TABLE OF CONTENTS VELOCE
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- Horatio Robertson
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1 PARTS MANUAL
2 TABLE OF CONTENTS FRAME CROSSBRACE ASSEMBLY CROSSBRACE KIT CENTRAL SHAFT KIT 6 BASE SHAFT KIT 7 LINK KITS 8 LINK DIMENSION TABLE 9 MOUNTING PLATE 0 BACK WHEELS HANDRIMS SPOKES GUARD FRONT WHEEL FOOTPLATE BACK CANES & PUSH HANDLES 6 DUO ARMREST 7 ARMREST PIVOT POINT 8 TUBULAR ARMREST 9 I ARMREST 0 SIDEGUARDS MUDGUARDS BRAKES ANTI-TIPPERS
3 FRAME FRAME SIZING Call Motion Composites at: to get information about your frame size. Be sure to have your serial number nearby for faster service. 060 LOWER BACK SLEEVE 0 MOUNTING RAIL POP RIVET _ D X.6 L X.6_.0 0 LINK GUIDE Metric JIS Pan Head Phillips Machine Screw M X 0.7 X 8mm 7 0 H-BLOCK V 8 0 CLAMP H-BLOCK SEAT SUPPORT SOCKET CAP SCREW MX0.7 X mm LONG, FULLY THREADED POP RIVET _8 DIA X.8 LGHT (.6_.87 GRIP) 00 ANTI-TIPPER BUMPER SLEEVE CARBON FRAME,,,,0, " RIGHT 70 FRAME ASSEMBLY,,,,0, " RIGHT 70 FRAME ASSEMBLY,,,,0, " RIGHT 70 FRAME ASSEMBLY,,,,0, " RIGHT 70 FRAME ASSEMBLY,,,,0, " RIGHT 70 FRAME ASSEMBLY,,,,0, " LEFT 70 FRAME ASSEMBLY,,,,0, " LEFT 70 FRAME ASSEMBLY,,,,0, " LEFT 70 FRAME ASSEMBLY,,,,0, " LEFT 70 FRAME ASSEMBLY,,,,0, " LEFT 70 FRAME ASSEMBLY,,,,0, " RIGHT 80 FRAME ASSEMBLY,,,,0, " RIGHT 80 FRAME ASSEMBLY,,,,0, " RIGHT 80 FRAME ASSEMBLY,,,,0, " RIGHT 80 FRAME ASSEMBLY,,,,0, " RIGHT 80 FRAME ASSEMBLY,,,,0, " LEFT 80 FRAME ASSEMBLY,,,,0, " LEFT 80 FRAME ASSEMBLY,,,,0, " LEFT 80 FRAME ASSEMBLY,,,,0, " LEFT 80 FRAME ASSEMBLY,,,,0, " LEFT 80 FRAME ASSEMBLY,,,,0, " RIGHT 90 FRAME ASSEMBLY,,,,0, " RIGHT 90 FRAME ASSEMBLY,,,,0, " RIGHT 90 FRAME ASSEMBLY,,,,0, " RIGHT 90 FRAME ASSEMBLY,,,,0, " RIGHT 90 FRAME ASSEMBLY,,,,0, " LEFT 90 FRAME ASSEMBLY,,,,0, " LEFT 90 FRAME ASSEMBLY,,,,0, " LEFT 90 FRAME ASSEMBLY,,,,0, " LEFT 90 FRAME ASSEMBLY,,,,0, " LEFT 90 FRAME ASSEMBLY
4 CROSSBRACE ASSEMBLY C XBRACE CENTER SHAFT 6 C XBRACE CENTER PIVOT SLEEVE C XBRACE BASE SHAFT 9 C XBRACE BASE PIVOT SHAFT PLASTIC CAP REFER TO NOTE BELOW 907 SOCKET CAP SCREW MX0.8 X mm LONG, FULLY THREADED 6 0 C XBRACE BASE PIVOT SHAFT ALU PLUG C XBRACE BASE PIVOT SLEEVE FLANGE BUTTON HEAD CAP SCREW, M8X.8 X 0mm CAP IN CARBON SCREW PHILLIPS PAN HD #6- X / 9998 LOCKWASHER #0 (.06 WIDE X.07 THK) 990 WASHER #0.00 ID X 7_6 OD X.07 THK SPACER M BOLT, 0MM LG, 0.7MM WALL THK 906 BUTTON HEAD CAP SCREW MX0.8 X 0mm LONG, FULLY THREADED 08 CASTER SPACER SMALL SPACER M BOLT, 6MM LG, 0.7MM WALL THK FOR LINK 6 INCHES AND UNDER FOR LINK 7 INCHES AND OVER 0 0 6
