noir 2.0 Order Form NONO Carbon fibre frame made-to-measure. English Company stamp Date User name Responsible Seat depth (PS)
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1 NONO Date User name Order Form Company stamp Rigid frame wheelchair Responsible Carbon fibre frame made-to-measure. Front height 35 37,5 Frame Angle 40 42,5 Backrest rake adjustable from -4 to ,5 Footplate distance (DP) See note ( 1 ) Seat width (LS) Setting C Extremely prudential 7,5 camber Prudential Front height (min 44-max 54) Standard 10,5 Active 12 Rear height (min 37-max 48) Extreme 13,5 calcolated with rear wheels 24" ESSENCE CARBON Essence Polished transparent paining OPAQUE Essence Opaque transparent painting LIME Essence RED Essence Seat depth (PS) Keep attention to all measures. NOIR is a wheelchair without possibilities of adjustments after its manufacturing.. See reference tables Take care to write all the requested measures (in centimetres) Backrest height (TS) Std.Value 33,5 Rear height A BLUE Essence ANTHRACITE + OPAQUE Essence Fork colour Opaque black Pearl white Footplate option Carbon fibre frame with integrated footplate, not adjustable Aluminium footplate adjustable distance +/- 1,5cm (rake and depth adjustable) Minimum footplate distance 35cm. Internal 2/3 Internal External 2/3 External Pag. 1 / 5
2 Seat Seat cloth with pocket (under seat) Seat with tension straps Carbon rigid seat Pocket (under seat) [25x11x4,5] Backrestwith rake adjustable from -4 to +16 Backrest with double locking (upright and folded) Backrest with upright locking system ONLY (no locking when folded) Fixed back(non-folding back) Carbon fibre backrest Titanium backrest A I R - Posture backrest - Lateral retaining STANDARD 6,5cm. not available for seat width 48 - Std. Backrest upholstery not provided - Handle tube aluminium with short tubes Carbon shell H25 - Height 29 30, , ,5 Carbon shell H33 - Height 37 38, , ,5 AIR Cover STANDARD AIR Cover SPORT AIR Cover ACTIVE fabric insert: colour silver fabric insert: colour black fabric insert: colour Red Lime Blue Fabric insert stitichings Transpiring fabric stitchings Transpiring fabric stitchings colour grey Fabric insert stitichings Fabric insert stitichings Transpiring fabric stitchings colour grey Silver Lime Orange Red colour black Fuchsia Blue Anthracite Black Handle tube Handle tube with short tubes Handle tube SPORT Without push handles Folding handles aluminium Casters 3" Sport " Soft 3" Active Soft (wide) 4" Active Sport (narrow) 4" Active Soft (wide) 5" Active Soft (wide) Rear wheels - See chart N 3 24" ULTRA-LIGHT PROGEO KEY SPORT 24" Ultra-light "Spinergy LX" 24" Ultra-light "Spinergy LXL" Black hub and white blade spokes Hub and blade spokes black 25" Ultra-light "Spinergy LX" 25" Ultra-light "Spinergy LXL" Black hub and white blade spokes 26" Ultra-light "Spinergy LX" 24" Ultra-light "Spinergy Flex rim" Pag. 2 / 5
3 Rear wheel tyre High pressure tyre (22"-24"-25"-26") High pressure profile tyre (24") Marathon Plus (24"-25") with anti-puncture protection Kik tyre Mako - Colour Black (24") Kik tyre Mako - Colour Grey (24") Handrim - Wheel distance 3 cm 4 cm Aluminium (22"-24"-25"-26") Chromed Steel (24"-25") (Not available with Spinergy) Titanium (24"-25") Ultra Grepp (24"-25") Max Grepp (24"-25") Ergo Para (24") SURGE LT (24"-25") Oval countour with a rubber insert Quad (24") (24") Silicon cover for standard aluminium handrim Available for measures (22"-24"-25"-26") Wheel locks Without brake Bent lever push to lock Straight lever Push to lock Straight lever Pull to lock Sport brake OUT-FRONT Brake with extension lever push to lock Brake with extension lever pull to lock Mudguard Carbon fibre mudguard Carbon fibre Straight sideguard Aligned wheel Under wheel. cm Above wheel. cm Removable carbon fibre mudguard Removable Carbon fibre straight sideguard Aligned wheel Under wheel. cm Above wheel. cm Armrests Swing away armrests (Swing away, removable and height adjustable armrest) Pad STANDARD Ergonomic pad (30x6 cm.) Optional 1 Pad for front frame protectors Transit wheels Anti-tipper with rapid hookup (inside rotation to reduce the encumbrance) Right Left Pag. 3 / 5
4 Optional 2 Lumbar support (to insert in the backrest upholstery) Tetraclip (Quick release axle for quadriplegic) Additional Kit 24" Off-road rear wheels (only with aluminium handrim) PHYSIO - Posture backrest Std. Backrest upholstery not provided Aluminum shell Height Lateral retaining STANDARD 7,5cm Height 52 Aluminum shell Height Lateral retaining DEEP 15cm H 25 not available for seat width Height 52 Carbon shell Height Lateral retaining STANDARD 7,5cm SWING AWAY - Lateral support Not available with Physio backrest with lateral retaining DEEP and in carbon backrest adjustable (0-1,5cm) 7,5cm 15cm 7,5cm COVER Cover with fabric-cover of backrest s rear side and high refraction fabric hems adjustable (-4-5,5cm) Large (17,5x11,5) Large (17,5x11,5) Large (17,5x11,5) Left Left Left Right Right Right adjustable (-8,5-10cm) Small (14x9,5) Small (14x9,5) Small (14x9,5) Left Left Left Right Right Right Additional Kit for internal thoracic support to the backrest width, adjustable (-8,5-10cm) (with additional kit) Headrest adjustable - Double ball mounting system Not available for Physio backrest s height 25 and with carbon shell Large (34x14) Small (28x14) Pag. 4 / 5
5 REFERENCE TABLES Keep attention to all measures. IMPORTANT NOTICE NOIR is a wheelchair without possibilities of adjustments after its manufacturing. (1) The real seat depth, from the front part of the seat cloth to the backrest tube will be 1,5 cm more than the declared one. 1 A Footplate width 2 Setting C : DP LS Extremely prudential 7, Prudential Standard 10, Active Extreme 13, Maximum width Camber 0 LS LS LS + 24 Maximum width calcolated including 3 cm. distance between tyre and handrim Italia Certified company normative UNI EN ISO 9001 Pag. 5 / 5 Wheelchair : - Printed on Prices in EURO - VAT excluded to be added to the price list Important notice! is page only if any optional have been chosen standard (supplied if no requests are indicated) on request (without extra charge) optional (cost to be added at the basic price)
Order Form. English Company stamp. Version mudguard (AVAILABLE ONLY WITH REAR WHEELS 24'') Version straight sideguard
NONO Date User name Company stamp Rigid frame wheelchair Responsible Wheelchair measures Seat width (LS) 33 36 39 42 45 48 The seat width is measured from the outer sides of the frame, while the distance
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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
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