Quickie 2 EIQ2 MASS MASS PLAQUE NO. P

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Quickie 2 EIQ2 MASS 2009 - MASS PLAQUE NO. P ACCOUNT #: SHIP TO: DATE: NAME: P.O. #: ADDRESS: BUYER: CITY/ STATE: MARKED FOR: POST CODE: PHONE NUMBER: BASE MODEL 113 kgs weight capacity 184WM58 Quickie 2 $2,495.

1 Quickie 2 EIQ2 MASS MASS PLAQUE NO. P ACCOUNT #: SHIP TO: DATE: NAME: P.O. #: ADDRESS: BUYER: CITY/ STATE: MARKED FOR: POST CODE: PHONE NUMBER: BASE MODEL 113 kgs weight capacity 184WM58 Quickie 2 $2, * 3 year True Fit Grwth Kit Std REAR FRAME TYPE (113kg. Weight Capacity) 184RS1 Rear Side Frame Straight Std 184RS2 Rear Side Frame Runded 184RS3 Depth Adjustable Back (DAB) $ NA with swing-away, flip-back armrests, r Xtender (Backrest set 2" rear f seat tube w/ 1" adjustable frward) HEAVY DUTY PACKAGE (160 kgs weight capacity) 184HV1 Heavy Duty (18"-22" w. nly) $ Quickie 2 with ptinal Jay Lite cushin shwn Nt available with Xtender r Small Frame Length Includes Reinfrced Back Uphlstery & Stabilizer Bar. Depth Adjustable Back Frame Type FRAME WIDTH 184W3 12" 184W4 13" 184W5 14" SEAT DEPTH 184W6 15" FRAME DEPTH 184W7 16" SLING DEPTH 184W8 17" 184W9 18" 184W10 19" 184W11 20" $ W12 21" (Only Avail. With Heavy Duty) $ W13 22" (Only Avail. With Heavy Duty) $ SEAT SLING TO PUSH HANDLE SEAT DEPTH 2.50 MEASUREMENT SD5 12" BACKREST MOUNTING HARDWARE 184SD6 13" WILL AFFECT SEAT DEPTH 184SD7 14" 184SD8 15" FRAME LENGTH 184SD9 16" Hemi Frames Lengths NA with Xtender Pwer Assist. Hemi Hangers Only. 184SD10 17" 001FL1 Small (12"-14") 184SD11 18" 001FL9 Regular (13"-16") 184SD12 19" $ FL18 (15"-18") 184SD13 20" $ FL25 X- (17"-20") Steel Reinfrced 001FL17 Hemi (13"-16") 001FL24 Hemi (15"-18") 001FL29 X- Hemi (17"-20") Steel Reinfrced * Quickie 2 True Fit Prgram Physical changes can cause a chair nt t fit prperly. T ensure prper fit, Sunrise ffers ne-time replacement fr grwth f the seat sling, back uphlstery, ftplates, hangers, back tubes, frame and crssbrace at n extra charge. (Fr up t 3 years frm delivery n all Quickie 2 wheelchairs.) 1 f 8