5 CROSSBRACE KIT 9970 CAP IN CARBON C XBRACE CENTER PIVOT SLEEVE 006 C XBRACE BASE PIVOT SLEEVE a 000 HELIO C '' FRONT XBRACE ASSEMBLY b 000 HELIO C '' FRONT XBRACE ASSEMBLY c 000 HELIO C 6'' FRONT XBRACE ASSEMBLY d 0006 HELIO C 7'' FRONT XBRACE ASSEMBLY e 0007 HELIO C 8'' FRONT XBRACE ASSEMBLY f 0008 HELIO C 9'' FRONT XBRACE ASSEMBLY g 0009 HELIO C 0'' FRONT XBRACE ASSEMBLY h 000 HELIO C '' REAR XBRACE ASSEMBLY i 000 HELIO C '' REAR XBRACE ASSEMBLY j 0006 HELIO C 6'' REAR XBRACE ASSEMBLY k 0007 HELIO C 7'' REAR XBRACE ASSEMBLY l 0008 HELIO C 8'' REAR XBRACE ASSEMBLY m 0009 HELIO C 9'' REAR XBRACE ASSEMBLY n HELIO C 0'' REAR XBRACE ASSEMBLY SPECIFIY TOP TUBE LENGHT AND XBRACE DIMENSION DEPENDING ON ACTUAL WHEELCHAIR LENGHT AND WIDTH
6 CENTRAL SHAFT KIT 9099 FLANGE BUTTON HEAD CAP SCREW, M8X.8 X 0mm C XBRACE CENTER PIVOT SLEEVE C XBRACE CENTER SHAFT 0006 HELIO C XBRACE CENTRAL SHAFT ASSEMBLY 6
7 BASE SHAFT KIT C XBRACE BASE SHAFT 0 C XBRACE BASE PIVOT SHAFT ALU PLUG 006 C XBRACE BASE PIVOT SLEEVE 9 C XBRACE BASE PIVOT SHAFT PLASTIC CAP 907 SOCKET CAP SCREW MX0.8 X mm LONG, FULLY THREADED HELIO C XBRACE BASE SHAFT ASSEMBLY 6 7
8 LINK KITS a LINK '' b LINK '' c 6 LINK 6'' SCREW PHILLIPS PAN HD #6- X / 990 WASHER #0.00 ID X 7_6 OD X.07 THK 9998 LOCKWASHER #0 (.06 WIDE X.07 THK) 08 CASTER SPACER SMALL SPACER M BOLT, 6MM LG, 0.7MM WALL THK BUTTON HEAD CAP SCREW MX0.8 X 0mm LONG, FULLY THREADED 8a HELIO C " LINK ASSEMBLY 8b HELIO C " LINK ASSEMBLY 8c HELIO C 6" LINK ASSEMBLY a 7 LINK 7'' b 8 LINK 8'' c 9 LINK 9'' d 60 LINK 0'' SCREW PHILLIPS PAN HD #6- X / 9998 LOCKWASHER #0 (.06 WIDE X.07 THK) 990 WASHER #0.00 ID X 7_6 OD X.07 THK SPACER M BOLT, 0MM LG, 0.7MM WALL THK BUTTON HEAD CAP SCREW MX0.8 X 0mm LONG, FULLY THREADED 7a 0008 HELIO C 7" LINK ASSEMBLY 7b 0008 HELIO C 8" LINK ASSEMBLY 7c 0008 HELIO C 9" LINK ASSEMBLY 7d 0008 HELIO C 0" LINK ASSEMBLY
9 LINK DIMENSION TABLE LINK '' LINK '' 6 LINK 6'' 7 LINK 7'' 8 LINK 8'' 6 9 LINK 9'' 7 60 LINK 0'' 6 7 '' '' 6'' 7'' 8'' 9'' 0'' 9
10 MOUNTING PLATE 0 PLASTIC SLEEVE 06 MOUNTING PLATE 0 H-BLOCK V Metric JIS Pan Head Phillips Machine Screw M X 0.7 X 8mm 996 NUT M8X LOCK WASHER M8 X. 7a BUSHING 7b 009 BUSHING 8a 00 FACE PLATE 0 V 8b 0 FACE PLATE V SOCKET CAP SCREW M6X X 0mm LONG, FULLY THREADED 0 0 QUICK RELEASE a 09 POSITIONNING NUT 0 V b 0 POSITIONNING NUT V 990 NYLOCK JAM NUT _- (_ AF X _6 THK) 999 WASHER _, 7_ ID X 7_8 OD X.0 THK 99 HEX SCREW /- x /'',6,7a,8a,a V 0 BUSHING KIT,6,7b,8a,a V BUSHING KIT,6,7b,8b,b V 6 BUSHING KIT
