Aluminum adjustable. TiLite Aero T & Aero Z
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1 Aluminum adjustable TiLite Aero T & Aero Z
2 TiLite Aero T Our most advanced aluminum chair, the Aero T s dual-tube frame minimizes weight while maximizing performance. Pure geometry Make every move more effortless with the unique geometry and dual tube design that transfers more of each push directly to the ground. 1 tubing
3 TiLite Aero Z Distinguished by a clean, minimal look, the mono-tube frame s 1.25 tubing gives the Aero Z strength and durability. Minimal by design Transferring in and out of vehicles is a breeze with the minimal, open frame design and lightweight materials of the Aero Z tubing
4 With an unrestricted range of movement, both the Precision Lock Caster and Back Angle Adjustments offer a simplified and more accurate way to adjust your chair. Caster and back adjustment Precision Lock Technology makes the TiLite Aero T and Aero Z easy to adjust, creating an exact fit to you. The Precision Lock Caster and Back Adjustment reduces complexity and the number of steps required for adjustment. Now your chair can be infinitely adjusted in a matter of minutes. No longer are you limited to predefined adjustment slots.
5 The ergonomic seat utilizes seat slope, which can create the desired support you would expect from seating and positioning accessories. Ergonomic seating The TiLite Aero T and TiLite Aero Z are handmade and tailored to each customer s specifications. The only fully adjustable chairs on the market with optional Ergonomic Seating providing an even greater fit.
6 Specifications TiLite Aero T Frame features Total chair width* 23 Seat width Seat depth Front seat height Rear seat height Titanium Dual-Tube Rigid, TiFit, full adjustability Front frame angle 70º, 75º, 80º, 85º, or 90º Camber 0º, 2º, 4º, 6º, 8º or 12º Center of gravity adjustment 5 Folding seat back Adj. height Adj. angle Front seat width (seat taper) 0, 1, 2, 3 Ergonomic seat 6, 7, 8 Transit options Transport weight* Weight limit HCPCS Code Warranty Q-Straint lock down approved 12 lb. 265 lb. Standard 350 lb. Heavy duty K0005, E1235 Five years on frame One year on TiLite components TiLite Aero Z Frame features Total chair width* 23 Seat width Seat depth Front seat height Rear seat height Titanium Mono-Tube Rigid, TiFit, full adjustability Front frame angle 70º, 75º, 80º, 85º, or 90º Camber 0º, 2º, 4º, 6º, 8º or 12º Center of gravity adjustment 6 Folding seat back Adj. height Adj. angle Front seat width (seat taper) 0, 1.5, 2.5 Ergonomic seat 6, 7, 8 Transit options Transport weight* Weight limit HCPCS Code Warranty Transit Tie-Down 12.4 lb. 265 lb. K0005, E1235 Five years on frame One year on TiLite components * Weights and widths based on 16 x 16 chair with 0º camber, minimum rear wheel spacing and all standard features. Rear wheels are not included in transport weight. For reference, a pair of standard 24 rear wheels weighs 7.2 lb. Frame colors Component colors High gloss paint Candy paint Metallic paint Anodized TiLite red Neon pink Super wet black Ruby red Azure blue Electric plum Tangerine metallic Acid green Metallic Ocean blue metallic Red Pepper Burnt orange Sapphire Matte textured paint Matte paint Pearlescent paint Ultraviolet Fuchsia Black Flame orange OD green Hyper blue Titanium grey Black lava Midnight blue pearl White pearl permobil.com Ph Fax MS0065_RevA_Aluminumadjustable
International TiLite Z-Series Order Form
Effective January 2 nd, 2019 (New Items in Red) DEALER INFORMATION International TiLite Z-Series Order Form MONO-TUBE RIGID FRAME RTS INFORMATION Dealer: Account #: RTS: Phone: PO: Ordered By: Email: Email:
Order Form SHIP TO INFORMATION. TiLite Information: Promo Code: City: State: Zip: Dealer: Account #: RTS: Phone: PO: Ordered By:
Effective October 15th, 2018 (New Items in Red) DEALER INFORMATION MONO-TUBE RIGID FRAME Order Form RTS INFORMATION Dealer: Account #: RTS: Phone: PO: Ordered By: Email: Email: SHIP TO INFORMATION Mark
Address: City: State: Zip: City: State: Zip: TiLite Information. Please Fax to the TiLite Customer Service Team at or
Page 1 of 7 DEALER INFORMATION RTS INFORMATION Dealer: RTS: Phone: Account: PO: Email: Ordered By: SHIP TO INFORMATION Address: Name: Ship Via: City: State: Zip: Address: Phone: Fax: City: State: Zip:
Address: STD TWANO5 Sapphire TWANO3 Red Pepper TWANO6 Burnt Orange TWANO7 Sub-Lime TWANO8 Ultraviolet $150
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Order Form SHIP TO INFORMATION. TiLite Information: Promo Code: City: State: Zip: Dealer: Account #: RTS: Phone: PO: Ordered By:
Effective April 1, 2019 (New Items in Red) DEALER INFORMATION MONO-TUBE RIGID FRAME RTS INFORMATION Dealer: Account #: RTS: Phone: PO: Ordered By: Email: Email: SHIP TO INFORMATION Mark For: Name: Ship
FOLDING FRAME. Promo Code: City: State: PC: Ship Date: Order #:
Page 1 of 6 DEALER INFORMATION Client Name: Dealer: Contact No: Address: TiLite Information Promo Code: City: State: PC: Ship Date: Order #: Phone: Fax: Please Email order to orders.au@permobil.com or
TiLite. Please Fax to the TiLite Customer Service Team at or
- Print as guide for ordering DEALER INFORMATION ler: Adaptive Specialties RTS INFORMATION RTS: Email: SHIP TO INFORMATION Phone: Page 1 of 9 Email: TiLite Information Name: Ship Via: : Please Fax to the
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Sling Position. Push Handle. q Omit Push Handles N/C q Standard Push Handles 53 q Fold Down Push Handles 80 q Bolt-On Push Handles 109
Effective 05/07/2014 Company: Account Number: Date: q Quote q PO Number: RTS: Marked For: q Rogue XP 1825 Rogue Width Grow-able Frame. 275 lb weight capacity. Maximum initial : 16. q Rogue 1495 Rogue Standard
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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
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The average annual per capita paper use in the USA in 2001 was 700 pounds. The average annual per capita paper use in the rest of the world was 110 pounds. This is equal to approximately 28 print outs
q Little Wave Flip XP-Rigid Base E1233, E1161 $
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DMC THREAD COLOR CONVERSION CHART
Ecru Ecru ecru ecru (5,8,12) ecru ecru ecru White White white white (5,8,12) blanc blanc blanc Snow White B5200 B5200 B5200 (5,8,12) S5200 E5200 6240 (white luster) B5200 B5200 Variegated Baby Pink 48
MOVE ORDER FORM - CANADA
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:
4.8. Clinician/ATP/RTS: City: State/Prov: Marked for: Phone: * Required MVMA053 MVMA056. MVMA058 English Manual (STD) Dutch Manual
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.
ITY SCOOTER GUIDE MOBILITY SCOOTER CATALOG. Get Out There! pridemobility.com
ITY SCOOTER GUIDE MOBILITY SCOOTER CATALOG Get Out There! pridemobility.com Don t let a change in mobility affect your lifestyle. Live your best with Pride Mobility Scooters and enjoy sleek, sporty style
Küschall Ultra Light RETAIL Maximum user weight 130kg (20.5 Stone)
Manual Wheelchair Retail Prescription Form UltraLight061216 Tel: 01656776222 Fax: 01656776220 Email: ordersuk@invacare.com JANUARY 2017 Online spares available at: www.invacare.co.uk Account No : Built
Invacare Action 3 Junior Basic RETAIL Max User Weight 80Kg (12.5 stone)
Manual Wheelchair Retail Prescription Form ACTION3JUNIORBASIC05122018 Tel: 01656 776222 Fax: 01656 776220 JANUARY 2019 Email: ordersuk@invacare.com Online Spares available at www.invacare.co.uk Customer
Order Form. English Company stamp
NONO Date User name Company stamp Rigid frame wheelchair Responsible Wheelchair measures Seat width (LS) 24 27 30 33 36 Seat depth (PS) 27,5 30 32,5 35 37,5 40 Seat depth can be increased by 2,5 or 5 cm.
PULL HANDLES THERMOPLASTIC CAST IRON ALUMINUM STAINLESS STEEL BIG HAND STYLE P U L L H A N D L E S
473 THERMOPLASTIC CAST IRON P U L L H A N D L E S ALUMINUM PULL HANDLES Manual Clamps 9 TriMax Vises 81 Pneumatic Workholding 121 Supports, Stops & Set Up Accessories 137 Precision Tooling Plates, Blocks
Quickie IRIS FSS Net Order Form/Price List (SIN F-1)
Mark For: Date: Dealer Acct #: Dealer: Dealer Contact: Dealer Address: Dealer City: ST: Dealer Phone: ( ) Fax: ( ) Confirmation Email: Confirm Via: ZIP: Quickie IRIS FSS Net Order Form/Price List (SIN
supernailprofessional.com
Fast and easy system for creating beautiful and long-lasting nail enhancements in a fraction of the time! Model is wearing dip powder in Alluring Red. supernailprofessional.com Create beautiful and long-lasting
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
front wheels FW2 3 x.75 Light-Up Micro-Caster FW23 3 x1.5 Billet Aluminum Micro Caster w/soft Roll Tire FW19 4 x.75 Performance 5 Spoke Billet Aluminum Wheel w/poly Tire - Silver Hub OR Black Hub FW20
Account Number: Provider Name: Contact:
Quantum Rehab Discount: Terms: Freight: Taken By: DME providers are responsible for determining appropriate billing codes when submitting for insurance reimbursement. HCPCS codes should not be considered
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:*
The lightest folding wheelchair in the world - now with swing away legrests!
The lightest folding wheelchair in the world - now with swing away legrests! The lightest FOLDING wheelchair in the world, now with swing-away legrests. Quickie has combined the latest ultra-light, hydroformed
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:*
ZIPPIE IRIS (Transit Included) EIZ5A
ZIPPIE IRIS (Transit Included) EIZ5A MASS QLD ORDER FORM SUMMARY PAGE Effective: January, 2014 ORDERING INFORMATION: (02) 9678 6600 Fax: (02) 9678 6655 Email:orders@sunrisemedical.com.au Date: Sales Rep:
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