2 FRONT SEAT HEIGHT 163SH13 14" 163SH " 163SH15 15" 163SH " 163SH17 16" 163SH " 163SH16 17" 163SH " 163SH18 18" 163SH " 163SH21 19" 163SH " 163SH24 20" 163SH " 163SH27 21" 163SH " 163SH27 22" CASTER WHEEL All 8" casters nt available with 90D hangers, ELRs and Small Frame 184CW1 3" Micr 184CW30 3" Micr Lighted $ CW80 3" x 1.5" Aluminum Sft Rll $ CW1 4" Lw Prfile Plyurethane Nt available in heavy duty package. 184CT30 4" Micr Lighted $ CW72 4" x 1" Aluminum Plyurethane $ CW47 4" x 1.25" Semi Pneumatic $ CW67 4" x 1.5" Aluminum Sft Rll $ CW51 5" Lw Prfile Plyurethane Std 184CW35 5" Micr Lighted $ CW65 5" x 1" Aluminum Plyurethane $ CW7 5" x 1.5" Semi-Pneumatic $ CW67 5" Sft Rll (Grey) $ Nt available with Frg Legs 184CW66 5" x 1.5" Aluminum Sft Rll $ CW34 6" Plyurethane 184CW35 6" Pneumatic $ CW71 6" x 1" Aluminum Plyurethane $ CW35 6" x 1.5" Semi Pneumatic $ CW68 6" x 1.5" Aluminum Sft Rll $ CW16 7" Plyurethane 184CT32 8" Plyurethane 184CT21 8" Pneumatic $ CT32 8" x 1.5" Semi Pneumatic $ CT36 8" x 2" Pneumatic $ CT37 8" x 2" Pneumatic w/airless Insert $ OM Omit Caster Wheels FRONT SEAT TO FLOOR HEIGHT MATRIX Standard Caster Stem Blt Psitin Frk Size Size Size Multi Psitin Std NO GO NO GO Multi Psitin 3/4" Multi Psitin 1 1/2" Multi Psitin Tall Std NO GO NO GO NO GO Multi Psitin Tall 3/4" Multi Psitin Tall 1 1/2" " Std " 3/4" " 1 1/2" /4" Std NO GO NO GO /4" 3/4" NO GO /4" 1 1/2" NO GO Frg Legs Std NO GO Frg Legs 1 1/2" NO GO Multi Psitin Std NO GO Multi Psitin 3/4" Multi Psitin 1 1/2" Multi Psitin Tall Std NO GO NO GO Multi Psitin Tall 3/4" Multi Psitin Tall 1 1/2" /4" Std /4" 3/4" /4" 1 1/2" " Std NO GO NO GO " 3/4" " 1 1/2" " Std NO GO NO GO " 3/4" " 1 1/2" Frg Legs Std Frg Legs 1 1/2" Multi Psitin Std Multi Psitin 3/4" Multi Psitin 1 1/2" Multi Psitin Tall Std NO GO Multi Psitin Tall 3/4" Multi Psitin Tall 1 1/2" /4" Std /4" 3/4" /4" 1 1/2" " Std NO GO " 3/4" " 1 1/2" " Std NO GO " 3/4" " 1 1/2" Frg Legs Std NO GO Frg Legs 1 1/2" NO GO Multi Psitin Std NO GO Multi Psitin 3/4" Multi Psitin 1 1/2" Multi Psitin Tall Std Multi Psitin Tall 3/4" Multi Psitin Tall 1 1/2" /4" Std /4" 3/4" /4" 1 1/2" " Std " 3/4" " 1 1/2" " Std " 3/4" " 1 1/2" Frg Legs Std NO GO NO GO Frg Legs 1 1/2" NO GO NO GO 20 7 Multi Psitin Std NO GO NO GO NO GO 19 7 Multi Psitin 3/4" NO GO Multi Psitin 1 1/2" NO GO Multi Psitin Tall Std NO GO Multi Psitin Tall 3/4" /4" Std NO GO /4" 3/4" /4" 1 1/2" " Std NO GO " 3/4" " 1 1/2" " Std " 3/4" x /4" Std NO GO x /4" 3/4" x /4" 1 1/2" x 1.5 6" Std NO GO x 1.5 6" 3/4" x 1.5 6" 1 1/2" x 1.5 7" Std x 1.5 7" 3/4" x 2.0 8" X 2" Std x 2.0 8" X 2" 3/4" x 2.0 8" X 2" 1 1/2" 22 8 Multi Psitin Tall Std Multi Psitin Tall 3/4" " 3/4" " 1 1/2" " Std " 3/4" CASTER FORK 184CF46 Multi Psitin Frk-Tall 184CF46 Multi Psitin Frk- 3" Frk 184CF46 5 1/4" Frk 184CF46 6 " Frk 184CS3 7" Frk 184CS3 8" x 2" Frk 184CF53 Frg Legs Suspensin (0-100 lbs.) $ CF54 Frg Legs Suspensin ( lbs.) $ CF55 Frg Legs Suspensin ( lbs.) $ CF30 Omit Caster Wheels Fr Hemi Frame Setups, subtract 2 " frm these measurements 2 f 8