11 BACK WHEELS REAR WHEELS TIRES TUBES ITEM NO. PARTNO DESCRIPTION PARTNO DESCRIPTION PARTNO DESCRIPTION 06 " MAG WHEEL 0 0"x" HP TIRE IRONCAP 0 0"x" TUBE 07 " MAG WHEEL 06 "x" HP TIRE IRONCAP "x" TUBE 0 " NEWTON STANDARD SPOKE WHEEL 07 "x" HP TIRE IRONCAP "x" TUBE " NEWTON STANDARD SPOKE WHEEL 08 "x" HP TIRE IRONCAP "x" TUBE 0" NEWTON INFINITY 09 6"x" HP TIRE IRONCAP 6"x" TUBE " NEWTON INFINITY "x" HP TIRE MARATHON PLUS 0"x⅜" TUBE " NEWTON INFINITY 6 " NEWTON INFINITY 7 6" NEWTON INFINITY - 6 " SPINERGY LX - 7 " SPINERGY LX - 8 " SPINERGY LX - 9 6" SPINERGY LX - 6 " SPINERGY SPOX - 7 " SPINERGY SPOX - 8 " SPINERGY SPOX - 9 6" SPINERGY SPOX 0"x⅜" PNEUMATIC TIRE 6 "x⅜" PNEUMATIC TIRE 7 "x⅜" PNEUMATIC TIRE 8 "x⅜" PNEUMATIC TIRE 9 6"x⅜" PNEUMATIC TIRE "x⅜" KOURIER TIRE 6"x⅜" KOURIER TIRE 6 "X" SOFT URETHANE SHOX HP TIRE 7 "X" SOFT URETHANE SHOX HP TIRE 8 "X" SOFT URETHANE SHOX HP TIRE 9 6"X" SOFT URETHANE SHOX HP TIRE 6 0"X⅜" SOFT URETHANE TIRE 6 "x⅜" TUBE 7 "x⅜" TUBE 9 6"x⅜" TUBE 06 RIM TAPE 0-" 066 RIM TAPE " 067 RIM TAPE " 068 RIM TAPE 6" 66 "X⅜" SOFT URETHANE TIRE 67 "X⅜" SOFT URETHANE TIRE 9 " PYRAMID - HARD URETHANE TIRE 9 " PYRAMID - HARD URETHANE TIRE
12 HANDRIMS ITEM NO. PARTNO DESCRIPTION 00 0" ALUMINUM ANODIZED HANDRIM 0 " ALUMINUM ANODIZED HANDRIM 0 " ALUMINUM ANODIZED HANDRIM 0 " ALUMINUM ANODIZED HANDRIM 0 6" ALUMINUM ANODIZED HANDRIM 0 " ALUMINUM ANODIZED HANDRIM/ MAG WHEEL 06 " ALUMINUM ANODIZED HANDRIM/ MAG WHEEL 07 " PLASTIC COATED HANDRIM/ MAG WHEEL 08 " PLASTIC COATED HANDRIM/ MAG WHEEL 0 0" PLASTIC COATED HANDRIM " PLASTIC COATED HANDRIM " PLASTIC COATED HANDRIM " PLASTIC COATED HANDRIM 6" PLASTIC COATED HANDRIM 0" HIGH FRICTION HANDRIM 6 " HIGH FRICTION HANDRIM 7 " HIGH FRICTION HANDRIM 8 " HIGH FRICTION HANDRIM 9 6" HIGH FRICTION HANDRIM " NATURAL FIT HANDRIM " NATURAL FIT HANDRIM 6" NATURAL FIT HANDRIM 0 " SILICONE HANDRIM COVER " SILICONE HANDRIM COVER " SURGE HANDRIM " SURGE HANDRIM
13 SPOKES GUARD 0 SPOKE SHIELD CLIP 6 a 09 SPOKE GUARD 0" b 00 SPOKE GUARD " c 0 SPOKE GUARD '' d 0 SPOKE GUARD 6"
14 FRONT WHEEL SOCKET CAP SCREW M6X X mm LONG, FULLY THREADED 07 ANGLE HOUSING SOCKET CAP SCREW M6X X mm LONG, FULLY THREADED a 09 LEFT STEM b 00 RIGHT STEM 906 BUTTON HEAD CAP SCREW M6X X 8mm LONG, FULLY THREADED 6a 070 RIGHT MONOARM FORK 6b 07 LEFT MONOARM FORK 7 0 BEARING R8/RS M0 LOW NYLON LOCK 9a 0 "x" ALUMINUM HARD ROLL COURT CASTER 9b 0 "x" ALUMINUM HARD ROLL COURT CASTER 0 07 MONOARM FORK WHEEL AXLE 07 MONOARM FORK STEM BOLT 07 MONOARM FORK BEARING CAP SOCKET CAP SCREW M6X X 8mm LONG, FULLY THREADED
