* / The prices are plus statutory value-added tax and shipping costs = Included in the basic price = Position selected

7 E-adoptions Preparation for "e-motion" mounting Equipment: e-motion torque support, 1/2" axle and socket length 50.8 mm (2") Pro Activ and Alber recommend that antitipping supports are installed in pairs for wheelchair equipment with e-motion, please select the equipment and under "Adaptations"! Preparation for "e-fix" mounting Equipment: 1/2" axle, socket length 50.8 mm (2") and e-fix torque support. Pro Activ and Alber recommend that antitipping supports are installed in pairs for wheelchair equipment with e-fix. Please order anti-tipping support e-fix with mount "Buddy" direct from Alber! Wheelchair delivery to Alber GmbH specialist dealer Brake system Brake system push to lock Brake system push to lock Long brake handle Brake handle angle Space-saving; recommended for users with slight motoric disabilities. Only compatible with brake system push to lock with standard brake handle, long brake handle or low brake handle. Brake lever with M8 adapter and plastic ball long short Brake handle to flip down Length: 9cm Brake system push to lock with one-hand operation via Bowden cable Operation: right side left side Brake for accompanying persons Push handle operation via Bowden cable. Drum brake Operating from the push handle, Only possible with 2-slot axle plates Total width + 3cm (see wheel camber) Only in combination with 36 spoke drive wheel aluminium rim and hub in silver. Not in combination with one arm drive, e-fix or e-motion! Footrest Continuous footrest with tubular resting bracket height-adjustable From USL 26 cm to USL 47 cm possible For equipment of the footrest with "Rubber coated footplate", please select under "Footrest accessories". Footrest folding up to one side from USL 25 cm: with continuous tubular resting bracket, height adjustable +/- 3 cm, cannot be removed. From USL 29 and frame height 21 cm: Can be swung away. For equipment of the footrest with "Rubber coated footplate", please select under "Footrest accessories". Footrest folding back to the rear with locking mechanism ,00 with tubular resting bracket minimum USL 42cm For equipment of the foot bracket with "Rubber coated footplate", please select under "Footrest accessories". Footrest folding back to the rear Position of footplate can be changed via angle-adjustable brackets. For equipment of the footrest with "Rubber coated footplate", please select under "Footrest accessories" / The prices are plus statutory value-added tax and shipping costs = Included in the basic price = Position selected

8 Footrest folding back to the rear for USL < 39 cm and from SB Foot bracket joint clamped on the frame, with continuous tubular resting bracket and 20 mm operating lever For equipment of the footrest with "Rubber coated footplate", please select under "Footrest accessories". Not in combination with therapy! Divided footrest with rubber coated foot rest, heightadjustable, can also be pivoted outwards and folded up to the side, cannot be removed For D4: possible from USL 29 cm and SB 26 cm! For D3 size S/M: possible from USL 29 cm and SB 31 cm! For D3 size L/XL: possible from USL 34 cm and SB 31 cm! "Swing away" footrest with rubber coated foot rest, angle adjustment, can also be pivoted outwards, can be removed, height-adjustable Possible from USL 27 cm! Footrest, positioned on the upper frame height-adjustable From USL 20 cm to USL 25 cm possible. Rubber coated foot rest required, please select separately! Footrest accessories Rubber coated footplate, 14 cm deep bolted, angle-adjustable In combination with foot bracket with tubular bracket Art.-no , or ! Rubber coated footplate, 18cm deep bolted, angle-adjustable In combination with tubular bracket Art.-no , and ! Footplate side stop adjustable only in combination with rubber coated footplate! Protection rolls mounted on the footplate Adaptations Anti-tipping support right side left side with tension spring, can be folded up, removable using Quick-pin Outdoor push bar f or assistance by accompanying persons, can be adapted to the frame cross-tube from behind, removable via quick release clips Possible from SB 19 cm! Outdoor wheel attachment removable via quick release clips Possible from SB 19cm! Caster wheels 4" Caster wheel "Standard" black (82A), 5" Caster wheel "Standard" grey (82A), 5" Caster wheel "Standard" black (82A), 6" Caster wheel "Standard" (82A), 5" Lenkrad "2 components" " Caster wheel "Pneumatic tyre" " Caster wheel"soft" (up to a body weight of 50kg) 3" Skate wheel (80 mm) / The prices are plus statutory value-added tax and shipping costs = Included in the basic price = Position selected

9 4" Skate wheel (100mm) Safety light-up wheel 4" (100mm) Safety light-up wheel 5" (125mm) " Aluminium rim 3-spoke design "easy running" with replaceable rubber race 3 mm, hard, silver, anodised black " Aluminium rim 3-spoke design "good shock absorption" with replaceable rubber race 6 mm, medium hard, silver, anodised black Frog Legs-Caster wheel 4" (ø100x32) " (ø125x32) with replaceable rubber race, black, puncture proof, 3-spokes, rim: silver Caster fork Caster fork colours, see "Component colours " Caster fork Standard with screwed axle with quick release axle Caster fork "Heavy duty" for high loads Extra weight approx g with screwed axle with quick release axle Suspension fork with screwed axle and 5" Aluminium rim "good shock absorption" with quick-release axle and 5" Aluminium rim " good shock absorption" Caster fork spare wheel with quick-release axle Article is without caster wheel. In case a caster wheel is requested, please put a cross on a second selection in the category Caster wheels Track distance Caster wheel track extension 10mm per side mm per side mm per side Drive wheels Drive wheel, 18 spoke aluminium rim 20 (ETRTO ) (ETRTO ) (ETRTO ) with aluminium front hub, spoked radially Only up to a body weight of 70 kg, not with tyres, not suitable for bike mode. Drive wheel, 36 spoke aluminium rim 20 (ETRTO ) (ETRTO ) (ETRTO ) with aluminium front hub, spoked radially Drive wheel double rim 36 spokes 24" (ETRTO 540) with aluminium front hub, spoked radially asymmetrically For high loads / The prices are plus statutory value-added tax and shipping costs = Included in the basic price = Position selected

