ALEX QLASS. Order form. T: +44 (0) F: +44 (0)
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1 Order form ALEX QLASS T: +44 (0) F: +44 (0) Valid from Version 1.0 Dealer Date Reference No. Delivery address Quantity PRICE LIST ID 19 Standard configurationexclusive VAT 5.559,00 6 km/h RWD Drive wheels 14", air Castor wheels 9", air Frame colour: anthracite Accent colour: silver Batteries: 60 Ah (C20) GEL Battery charger 8A -24 V VR2 Drive only Fixed joystick bracket, right hand Seat height 44 cm Standard contour seat, 46 x 48 cm Contour standard backrest, 46 x 50 cm Standard swingaway legrests with calf straps Armrests standard removable Armpads PU PU side cushions Lapstrap standard 190 cm Anti-tip Suspension on drive and castor wheels The product picture shown may deviate from the standard configuration. The standard configuration below is indicated with basic. If an alternative option is required please mark clearly by ticking the associated box. THE B OR Y-NUMBERS WHICH ARE MENTIONED BEHIND THE OPTIONS, ARE NOT ARTICLE NUMBERS. ALWAYS USE THESE NUMBERS IN COMBINATION WITH THE PRICE LIST-ID NUMBER MENTIONED ABOVE. CONFIGURATION Option Excl. REAR WHEEL DRIVE Alex 6 km/h RWD Alex 10 km/h RWD (choose also lights and mirror) (recommended with DX or R-net) B B Alex 12,5 km/h RWD (choose also lights and mirror) (only i.c.w. DX or R-net controller) B REAR WHEEL DRIVE - SHORT BASE Alex 6 km/h RWD, Short Base Alex 10 km/h RWD, Short Base (choose also lights and mirror) (recommended with DX or R-net) Alex 12,5 km/h RWD, Short Base (choose also lights and mirror) (only i.c.w. DX or R- net controller) B B B FRONT WHEEL DRIVE Alex 6 km/h FWD Alex 10 km/h FWD (choose also lights and mirror) (highly recommended with Gyro- Qontrol) Kerb climber (not i.c.w. FWD and not i.c.w. central legrest) B B B Gyro-Qontrol (only i.c.w. DX or R-net controller) B BASE FRAME Option Excl. Drive wheels 12", air Drive wheels 12", puncture proof Drive wheels 14", air Drive wheels 14", puncture proof Castor wheels 9", air Castor wheels 9", puncture proof B B B B B B
2 Price list ALEX QLASS Page: 2 / 5 BASE FRAME, CONTINUATION Option Excl. Mudguards drive wheels 14" Mudguards castor wheels 9" Frame colour anthracite Frame colour white Accent colour silver ACCENT COLOUR COVERS EXTRA. Only one set is included free of charge! Please choose one colour Bordeaux red You-Q green Candy pink Royal orange Batteries 60 Ah (C20) GEL Batteries 78 Ah (C20) GEL B B B B B B B B B B B Charger 24V - 8A B POWERED SEAT OPTIONS & LIGHTS Option Excl. Powered seat lift with powered tilt in space 45, 2 actuators (SH +4cm) Powered tilt in space 45, 1 actuator Powered seat lift 30 cm, 1 actuator (SH +4cm) Powered backrest recline 32, 1 actuator Powered elevating legrests with depth adjustable PU calf plates, 2 actuators (other legrests and legrest accessories, see Legrests) Powered central legrest, 2 actuators (limited ground clearance at the lowest seat height) (limitations in knee angle i.c.w. RWD) (other legrests and legrest accessories, see Legrests) B B B B B B Lights & indicators B CONTROLS Option Excl. DYNAMIC ADVANCED DX2 REM 420, LED, 4 actuators, lights DX2 REM 550, colour LCD, 6 actuators, lights DX 12-key for worktop control, 5 actuators, lights (only i.c.w. worktop) PGDT BASIC VR2 drive only, 0 actuators, no lights VR2 lights, 0 actuators, lights VR2 seats & lights, 2 actuators, lights PGDT ADVANCED R-net, LED, 6 actuators, lights R-net colour LCD, 6 actuators, lights R-net colour LCD for worktop control, 6 actuators, lights (only i.c.w. worktop) Controller mounting, right Controller mounting, left Fixed joystick bracket Swing-away joystick bracket Flip down joystick bracket Mushroom knob U-Grip vertical U-Grip horizontal Attendant control on backrest frame, choose also controller, right Attendant control on backrest frame, choose also controller, left Push button switch small, red (only i.c.w. DX or R-net controller) Push button switch small, green (only i.c.w. DX or R-net controller) Push button switch big, red (only i.c.w. DX or R-net controller) B B B B B B B B B B B B B B B B B B B B B B Push button switch big, green (only i.c.w. DX or R-net controller) B SEAT HEIGHT Option Excl. SEAT HEIGHT (floor to top seat frame in cm) Seat height 12" wheels: 40,5 cm, with lift 44,5 cm (i.c.w. 14" wheels +1cm) (not i.c.w. 78 Ah batteries) Seat height 12" wheels: 43 cm, with lift 47 cm (i.c.w. 14" wheels +1cm) Seat height 12" wheels: 45,5 cm, with lift 49,5 cm (i.c.w. 14" wheels +1cm) Seat height 12" wheels: 48 cm, with lift 52 cm (i.c.w. 14" wheels +1cm) B B B B