15 FOOTPLATE 97 RIGHT FOOTREST EXTENSION CLAMP 907 SOCKET CAP SCREW MX0.8 X mm LONG, FULLY THREADED 9 LEFT FOOTREST EXTENSION CLAMP 6 V PF ANCHOR SIDE EXTENSION TUBE - ASSEMBLY a 60 V ½" PLATEFORM MAIN TUBE - ASSEMBLY b 6 V 8½" PLATEFORM MAIN TUBE - ASSEMBLY 6 V PF PIVOT SIDE EXTENSION TUBE - ASSEMBLY 7a 7 V 6" PLATEFORM - ASSEMBLY 7b 8 V 8" PLATEFORM - ASSEMBLY 7c 9 V 0" PLATEFORM - ASSEMBLY 6 7
16 BACK CANES & PUSH HANDLES 0 PUSH HANDLE 0 HAND GRIP 7_ BUTTON HEAD CAP SCREW MX0.8 X 8mm LONG, FULLY THREADED 9970 PLASTIC PLUGS 0 BACK EXTENSION 6 07 PUSH HANDLE BACK SLEEVE PUSH HANDLE CS WASHER BUTTON HEAD SHOULDER M6X8Xmm THREAD LENGTH 9a 8 ALUMINUM ADJUSTABLE ANGLE BACK -8'' (M) 9b 9 ALUMINUM ADJUSTABLE ANGLE BACK 8-'' (M) 9c 0 CARBON FIBER ADJUSTABLE ANGLE BACK CANE -/_'' (M) 9d CARBON FIBER ADJUSTABLE ANGLE BACK CANE -8'' (M) 6 7 9e CARBON FIBER ADJUSTABLE ANGLE BACK CANE 8-'' (M) 9f CARBON FIBER ADJUSTABLE ANGLE 8 BEND BACK CANE -/_'' (M) 9g CARBON FIBER ADJUSTABLE ANGLE 8 BEND BACK CANE -8'' (M) 9h CARBON FIBER ADJUSTABLE ANGLE 8 BEND BACK CANE 8-'' (M) BUTTON HEAD CAP SCREW M6X X mm LONG, FULLY THREADED LOWER ADJUSTABLE BACKREST (M) a 078 CARBON 8 BEND BACK CANE -" (M) b 079 CARBON 8 BEND BACK CANE -8" (M) c 080 CARBON 8 BEND BACK CANE 8''-'' (M) 9 d 08 ALU 8 BEND BACK CANE -" (M) e 086 ALU 8 BEND BACK CANE -8" (M) f 087 ALU 8 BEND BACK CANE 8-" (M) 0 a 07 CARBON STRAIGHT BACK CANE 9-" (M) b 07 CARBON STRAIGHT BACK CANE -" (M) c 07 CARBON STRAIGHT BACK CANE -8" (M) d 076 CARBON STRAIGHT BACK CANE 8-'' (M) e 077 CARBON STRAIGHT BACK CANE -" (M) f 08 ALU STRAIGHT BACK CANE 9-" (M) g 08 ALU STRAIGHT BACK CANE -" (M) h 08 ALU STRAIGHT BACK CANE -8" (M) i 08 ALU STRAIGHT BACK CANE 8-" (M) a 09 CARBON STRAIGHT BACK CANE " NO PUSH HANDLE (M) b 00 CARBON STRAIGHT BACK CANE " NO PUSH HANDLE (M) c 0 CARBON STRAIGHT BACK CANE 8'' NO PUSH HANDLE (M) d 0 CARBON STRAIGHT BACK CANE " NO PUSH HANDLE (M) a 0 CARBON 8 BEND BACK CANE " NO PUSH HANDLE (M) b 0 CARBON 8 BEND BACK CANE " NO PUSH HANDLE (M) c 0 CARBON 8 BEND BACK CANE 8'' NO PUSH HANDLE (M) d 06 CARBON 8 BEND BACK CANE " NO PUSH HANDLE (M) CAP IN CARBON 6