3 CASTER OPTIONS 184CS5 184CS5 FOOTREST LENGTH MATRIX Standard Frk Stem Blt Caster Pin Lcks (N/A w/8"x2") $ Nt available with Xtender Pwer Assist Optin. 184CS3 Quick-Release Caster Stems $ Nt available with Xtender, caster pin lcks, 3/4" r 1-1/2" frk stem blts, 8"x2" casters r Frg Legs HANGERS 184H1 184H2 184H3 60" Swing In/Out Hanger 70" Swing In/Out Hanger 70" V Swing In/Out Hanger Std 17"-20" W & cmpsite r angle adj. ftplates 13"-20" W available w/ fam ftplates & platfrm flip-up. NA w/lcking angle adjust ftplates r shrt ext tubes. 184H5 184H24 70" Hemi Swing In/Out Hanger Articulating Hanger $ Available w/cmpsite & adult angle adjustable ftplates. NA with Push T Lck Wheel Lcks 184H14 Elevating Hanger $ Only available with aluminum ftplates r angle adj. NA with shrt extensin tubes. 184H42 Elevating Hemi-Hanger $ NA w/lcking angle adjust ftplates r shrt ext tubes. Only available 14"- 22" W, w/aluminum r angle adj. 184H7 70 Swing In/Out Frnt Munt Hanger 60 Swing-Away 60 Swing-Away 60 Swing-Away 60 Platfrm Flip-up 60 Platfrm Flip-up 60 Platfrm Flip-up 70 Swing-Away 70 Swing-Away 70 Swing-Away 70 Platfrm Flip-up 70 Platfrm Flip-up 70 Platfrm Flip-up 70 "V" Swing-Away 70 "V" Swing-Away 70 "V" Swing-Away 70 "V" Platfrm Flip-up 70 "V" Platfrm Flip-up 70 "V" Platfrm Flip-up 70 Hemi 70 Hemi 70 Hemi 70 Hemi Platfrm Flip-up 70 Hemi Platfrm Flip-up 70 Hemi Platfrm Flip-up 80 Swing In/Out Frnt Munt 184F1 90 Swing In/Out Frnt Munt 90 Elevating Hanger 163F1 184F2 184F3 $ Elevating Hemi Hanger Cmpsite Angle Adj. Ftplate w/hl $ Fam Ftplate w/leg Strap Aluminum Angle Adj. w/ HL $61.00 $ Available n 14"-22" widths. Available n 14"-22" widths, Nt available with 8" casters 184H43 Std Available 16"t 22" widths Available w/kids r adult angle adj., r 90 ftbard 184H23 Cmpsite w/heel Lp Available 13"-22" widths Available w/kids r adult angle adj., r 90 ftbard 184H6 Seat Sling t Tp f Ftplate range /4 15 1/2-19 1/ /4 12 3/8-16 3/8 14 1/2-18 1/ /2-16 1/ /4 17 1/2-21 1/4 13 1/2-16 3/8 15 1/4-18 1/4 17 3/4-20 3/4 14 3/4-17 1/2 16 3/4-19 1/2 18 3/4-21 1/2 13 3/8-16 1/8 15 1/2-18 1/ /4 13 3/4-16 1/4 16 1/4-18 3/4 18 3/4-21 1/4 14 3/8-16 3/8 16 1/2-18 1/ /4 FOOTPLATES Available w/kids r adult angle adj., r 90 ftbard 184H8 Extensin Kids angle adjustable ftplate n 12" Aluminum Ftplate $ Available n 14"-22" widths, Nt available with 8" casters 184F5 Only available with elevating hangers. 184F62 EXTENSIONS (Required with Extensin Tube Munted Hangers) 184E1 (see matrix fr lengths) 184E2 (see matrix fr lengths) 184E5 (see matrix fr lengths) ELR (elevating leg rest nly) 184E12 ELR (elevating leg rest nly) 184E15 184E16 High Munt 2" - Direct Munt Only $33.00 Nt available with 6" r 8" caster, 90 hangers r ELR's 184E24 $ F48 Platfrm Flip Up w/leg Strap $ Nt available with shrt extensin tubes. Only available with 60, 70, 70 V r hemi hangers. 184F61 Lcking Angle Adjustable $ Nt available belw 14" widths and 'V' hangers. $75.00 Nt available with One-Arm drive ptin r ELR's 184E22 90 Ftbard Only available up t 16" wide & 70, 80 r 90 hangers. 4" Direct Munt Only FOOTREST OPTIONS (EXTENSION TUBE AND DIRECT MOUNT) 184HL4 Omit Heel Lp 184HL6 Omit Leg Strap $33.00 Nt available with 6" r 8" caster, 90 hangers r ELR's TOE LOOPS 184HL6 Te Lps LOWER LEG LENGTH SETTING (Recmmend 2" less than FSTFH) 9" 10" 11" 12" 13" 14" 15" 16" 17" 18" 19" 20" 3 f 8 $20.00

