Customer code C- Invoice address. Max. 90 kg See page 5 Side upholstery (reduces SW with 2 x 2 cm) = Standard equipment

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1 Date Customer code C- Invoice address Contact person Reference Other delivery address Quote Invoice address = delivery address Basic price: 3.495,- excl. VAT Seat width D2025 D2030 D cm 30 cm 35 cm Seat depth A B C Capacity Seat height D ,5 cm 35,0 cm 37,5 cm Max. 90 kg See page 5 Side upholstery (reduces SW with 2 x 2 cm) 129,- = equipment FRAME Item nr. Description Price in Push handles 30 cm, height adjustable and swingable Frame brake, brake lever 9 cm Drum brakes with quick release D21808 Push handles 500 mm, height adjustable and swingable 189,- D83349 Pushbow, height and angle adjustable 437,- D20824 Frame extension incl. brakes on lower frame tube 269,- D41074 Car fastener 158,- SOLUTIONS FOR RESPIRATION MACHINES AND OTHER MEDICAL DEVICES D21186 D21187 D42900 Universal device for different medical equipment (incl. frame extender D20824) only SW 35 cm Cover plate for universal device (additional level) Extra set of 4 mounting brackets, incl. screws 1697,449,234,- All prices are list prices excl. VAT Right for changes reserved Valid until a new pricelist is published Page 1 of 5

2 BACK UNIT D30530 D21006 D2080M D24051 D21023 D26830 D26843 D27541 D20881 D41645 D21120 D86890 Back cushion Netti Smart - side support 12 cm - 3D cover 0,Back cushion cover black 0,Back cushion cover black - red 0,Back height 40 cm (incl. adjustable velcro back) 0,Back height 50 cm for SW 35 cm (incl. back extender + longer cushion 294, only with black cover) Back height 50 cm for SW cm (incl. back extender + longer On request cushion only with black cover) Side support correction mini for Netti SMART 1 pc. 2 pcs. 319,Back cushion Netti STABIL - with 17 cm side support - 3D cover 497,Side support stable left for Netti STABIL 219,Side support stable right for Netti STABIL 219,Upholstery for side support stable, pair 134,H-belt, with upholstery and car belt lock 227,Belt cross harness (we recommend D86890 H-harness adaptor kit) 198,H-belt attachment bar 259,H-harness adaptor kit (from March 2016) 250,Libertas 15 back flexibility incl. long anti tips and frame extender D N D N D N Looking for a wheelchair with flexible back, seat, head and leg support please contact us for further information on Netti Dynamic System. SEAT UNIT D21048 D21017 D63400 D20845 D86282 D24297 D20830 Netti Sit anti-decubitus seat cushion with incontinence layer under the 3D cover Solid seat plate Incontinence cover for seat cushion Netti SIT C - anti-decubitus seat cushion with temperature regulating features and 3D cover Vital Base Venti - anti-decubitus cushion with 3D cover Hip belt, with upholstery and car belt lock Belt bracket kit Abduction block mini (W: 6 cm x L: 11 cm x H: 5 cm) Removable knee and thigh support 1 pc. 2 pcs. 0,0,212,497,439,107,98,193,188,- All prices are list prices excl. VAT Right for changes reserved Valid until a new pricelist is published Page 2 of 5

3 LEG RESTS AND ACCESSORIES D21011 D21081 D2082M D21041 D23014 Universal leg rests with knee angle adjustment and footboard Manual adjustable leg rests with automatic length adjustment, angle adjustable foot plates, calf supports and knee upholstery Extra abduction for leg rests +5 cm Foot plate holder + 9 cm Foot box upholstered Foot fixation, pair Ankle huggers D44863 S (L: cm) D44864 M (L: cm) D44865 L (L: cm) D44904 XL (L: cm) 0,383,380,56,469,132,- 186,199,215,249,- ARM SUPPORTS AND ACCESSORIES FOR ARM REST D21096 D21077 D21078 D21079 D21927 D41649 D41650 D24039 D24038 Arm support height and depth adjustable Arm pads 330 x 55 mm Arm pads 385 x 58 mm Arm pads 420 x 80 mm Arm pads 445 x 70 mm Arm pads 525 x 80 mm Arm pads curved at the back 525 x 80 mm Arm pad upholstery extra soft (for arm pads 385 x 58 mm) 3D cover (not to be combined with a tray) Arm pad upholstery extra soft (for arm pads 420 x 80 mm) 3D cover (not to be combined with a tray) Arm support hemiplegic left (not to be combined with a tray) Arm support hemiplegic right (not to be combined with a tray) 0,0,112,112,112,112,148,99,- Drum brake wheels 22 x 1" PU with quick release 4 camber Main wheel size: 1 3/8, flexel Main wheel size: 1 3/8, pneumatic Drum brake wheels 20 x 1" PU Drum brake wheels 24 x 1" PU Hand and spoke protector, transparent, pair Push rim cover, pair 0,0,59,59,137,137,138,112,- 123,279,279,- MAIN WHEEL D22006 D22008 D22002 D22018 D22009 D22013 All prices are list prices excl. VAT Right for changes reserved Valid until a new pricelist is published Page 3 of 5

4 FRONT WHEELS D22003 D22017 D21021 D21012 D21026 D20664 Front wheels: x 30 PU Front wheels: 5" 125 x 27 PU Front wheels: 7" 175 x 33 PU Front wheels: 7" 175 x 45 flexel Front wheels: 7" 175 x 45 pneumatic Front wheels: 8" 200 x 50 flexel Front wheel distance busher to simplify foot propelling 0,79,79,79,79,79,158,- HEAD SUPPORTS & ACCESSORIES D86133 D23973 D20574 D21027 D21028 D21054 D23012 D23015 Head support A mini with side support, 350 mm vertical bar Head support A mini, with side support, 200 mm vertical bar Head support B, small, oval Head support adjustment tube (horizontal) + 10 cm, length 25 cm Head support adjustment tube (horizontal) + 23 cm, length 38 cm Head support adjustment tube 500 mm Easy Care cover for head support type A + B removable Grey head support cushion with Mars cover 388,382,210,79,89,79,79,214,- D21050 D21052 Tray reinforced for SW cm Upholstery for tray 356,113,- TRAYS VARIOUS ACCESSORIES D21087 D21239 D42269 D41987 Clinic-Kit (tools and star wheels) Toolkit Wheelchair bag Intravenous rack 106,89,140,298,- All prices are list prices excl. VAT Right for changes reserved Valid until a new pricelist is published Page 4 of 5

5 TECHNICAL DATA Tilt (seat) Recline (back) Total width of the wheelchair Total length Total height Weight of wheelchair Frame colour Cover variants -7 to to 120 Seat width + 21 cm 80 cm with leg rests 62 cm App. 25 kg (without cushion) Silver Stretchable & flexible cover 3D Seat height WITHOUT seat cushion (measured from floor to seat plate) Main wheel size Upper position/front wheel size Lower position/front wheel size 42 cm 5,6 & ,5 cm 5 & 6 44 cm 5,6 &7 44,5 cm 6,7 & 8 47 cm 7 & 8 Measurements Leg rests Seat width cm Manual adjustable leg rests Seat width cm Universal leg rests Seat width 35 cm Universal leg rests A Hip width/seat width B Thigh length / seat depth C Arm rest height D Leg length / seat height E Backrest height F Trunk width Min. calf length Max. calf length 29 cm 39 cm 22 cm 32 cm 27 cm 37 cm All prices are list prices excl. VAT Right for changes reserved Valid until a new pricelist is published Page 5 of 5

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