17 DUO ARMREST a 09 ARMREST FULL LENGHT PAD b 08 ARMREST DESK PAD b V ARMREST ADJUSTABLE ARM 0-'' a V ARMREST ADJUSTABLE ARM 8-'' V ARMREST ADJUSTABLE ARM PLUG 990 SCREW PHILLIPS PAN HD #0_ X V ARMREST - MAIN BODY 6 0 V ARMREST ARM STRUCTURE STEEL BLACK ZINC PLATED PHILLIPS PLASTIC SCREW 6- THREAD X 6mm L 8 V ARMREST MAIN EXTRUSION CAP 9 V ARMREST RECEIVER - ASSEMBLY 0 V ARMREST U CLAMP SLEEVE 9090 STEEL BLACK ZINC PLATED SET SCEW MX0.7 X mm L 9078 SOCKET CAP SCREW MX0.8 X 8mm LONG, FULLY THREADED 8 V ARMREST REAR PIVOT - ASSEMBLY a RIGHT DESK LENGHT 8- T ARM ASSEMBLY b LEFT DESK LENGHT 8- T ARM ASSEMBLY c RIGHT FULL LENGHT 8- T ARM ASSEMBLY d LEFT FULL LENGHT 8- T ARM ASSEMBLY e RIGHT DESK LENGHT 0- T ARM ASSEMBLY f LEFT DESK LENGHT 0- T ARM ASSEMBLY g RIGHT FULL LENGHT 0- T ARM ASSEMBLY h LEFT FULL LENGHT 0- T ARM ASSEMBLY
18 ARMREST PIVOT POINT ITEM NO. PARTNO DESCRIPTION 9960 WASHER / 7/6 ID X / OD X.0 THK 00 TIE DOWN 066 DOUBLE COVED WASHER 99 M6 LOW NYLON LOCK BUTTON HEAD CAP SCREW M6X X mm LONG, mm THREADED BUTTON HEAD CAP SCREW M6X X 7mm LONG, mm THREADED BUTTON HEAD CAP SCREW M6X X 60mm LONG, mm THREADED BUTTON HEAD CAP SCREW M6X X mm LONG, mm THREADED 9 79 V FOOTREST COVED WASHER ALU SEMI COVED WASHER 0_08 FRAME ''-'' LEFT HELIO C WITH TIE DOWN AND ARM REST PIVOT ONLY WITH ARM REST PIVOT ONLY WITH TIE DOWN NO ATTACHMENTS
19 TUBULAR ARMREST 0 L TYPE ARMREST RIGHT (M) 06 L TYPE ARMREST LEFT (M) 09 FOAM GRIP_L ARMREST 08 ARMREST DESK PAD 990 SCREW PHILLIPS PAN HD #0_ X CAP IN ALU 7 SPLIT NUT (M) 8 00 V L TYPE ARMREST SLEEVE 9 0 L ARMREST SUPPORT 0 8 SWING AWAY ARMREST RECEIVER - ASSEMBLY,,6, RIGHT TUBULAR SWING AWAY ARMREST ASSEMBLY,,6, LEFT TUBULAR SWING AWAY ARMREST ASSEMBLY, RIGHT DESK LENGHT SWING AWAY ARMREST ASSEMBLY, LEFT DESK LENGHT SWING AWAY ARMREST ASSEMBLY
20 I ARMREST 0 RIGHT FLIP UP I ARM REST 0 LEFT FLIP UP I ARM REST 0 FLIP UP I ARMREST CLAMP - ASSEMBLY (M) 9960 WASHER / 7/6 ID X / OD X.0 THK 9990 WASHER /6 - /6 ID X 9/ OD X.06THK BUTTON HEAD CAP SCREW M6X X 0mm LONG, FULLY THREADED BUTTON HEAD CAP SCREW M8X. X 80mm LONG, 8mm THREADED M8 LOW NYLON LOCK, RIGHT FLIP UP ARMREST ASSEMBLY LEFT FLIP UP ARMREST ASSEMBLY GAUCHE 0
21 SIDEGUARDS a SMALL SIDEGUARD - K FINISH + COLOR DECAL b MEDIUM SIDEGUARD - K FINISH + COLOR DECAL 600 /'' FRAME SAVER 600 '' FRAME SAVER 9066 BUTTON HEAD CAP SCREW M6X X 0mm LONG, FULLY THREADED
22 MUDGUARDS BOM Table(Restructured) a 06 CARBON MUDGUARD SMALL RIGHT b 07 CARBON MUDGUARD SMALL LEFT c 08 CARBON MUDGUARD MEDIUM RIGHT d 09 CARBON MUDGUARD MEDIUM LEFT e 00 RIGID SIDEGUARD MEDIUM (PAIR) f 00 RIGID SIDEGUARD LARGE (PAIR) 906 BUTTON HEAD CAP SCREW MX0.7 X 8mm LONG, FULLY THREADED 8 MUDGUARD & SIDEGUARD ADJUSTING PLATE 7 V SIDEGUARD RECEIVER - ASSEMBLY 9090 STEEL BLACK ZINC PLATED SET SCEW MX0.7 X mm L SOCKET CAP SCREW MX0.8 X 8mm LONG, FULLY THREADED 6