4 REAR SEAT HEIGHT HANDRIM 21.5" & 22" nly available with amputee r straight axle plate & Mutain Wheel Aluminum and Plastic are available n all wheels in all sizes except Ultra Lightweight 184RH11 13" (curved axle and runded rear) Natural Fits are available in 22", 24", 25" and 26" sizes 184RH " Handrim Selectin nt applicable with Extender Pwer Assist 184RH13 14" 184HR1 Aluminum Andized Std 184RH " 184HR4 Plastic Cated $ RH15 15" 184HR4 Natural Fit - Standard Grip $ RH " 184HR4 Natural Fit - Super Grip $ RH17 16" 184HR4 Natural Fit - Withut Thumb Grip $ RH " 184HR30 Natural Fit LT- Standard Grip $ RH19 17" 184HR31 Natural Fit LT- Super Grip $ RH " 184HR32 Natural Fit LT- Withut Thumb Grip $ RH20 18" 184HR33 Spinergy Flex Rim $ RH " Only available n 24" & 25" Spinergy LX wheel 184RH21 19" 184RH " 184RH37 20" PROJECTION HANDRIMS 184RH " Nt available with Xtender Pwer Assist Optin r plastic cated handrims. 184RH37 21" Only available with 24" r 26" rims / Height Adj and Flip Back Arms 184RH " 184HR8 8 Oblique $ RH37 22" 184HR9 8 Vertical $ REAR WHEEL TYPE Nt applicable when Xtender Pwer Assist Optin is chsen. Ultra Lightweight Wheels nly availalble with Aluminum Andized Handrim 184RW3 20" Mag Wheel 184RW4 22" Mag Wheel 184RW8 24" Mag Wheel 184RW90 20" Lite Spke Wheel 184RW91 22" Lite Spke Wheel 184RW92 24" Lite Spke Wheel Std 184RW93 25" Lite Spke Wheel 184RW94 26" Lite Spke Wheel $ RW77 22" Ultra Lightweight Spke Wheel $ RW78 24" Ultra Lightweight Spke Wheel $ RW80 26" Ultra Lightweight Spke Wheel $ RW28 22" Spinergy SPOX Black $ RW30 24" Spinergy SPOX Black $ RW43 25" Spinergy SPOX Black $ RW44 26" Spinergy SPOX Black $ RW32 22" Spinergy LX Black $1, RW88 24" Spinergy LX Black $1, RW89 25" Spinergy LX Black $1, RW40 26" Spinergy LX Black $1, RW50 24" Muntain $ RW46 26" Muntain $ REAR WHEEL TIRE Nt applicable when Xtender Pwer Assist Optin is chsen. 184RT1 Pneumatic Std AXLE 184RT2 E2213 Pneumatic Airless Insert $ AX1 Quick Release Steele Std 184RT8 Kevlar $ AX11 Quad Quick Release $ RT3 Full Ply Mag and Muntain Wheel Only 184RT4 Lw Plyurethane AXLE PLATE 184RT6 High-Pressure Clincher $ AL2 Standard Adjustable 184RT27 Knbby V- Trak by Kenda $ Sme restrictins may apply 184RT21 Schwalbe Marathn Plus Evlutin $ AL5 Curved Adjustable $ RT22 Kik Mak Black $ AL6 E0959 Amputee Adjustable $ " KIK is nly available in Pyramid prfile Only available with SPHA arms at swing away price 184RT26 Urban Assault $ AL29 Offset Adjustable 184RT12 Muntain Tire $ Rear seat height will be 1/4" lwer than standard RSTFH 4 f 8

ONE ARM DRIVE BACK POST OPTIONS (Standard r Angle Adjustable) Nt available with Xtender, 25" & 26" wheels, 12" 21" & 22" Wide, HD Package 184BP1 Push Handle Straight Std Padded Swing Away Arm, anti

NA n Angle Adjustable Backrest 184OA1 Small Handrim (NA w/ 20" wheels) 184BU29 Slid Back Hardware Only $80.00 184OA2 Standard Handrim 184BP5 Angle Adj.