3 Price list ALEX QLASS Page: 3 / 5 SEAT WIDTH AND DEPTH Option Excl. SEAT WIDTH X DEPTH Width x depth 42 x 48 cm Width x depth 46 x 48 cm Width x depth 50 x 48 cm Width x depth 54 x 48 cm Width x depth 42 x 55 cm Width x depth 46 x 55 cm Width x depth 50 x 55 cm Width x depth 54 x 55 cm Standard contour seat, 7 cm, ProSkin (Vinyl) upholstery Support seat, anatomic form, partially strapped, 9 cm, stretch rubber upholstery Support seat Visco, anatomic form, partially webbed, 9 cm, stretch rubber upholstery Balance seat, trochanter support, 9 cm, stretch rubber upholstery Seat board, flat, 2 cm Seat board with depth adjustable cushion rear guide, 2 cm Seat board with depth adjustable cushion rear guide & 5,5 cm front guide, 2 cm Partially strapped for seat board (only i.c.w. seat boards above) Q-Tone fabric seat upholstery, instead of ProSkin or stretch rubber upholstery Different size seat cushion, please specify desired deviations at the remarks No seat B B B B B B B B B B B B B B B B B B P.O.R. B Abduction support (12 x 12 x 7 cm) (not i.c.w. central legrest) B BACKRESTS Option Excl. BACKREST WIDTH X HEIGHT Width x height 42 x 50 cm Width x height 46 x 50 cm Width x height 50 x 50 cm Width x height 54 x 50 cm Width x height 42 x 57 cm Width x height 46 x 57 cm Width x height 50 x 57 cm Width x height 54 x 57 cm Contour standard backrest, ProSkin (vinyl) upholstery Contour backrest with inflatable lumbar support, ProSkin (vinyl) upholstery Contour backrest with vertical elastic straps, Q-Tone (fabric) upholstery Contour backrest with horizontal adjustable straps, Q-Tone (fabric) upholstery Deep contour backrest, ProSkin (vinyl) upholstery Deep contour backrest with vertical elastic straps, Q-Tone (fabric) upholstery Deep contour backrest with horizontal adjustable straps, Q-Tone (fabric) upholstery B B B B B B B B B B B B B B B Deep contour backrest with horizontal adjustable traps, flex, Q-Tone (fabric) upholsteryb Extra deep contour backrest with horizontal adjustable straps, Q-Tone (fabric) upholstery Q-Tone fabric backrest upholstery, instead of ProSkin Different size backrest, please specify desired deviations at the remarks No backrest Thoracic support (17 x 15 x 4 cm), adjustable (not i.c.w. flip up armrest),right Thoracic support (17 x 15 x 4 cm), adjustable (not i.c.w. flip up armrest),left Shoulder support (24 x 17 x 3,5 cm), adjustable (not i.c.w. flip up armrest),right Shoulder support (24 x 17 x 3,5 cm), adjustable (not i.c.w. flip up armrest),left Shoulder support (24 x 17 x 3,5 cm), fixed (not i.c.w. flip up armrest),right B B B P.O.R. B B B B B B Shoulder support (24 x 17 x 3,5 cm), fixed (not i.c.w. flip up armrest),left B LEGRESTS Option Excl. CENTRAL LEGRESTS Central legrest angle adjustable (i.c.w. electrical adjustments, choose calf plate) (limitations in knee angle i.c.w. RWD) CENTRAL LEGREST ACCESSORIES Calf plate upholstered LEGREST SETS Standard swing-away legrest with calf strap Standard swing-away legrests with depth adjustable PU calf plates Comfort legrests with depth adjustable PU calf plates B B B B B
4 Price list ALEX QLASS Page: 4 / 5 LEGRESTS, CONTINUATION Option Excl. LEGREST ACCESSORIES (only i.c.w. standard or comfort legrest) Calf plates upholstered instead of PU (19 x 19 x 5,5 cm) Kneepad, right Kneepad, left Canvas heel support, right Canvas heel support, left Toe strap, right Toe strap, left Amputation support, right B B B B B B B B Amputation support, left B ARMRESTS Option Excl. Armrests standard removable with quick release (height, width and depth adjustable), set Flip-up armrests (not i.c.w. armpad hemiplegia and/or thoracic support), set Armrests angle adjustable (not i.c.w. armrest hemiplegia), set Armpad PU, 34 cm, right Armpad PU, 34 cm, left Armpad upholstered 30 cm, right Armpad upholstered 30 cm, left Armpad upholstered 40 cm, right Armpad upholstered 40 cm, left Armpad P-shape upholstered 40 cm, right Armpad P-shape upholstered 40 cm, left Armpad hemiplegia, right Armpad hemiplegia, left PU side cushion, right PU side cushion, left Side cushion padded, right Side cushion padded, left Side cushion wedge-shape, right B B B B B B B B B B B B B B000170A B000589A B B B Side cushion wedge-shape, left B HEADRESTS Option Excl. Adjustable metal bracket Width adjustable metal bracket Metal bracket with quick release levers Headrest PU small Headrest padded small Headrest padded flexible small B B B B B B Headrest padded flexible large B WORKTOPS Option Excl. Worktop acrylic, joystick recess on the side Worktop acrylic, joystick recess in centre Worktop half, acrylic Worktop mounting (not i.c.w. same controller mounting side), right Worktop mounting (not i.c.w. same controller mounting side), left Partial padding (not i.c.w. elbow pads) Raised edges acrylic B B B B B B B Elbow pads (not i.c.w. partial padding) B ACCESSORIES Option Excl. Lapstrap standard, 1.90 m Lapstrap longer, 2.90 m Mirror on joystick side Mirror not on joystick side Cane/crutch holder for two walking canes B B B B B
5 Price list ALEX QLASS Page: 5 / 5 COMMENTS Handicare can tailor solutions to meet your requirements. Please contact your Handicare contact person for all additional wishes that are not described above.
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Title - 1 - Title - 2 - Table Of Contents QUICKIE SALSA/SALSA M... 7 FRAME AND BATTERY BOX... 7 SALSA - CHASSIS... 7 SALSA M - CHASSIS... 8 SALSA M - CHASSIS, SLIDE BUSHING KIT... 9 SALSA M - CHASSIS,
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AADL W659/W991 Quantum Q6 Edge Z with TB3 Power Positioning FOR AADL USE ONLY Pride Mobility Products Co. 5096 South Service Rd, Beamsville, ON, L0R 1B3 Phone: 888-570-1113 Fax: 866-514-1303 Discount:
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Quantum Q6400Z Series Group 4 Order Form 300 lbs. weight capacity Quantum Rehab A Division of Pride Mobility Products Corporation 182 Susquehanna Ave., Exeter, PA 18643 Phone: (866)800-2002 Fax: (866)
More informationFeaturing. Customer Ref: TDX2 Ultra
Featuring Class leading shear reduction with our ESR Mechanism Achieve the perfect fit with simple and precise adjustment features Maximise comfort and pressure relief with the advanced tilt and recline
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Manual Wheelchair Retail Prescription Form ACTION4NGHD11112016 Tel: 01656 776222 Fax: 01656 776220 JAN 2017 Email: ordersuk@invacare.com Online Spares available at: www.invacare.co.uk Customer Ref: Contact
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AADL W592/W991 Quantum Q6 Edge 2.0 with TB3 Power Positioning FOR AADL USE ONLY Pride Mobility Products Co. 5096 South Service Rd, Beamsville, ON, L0R 1B3 Phone: 888-570-1113 Fax: 866-514-1303 Discount:
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Title - 1 - Title - 2 - Table Of Contents QUICKIE HULA... 5 BASE FRAME... 5 BATTERY BOX... 5 MAIN SHROUD... 6 FRONT SHROUD... 7 FRONT FRAME... 8 REAR FRAME... 9 BEARING SET... 10 FRONT FORK ASSY... 11
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Spare Parts Catalogue TABLE OF CONTENTS Chassis Sideframe.... Crossbrace... Battery Carrier... 5 6 7 Seating Seat Canvas Assemblies...... 8 Backrests Backrest Assembly.... 9 Legrests Legrest Hanger Assemblies....
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C u s t o m e r a n d O r d e r I n f o r m a t i o n Purchase Order * Tag v.070118 Dealer/Provider Name * Purchaser Name and Contact Information * Billing Address * Shipping Address * * required F r a
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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
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Quantum 6400Z Series Group 4 Single Power & Multiple Power Order Form 300 lbs. weight capacity Quantum Rehab A Division of Pride Mobility Products Corporation 182 Susquehanna Ave., Exeter, PA 18643 Phone:
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