23 BRAKES 7 a 0 WHEEL LOCK PUSH + EXTENSION (PAIR) b 0 WHEEL LOCK PULL + EXTENSION (PAIR) 00 REMOVABLE EXTENSION HANDLE a 00 WHEEL LOCK PUSH (PAIR) b 00 WHEEL LOCK PULL (PAIR) c 00 WHEEL LOCK GRADE AID (PAIR) d 006 SCISSOR WHEEL LOCK LEFT e 007 SCISSOR WHEEL LOCK RIGHT 09 BRAKE HANDLE GRIP 08 REMOVABLE EXTENSION HANDLE GRIP 6 07 V BRAKE CLAMP SOCKET CAP SCREW MX0.8 X 0mm LONG, mm THREADED 6
24 ANTI-TIPPERS 9 ANTI-TIPPER SMALL V - ASSEMBLY 0 ANTI-TIPPER MEDIUM V - ASSEMBLY ANTI-TIPPER LARGE V - ASSEMBLY 8 ANTI-TIPPER EXTENSION LONG V - ASSEMBLY 7 ANTI-TIPPER EXTENSION SHORT V - ASSEMBLY B C D A * D VALUE CAN CHANGE IN INCREMENTS OF mm BETWEEN MIN AND MAX PART # ANGLE A B C D min D max mm mm mm 7mm mm mm mm 8mm mm mm mm 0mm mm mm 6mm mm mm mm 70mm 0mm mm mm 9mm mm
4.2 HELIO KIDS MODEL. Ultralight Folding Carbon Fiber HELIO KIDS Wheelchair Including angle & depth adjustable back (79 kg lbs weight capacity)
519, J-Oswald Forest, suite 101 Saint-Roch-de-l'Achigan, QC, Canada J0K 3H0 T.450 588-6555 1 866 650-6555 F.450 588-0200 www.motioncomposites.com Account : PO : Vendor : CUSTOM TECHNOLOGIES LIMITED Date
4.2. Ship to: Vendor: Name: Date: Address: Ordered by: City: Province:
519, J-Oswald Forest, suite 101 Saint-Roch-de-l'Achigan, QC, Canada J0K 3H0 T.450 588-6555 1 866 650-6555 F.450 588-0200 orders@motioncomposites.com www.motioncomposites.com 4.2 Helio C2 ORDER FORM - CANADA
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519, J-Oswald Forest, suite 101 Saint-Roch-de-l'Achigan, QC, Canada J0K 3H0 T.450 588-6555 1 866 650-6555 F.450 588-0200 www.motioncomposites.com Account: Vendor: Date: Ordered by: Email: Marked for: User
4.6. Clinician/ATP/RTS: City: State: C2MA029 * Required
2915 Ogletown RD # 2270 Newark, DE 19713 T.+1-866-650-6555 F. +1-888-966-6555 orders@motioncomposites.com www.motioncomposites.com 4.6 P.O. number:* Date: Ship to:* Helio C2 ORDER FORM - USA Company Name:*
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P.O. number:* Company Name:* Ordered by:* 2915 Ogletown RD # 2270 Newark, DE 19713 T.+1-866-650-6555 F. +1-888-966-6555 orders@motioncomposites.com www.motioncomposites.com Date: Phone:* 4.7 Ship to:*
4.8. A6MA085 Italian Manual. 3" caster 4" caster. 8" caster Stem bolt Length. + 2,54 cm 1" + 5,08cm 2" STD. 36,8cm 14,5" 34,3cm 13,5" 39,4cm 15,5"
160 Armand-Majeau Sud Saint-Roch-de-l'Achigan, QC, Canada J0K 3H0 T.+1-866-650-6555 F. +1-888-966-6555 orders@motioncomposites.com www.motioncomposites.com 4.8 Helio A6 ORDER FORM - INTERNATIONAL P.O.