00 XTENDER POWER ASSIST Rear axle psitin nly available at 18.

5 ONE ARM DRIVE BACK POST OPTIONS (Standard r Angle Adjustable) Nt available with Xtender, 25" & 26" wheels, 12" 21" & 22" Wide, HD Package 184BP1 Push Handle Straight Std Padded Swing Away Arm, anti tips, amputee axle, r small tray table. Mags nly 184BP3 Push Handle 8 $ AL16 E0958 One Arm Drive Adj. Axle Plate $ Med. Or Tall nly. NA n Angle Adjustable Backrest 184OA1 Small Handrim (NA w/ 20" wheels) 184BU29 Slid Back Hardware Only $ OA2 Standard Handrim 184BP5 Angle Adj. Straight Push Handles 184HM1 Right Hand Munt 184SR2 Regular Strller Handles $ HM2 Left Hand Munt 184SR3 Tall Strller Handles $ SR6 Tall Strller Handles (SA Arm) $ XTENDER POWER ASSIST Rear axle psitin nly available at 18.5" seat height, frnt seat height must be greater Nt available with Xtender, depth adjustable back, amputee 184XT1 E0986 Xtender Pwer Assist with Pneumatic $7, axle plate, push handles when angle adjustable back is selected. flip-back r flip-back height adjustable armrests. XTENDER POWER ASSIST HANDRIMS Omit push handles. STD with DAB. 184XH1 3x Trque Multiplier- Plastic Cated 184XH2 1.5x Trque Multiplier- Stainless Steel 184BP33 DAB - Swing Away Strller Handles $ BP30 DAB -Strller Handles Extensins Std $85.00 XTENDER POWER ASSIST WHEELS 184BP31 DAB -Strller Handles Extensins Med $ XA2 SPARE 24" Lite Spke Pneu Alum 184BP32 DAB -Strller Handles Extensins Tall $ XA4 SPARE 24" Lite Spke Pneu Plastic $ BP27 DAB - Pst Standard 184BP28 DAB - Pst XTENDER POWER ASSIST ACCESSORY 184BP29 DAB - Pst Tall 184XA1 Xtndr Spare Nimh Pwer Pack $ ANGLE ADJUSTABLE BACKREST PIVOT HEIGHT BACK TYPE Standard push handles nly. Sme interference with Padded SA arms 184BT19 Standard Nt available with flip-back r flip-back height adjustable armrests. 184BT20 Angle Adjustable Back (3-5") $ AH1 Angle Adjustable Pivt 3" 184BT22 Angle Adjustable Back (5"-7") $ AH2 Angle Adjustable Pivt 4" 184BT6 Depth Adjustable 184AH3 Angle Adjustable Pivt 5" 184AH4 Angle Adjustable Pivt 6" BACKREST UPHOLSTERY (STANDARD OR ANGLE ADJUSTABLE) 184AH5 Angle Adjustable Pivt 7" 184BU1 Standard Uphlstery BU8 Tensin Adjustable Uphlstery $ Nt available with fabric side guards. 184BP8 Omit Back Pst & Uphlstery -$35.00 Use with DAB slid back & Hardware 184BU23 Depth Adjustable Slid Back $ REFER TO CHART IN DETERMINING PUSH HANDLE LENGTH BACKREST OPTION 184BU16 Reinfrced Uphlstery $45.00 JAY BACK (OPTIONAL) 145JB01 Jay J3 Back (See J3 Back Order Frm) See OF PSIS SEATING SURFACE CUSHION THICKNESS A B REGULAR 3 5 TALL 5 7 TO DETERMINE THE PROPER PIVOT-POINT HEIGHT, MEASURE BETWEEN THE PSIS AND THE TOP OF THE SEATING SURFACE (A), THEN ADD THE THIICKNESS OF THE CUSHION (B) IF ONE IS USED. IF A DROP-SEAT FALLS BELOW T HE SEAT RAILS, SU BTRAC T THIS DISTAE FROM THE OVERALL VALUE. at width Seat depth Seat height Back height 5 f 8