10 Spinergy running wheel "Spox Sport" with 24 PBO spokes; rim, hub and spokes in black 24" (ETRTO 540) Spinergy "Everyday Light Extreme" with 12 PBO spokes; rim and hub in black, spokes white 24 (ETRTO 540) Spinergy "Everyday Light Extreme" with 12 PBO spokes; rim, hub and spokes in black 24 (ETRTO 540) Handrims x = dimension handrim attachment! Handrim : Curve Handrim attachment: attachment x = 11mm x = 10mm x = 19mm x = 18mm If no specification is given, the handrims will be mounted wide (19mm/18mm). Ø 20 mm stainless steel handrims Ø 19 mm aluminium handrims silver anodised Ø 16 mm aluminium handrims powder coated in frame colour (Basic colour in two-colour design) = surface gloss = surface matt coating in matt is because of the minimal Grip not recommended Ø 19mm aluminium handrims powder coated in frame colour (Basic colour in two-colour design) = surface gloss = surface matt coating in matt is because of the minimal Grip not recommended Ø 16 mm aluminium handrims polished and hard-anodised , ,80 Ø 19mm aluminium handrims polished and hard-anodised , ,80 124, Ø 19 mm titanium handrims Ultra-Grip handrims "very good grip" Ergo-Grip handrims Resting attachment to the rim! Dual-Grip handrims / The prices are plus statutory value-added tax and shipping costs = Included in the basic price = Position selected

11 Handrims Maxgrepp with cell and natural rubber cover very good grip, soft Silicone handrims cover for 20" hand rim for 22" hand rim for 24" hand rim Surface without structure compatible with handrim Ø 19mm or Ø 20mm. Curve handrim, black anodised, ergonomic handrim profile for 24" and 25" wheel H 24mm for 24" and 25" wheel H 31mm Size L Curve handrim powder coated, ergonomic handrim profile = frame colour (surface gloss) = black (surface gloss) coating in matt is because of the minimal Grip not recommended. for 24" and 25" wheel H 24mm for 24" and 25" wheel H 31mm Size L Curve Grip handrim, Tetra-Grip coated, ergonomic handrim profile for 24" and 25" wheel H 31mm Größe L Quadro handrims, Tetra-Grip "very good grip" for 24 and 25" wheel Gekko handrims for 24 and 25" wheel for 26" wheel Black anodised with strong and exchangeable rubber completely integrated in the handrim profile Equipment without handrims Spoke guard Finger- and spoke guard "transparent" Design and spoke protection film "basket" Only in combination with finger and Spoke protection possible! Design and spoke protection film "silly bubble" Only in combination with finger and Spoke protection possible! Design and spoke protection film "blue-sky" Only in combination with finger and Spoke protection possible! Design and spoke protection film "colour-stones" Only in combination with finger and Spoke protection possible! Tyres Schwalbe "RightRun" High-pressure tyre 7.5 bar 20x1 (451-25) x1 (489-25) x1 (540-25) / The prices are plus statutory value-added tax and shipping costs = Included in the basic price = Position selected

12 Schwalbe "DownTown" Tread tyre 7.5 bar 24x1 (540-25) Schwalbe "MarathonPlus Evolution" with "smart guard" puncture protection and reflector strips 22x1 (489-25) Colour: black 10 bar Schwalbe "MarathonPlus Evolution" with "smart guard" puncture protection 24x1 (540-25) Colour: black 10 bar Schwalbe "MarathonPlus" with "smart guard" puncture protection 24x1 (540-25) Colour: grey, black wall 10 bar Schwalbe "Airborne" 24x1,2 (540-20) Colour: black Puncture-proof tyres "Solid rubber tyres" 24x1 (540-25) Colour: black Not in combination with the 18 spoke drive wheel! Puncture protection belt for pneumatic tyres x1.75" Continental "Explorer" Brake setting not compatible with 24x1" wheel x2.1" Schwalbe "SMART SAM Sport" Brake setting not compatible with 24x1" wheel ATTENTION: we charge a surcharge of for the use of drum brakes Lockable drive wheel axle clip "Tetra Clip" Not for Spinergy drive wheels Hand air compressor with pressure gauge Adjustable safety belt with belt buckle Adjustable safety belt with hook and loop fastener Crutch holder with nylon cup flexibel Light set with battery and charger Accessories 24 MTB spare wheel set with double rim (ETRTO 507), aluminium front hub, quick-release axle and stainless steel hand rim Mountain bike tyres, selectively: x1.75" Continental "RIDE Tour Trekking" Brake setting compatible with 24x1" wheel Transport bag for drive wheels For 24" wheel Ø76cmx2cm Accessory bag cm x 13cm x 5cn / The prices are plus statutory value-added tax and shipping costs = Included in the basic price = Position selected

13 Therapy table different widths Width 350 mm (up to seat width SB 37cm) Width 400mm (seat width SB 38 SB 41cm) Width 420mm (up to seat width SB 42cm) removable table plate from of Lexan, transparent, with front edging, with 2 items positioning stops diameter 25mm (for adaptation to frame tube diameter 25 mm) Further accessories e.g. adaptive bikes, steering attachments, etc. see separate dimension sheet or Your additional notes: I herewith confirm the details listed above Location, Date Signature (End customer) Location, Date Signature (Dealer) / The prices are plus statutory value-added tax and shipping costs = Included in the basic price = Position selected

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