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2915 Ogletown RD # 2270 Newark, DE 19713 T.+1-866-650-6555 F. +1-888-966-6555 orders@motioncomposites.com www.motioncomposites.com 4.6 VELOCE ORDER FORM - USA P.O. number:* Date: Ship to:* Company Name:*
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160 Armand-Majeau Sud Saint-Roch-de-l'Achigan, QC, Canada J0K 3H0 T.+1-866-650-6555 F. +1-888-966-6555 orders@motioncomposites.com www.motioncomposites.com 4.7 Helio A7 ORDER FORM - INTERNATIONAL P.O.
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160 Armand-Majeau Sud Saint-Roch-de-l'Achigan, QC, Canada J0K 3H0 T.+1-866-650-6555 F. +1-888-966-6555 orders@motioncomposites.com www.motioncomposites.com 4.7 Helio A6 ORDER FORM - CANADA P.O. number:*
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4.7 160 Armand-Majeau Sud Saint-Roch-de-l'Achigan, QC, Canada J0K 3H0 T.+1-866-650-6555 F. +1-888-966-6555 orders@motioncomposites.com www.motioncomposites.com Helio C2 ORDER FORM - INTERNATIONAL P.O.
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APEX 4.6. FRONT Seat-to-floor height Caster sizes Height available +- 1/4" ORDER FORM - International. 3" Caster. Specify desired height:
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160 Armand-Majeau Sud Saint-Roch-de-l'Achigan, QC, Canada J0K 3H0 T.+1-866-650-6555 F. +1-888-966-6555 orders@motioncomposites.com www.motioncomposites.com 4.8 Helio A6 ORDER FORM - CANADA P.O. number:*
4.8. Name: K0005. Stem bolt Length /2 15 1/2 16 1/ /2 15 1/2 16 1/ /2 16 1/2 17 1/2
2915 Ogletown RD # 2270 Newark, DE 19713 T.+1-866-650-6555 F. +1-888-966-6555 orders@motioncomposites.com www.motioncomposites.com 4.8 Helio ORDER FORM - USA P.O. number:* Date: Ship to:* Company Name:*
APEX 4.7. FRONT Seat-to-floor height ORDER FORM - USA. Height available +- 1/4" Caster sizes. 3" Caster 14" to 21" Specify desired height:
2915 Ogletown RD # 2270 Newark, DE 19713 T.+1-866-650-6555 F. +1-888-966-6555 orders@motioncomposites.com www.motioncomposites.com 4.7 APEX ORDER FORM - USA P.O. number:* Date: Ship to:* Company Name:*
SIDEFRAME AND CROSSBRACE... 3 ARM: FLIP-BACK FIXED-HEIGHT... 4 ARM: FLIP-BACK ADJUSTABLE-HEIGHT... 4 REAR WHEEL... 5 CASTER... 5
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BEARINGS BEARINGS
TIRES PNEUMATIC.... 1-4 SNAP ON.....4 PRIMO HIGH PERFORMANCE......5-6 SCHWALBE HIGH PERFORMANCE.....5-6 KENDA HIGH PERFORMANCE... 7 MAINTENANCE FREE TIRES SHOX URETHANE TIRES..... 8 URETHANE TIRES....
q q q q q q q q q q q q q q q q q q Frame q Titanium Frame K5-CAT5-TITAN $ Includes hangers and base frame. Does not include Cross Braces.
Funder: Order Number: Date: q Quote q PO Number: Therapist: Marked For: Catalyst 5 K5-CAT5-ALI 136kg weight capacity Frame Seat Width / Seat Depth Select box corresponding to desired Seat Width and Depth
4.6. A7 FRONT Seat-to-floor Height - Please select your choice. Stem bolt Length /2 15 1/2 16 1/2
160 Armand-Majeau Sud Saint-Roch-de-l'Achigan, QC, Canada J0K 3H0 T.+1-866-650-6555 F. +1-888-966-6555 orders@motioncomposites.com www.motioncomposites.com 4.6 P.O. number:* Date: Ship to:* Company Name:*
Additional Front Wheel Options Not Shown FW1 3 x.75 Micro-Caster FW14 4 x.75 Plastic Wheel w/poly Tire FW3 4 x.75 Light-Up Micro-Caster
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160 Armand-Majeau Sud Saint-Roch-de-l'Achigan, QC, Canada J0K 3H0 T.+1-866-650-6555 F. +1-888-966-6555 orders@motioncomposites.com www.motioncomposites.com 4.8 Helio A7 - FiveDay ORDER FORM - CANADA P.O.
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2915 Ogletown RD # 2270 Newark, DE 19713 T.+1-866-650-6555 F. +1-888-966-6555 orders@motioncomposites.com www.motioncomposites.com 4.7 VELOCE ORDER FORM - USA P.O. number:* Date: Ship to:* Company Name:*
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160 Armand-Majeau Sud Saint-Roch-de-l'Achigan, QC, Canada J0K 3H0 T.+1-866-650-6555 F. +1-888-966-6555 orders@motioncomposites.com www.motioncomposites.com 4.7 Helio A7 - FiveDay ORDER FORM - CANADA P.O.
4.8. Clinician/ATP/RTS: City: State/Prov: Marked for: Phone: * Required KDMA063 English Manual (STD) Manuel Français
160 Armand-Majeau Sud Saint-Roch-de-l'Achigan, QC, Canada J0K 3H0 T.+1-866-650-6555 F. +1-888-966-6555 orders@motioncomposites.com www.motioncomposites.com 4.8 P.O. number:* Date: Ship to:* Company Name:*
Frame. Backrest. Seat Depth. Little Wave - Clik XP $3600 Width Growable Frame. Price includes one time free growth kit. 165 lb weight capacity.
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4.8 MODEL WM / /2 15 1/2 16 1/ /2 15 1/2 16 1/ /2 16 1/2 17 1/2
160 Armand-Majeau Sud Saint-Roch-de-l'Achigan, QC, Canada J0K 3H0 T.+1-866-650-6555 F. +1-888-966-6555 orders@motioncomposites.com www.motioncomposites.com 4.8 Helio C2 ORDER FORM - CANADA P.O. number:*
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160 Armand-Majeau Sud Saint-Roch-de-l'Achigan, QC, Canada J0K 3H0 T.450 588-6555 1 866 650-6555 F.450 588-0200 orders@motioncomposites.com www.motioncomposites.com 4.8 MOVE ORDER FORM - INTERNATIONAL P.O.
RETAIL Max user weight: 100kg - seat widths 12" & 13" Max user weight: 130kg -seat widths 14" -16"
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Please make your selection with a cross in the box Standard feature Free of Charge
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519, J-Oswald Forest, suite 101 Saint-Roch-de-l'Achigan, QC, Canada J0K 3H0 T.450 588-6555 1 866 650-6555 F.450 588-0200 orders@motioncomposites.com www.motioncomposites.com 4.2 MOVE ORDER FORM - CANADA
SEATING CHOICE TITANIUM FRONT FRAME
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160 Armand-Majeau Sud Saint-Roch-de-l'Achigan, QC, Canada J0K 3H0 T.+1-866-650-6555 F. +1-888-966-6555 orders@motioncomposites.com www.motioncomposites.com 4.8 Helio KIDS ORDER FORM - CANADA P.O. number:*
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160 Armand-Majeau Sud Saint-Roch-de-l'Achigan, QC, Canada J0K 3H0 T.+1-866-650-6555 F. +1-888-966-6555 orders@motioncomposites.com www.motioncomposites.com 4.8 MOVE ORDER FORM - CANADA P.O. number:* Date:
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