ANGLE ADJUSTABLE BACKREST (+3-15 ) HEADREST Angle Adjsutable Pre - Set Angle (OPTIONAL) 184HE1 Curved 8 x 4.5 inch $270.

6 ANGLE ADJUSTABLE BACKREST (+3-15 ) HEADREST Angle Adjsutable Pre - Set Angle (OPTIONAL) 184HE1 Curved 8 x 4.5 inch $ BD5 Back Angle HE2 Curved 9 x 4.5 inch $ BD4 Back Angle HE14 Universal Munt 184BD3 Back Angle BD2 Back Angle - 0 ARMREST - PADDED SWING AWAY 184BD1 Back Angle +3 Nt available with depth adjustable back, transit, Xtender r Amputee axle Sme limitatins may exist with integral push handles 184AA18 Padded Swing-Away Standard (9" t AA23 Padded Swing-Away Lw (6" t 10") Setting 6" 7" 8" 9" 10" 11" 12" 13" Please Circle ARMREST HEIGHT ADJUSTABLE 184AA11 Height Adjustable Standard ( w/dab) $ AA29 Height Adjustable Lw ( w/dab) $ OF ADJUSTMENT IN 6 IREMENTS FLIP BACK ARMREST Nt available with depth adjustable back, Xtender, Kids frame, amputee axle highest axle n runed rear frame, angle adjustable back, Unilat. wheel lck 184AA5 Flip Back $ AA6 Flip Back Height Adj (Classic) $ Flip Back Height Adj (LITE) $ FLIP UP ARMREST (fr use with Depth Adjustable Back) 184AA7 Adj. Lcking Flip-up $ BACK HEIGHT 184AA1 Length Adjustable Lcking Flip-up $ B1 Lw (8.5"-12") 184B5 (12"-16") OMIT ARMREST 184B9 Tall (17"-21") 184AA14 Omit Armrest 184B66 Depth Adjustable 12" 184B67 Depth Adjustable 14" ARM PAD - HEIGHT ADJUSTABLE 184B68 Depth Adjustable 16" Fr Flip Back, Single Pst, and Flip Up. Cntur pad nt recmmended fr Tray tables 184B69 Depth Adjustable 18" Cntur nly aviable with Single Pst Height Adjustable. 184B70 Depth Adjustable 20" 163AM1 Desk Length - Classic (10") 163AM1 Desk Length - Cntur (10") BACK HEIGHT SETTING (Standard r Angle Adjustable) 163AM2 Full Length - Classic (14") 001B56 9" 001B59 16" 163AM2 Full Length - Cntur (14") 001B57 10" 001B60 17" 163AM2 Armpad Fam - 001B58 11" 001B61 18" 163AM2 Armpad Fam - 001B59 12" 001B62 19" 001B60 13" 001B63 20" WHEEL LOCK 001B61 14" 001B64 21" Erg & Cmpact NA with Fae r Amputee Axle Plate. Un 001B62 15" Additinal N Gs may exist depending n wheel size and psitin 184WL1 High Munt Push 184WL2 High Munt Pull 184WL15 Erg Scissr 184WL29 Cmpact $ WL24 Unilateral Push Lck Right $ WL23 Unilateral Push Lck Left $ WL12 D Nt Munt 184WL10 Omit EXTENSION HANDLE STABILIZER BAR Nt available with Erg Scissr, Cmpact, r Unilateral Wheel Lcks 184SZ1 Stabilizer Bar $ EH1 E0961 6" Pair $ SZ2 Flding Stabilizer Bar $ EH3 E0961 6" Left $ Nt available with strller handles. 184EH2 E0961 6" Right $ Standard with Heavy Duty Package GRADE AID 184GA1 E0974 Grade Aid $ Nt available with plyurethane r high pressure clincher tires, shrt frame, Erg Scissr r Cmpact wheel lcks. 6 f 8

SEAT SLING MISCELLANEOUS 184SL1 Standard Seat Sling Std 184A82 Caddy (NA with frnt munt hangers) $60.00 184SL6 Omit Seat Sling 184A49 Crutch Hlder $96.00 184A803 Cmbat Crutch Hlder $220.

7 SEAT SLING MISCELLANEOUS 184SL1 Standard Seat Sling Std 184A82 Caddy (NA with frnt munt hangers) $ SL6 Omit Seat Sling 184A49 Crutch Hlder $ A803 Cmbat Crutch Hlder $ CUSHION 184 Extra Leg Strap Black $ CU1 2" Cushin $ Impact Guard Neprene $ A73 IV Hlder $ JAY CUSHION 184A145 O2 Hlder $ T rder any f the fllwing JAY cushins n-chair, please see the n-chair rder frm. 184A98 Presta Valve Adapter $ JC01 Jay Basic See OF 184A83 Tl Kit $ JC02 Jay Easy See OF 184A50 Tray Table $ JC03 Jay Sft Cmbi P See OF 184A99 Tuch Up Paint - Frame $ JC06 Jay LITE Cushin See OF 184A99 Tuch Up Paint - Crss Brace $ JC04 Jay J2 See OF 184A87 Travel Wheels $ JC05 Jay J2 DC See OF Nt available w/ Xtender, Heavy Duty, Lw ply tires SIDE GUARD FRAME COLOR All side guards NA w/height Adj. Arms 184C2 Black Side guards nt recmmended w/padded SA arms due t interference at sme heights 184C10 Black Opal 184SG33 Plastic Standard (8.5" High) $ C1 Blue 184SG29 Plastic Lw (6.5" High) $ C38 Blue Opal 184SG1 Fabric Standard $ C12 Blue Velvet 184SG22 Fabric Lw $ C36 Candy Blue 184C35 Candy Red ANTI-TIP 184C39 Candy Turquise 184AT6 Rear Anti-Tip (Included with Xtender) $ C6 Frest Green 184C4 Midnight Purple TRANSIT OPTION 184C37 Orange 184TO1 Transit System $ C5 Pearl Pink NA w/padded S/A Arms, strller handels r Xtender 184C40 Razzleberry 184C11 Txic Green BACKPACK 184C8 Yellw 184A1 Quickie Backpack Black $ A2 Quickie Kids Backpack Black $50.00 CUSTOM FRAME COLOR 184C43 Catch A Wave $ SEAT POUCH 184C42 Desert Camuflage $ A8 Quickie Seat Puch Black $ C112 Digital Wdland Camuflage $ C111 Digital Desert Camuflage $ ADDITIONAL COVER & PACK ACCESSORIES 184C121 Digital Camuflage $ A500 Gel Cver Hanger/Frame $ C120 Mssy Oak Camuflage $ A994 Gel Cver Swing Away Arm $ C122 Spt Fires $ A501 Quickie Express Pack Black $ C123 Stars & Stripes $ A501 Quickie Cell Phne Pack Orange $ C124 Wldland Cam $ A503 Case Lgic Side Pcket $ A504 Case Lgic Catch All Organizer $45.00 POSITIONING BELTS 184A505 Case Lgic Lap Organizer $ A117 Belt 1.5" Aut Buckle w/clamps $ A506 Case Lgic Ultra Pack $ A117 Belt 2" Aircraft Buckle w/clamps $ A118 Belt 2" Aircraft Buckle Pad w/clamp $ A120 Psitining Belt Slide Clamps $35.00 SPOKE GUARDS 184A302 Quickie Clear Spke Guards $ A23 Quickie Black Spke Guards $90.00 TOTAL CHAIR PRICE: $ 7 f 8

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Quickie 2HP July 2018

Quickie 2HP July 2018 EIHP Mark Fr: Submitting fr: Qute Order Date: PO#: Dealer Acct #: Dealer: ADDITIONAL SHIPPING INFORMATION Dealer Cntact: Ship T: Dealer Address: Attentin: Dealer City: PV: PC: Address: