KID-KART TLC... 3 BASE... 3 BASE - Discontinued... 3 SILVER BASE... 4 CASTER FORK ASSEMBLIES... 5 WHEEL LOCKS... 6 ANTI-TIPS... 7 REAR WHEELS...

Size: px
Start display at page:

Download "KID-KART TLC... 3 BASE... 3 BASE - Discontinued... 3 SILVER BASE... 4 CASTER FORK ASSEMBLIES... 5 WHEEL LOCKS... 6 ANTI-TIPS... 7 REAR WHEELS..."

Transcription

1 KID KART TLC PAGE 1

2 KID-KART TLC... 3 BASE... 3 BASE - Discontinued... 3 SILVER BASE... 4 CASTER FORK ASSEMBLIES... 5 WHEEL LOCKS... 6 ANTI-TIPS... 7 REAR WHEELS... 8 STROLLER HANDLE... 9 KID KART PNEUMATIC & PNEU. AIRLESS TIRE SEATING SEATING SHELL TLC SHELL TLC SHELL (Discontinued) SHELL REPLACEMENT PARTS SHELL FABRIC GROWTH KIT TRANSIT HARNESS POSITIONING BELTS SEAT PADS SEATING CUSHIONS BACK PADS T BACK CUSHION I BACK CUSHION HEADRESTS TRI-WING HEAD SUPPORT PLANAR HEAD SUPPORT MICRO ADJUST HEAD SUPPORT SUPPORT LATERAL ASSEMBLY ABDUCTOR BLOCK ANTERIOR TRUNK SUPPORT PELVIC POSITIONING BELTS KNEE ADDUCTION PACKAGE LATERAL HIP ADDUCTION PACKAGE ACCESSORIES FEEDER BASE SUNSHADE SHOE HOLDER ASSEMBLY UPPER EXTREMITY SUPPORT TRAY - TLC VENT TRAYS VENT AND BATTERY TRAY TBIRD VENT TRAY & BATTERY TRAY O2 AND IV HOLDERS O2 HOLDER IV POLE ASSEMBLY W/BASE O2 HOLDER AND IV ASSEMBLY ADJUSTMENT TOOLS TIRE PUMP PAGE 2 KID KART TLC

3 BASE - Discontinued (10/2011) Note: Black and purple bases were discontinued as of September 2011 and are available as replacement parts only. 1A MOBASE 12" BLACK TC BLACK - 12" PNEU 1B MOBASE 14" BLACK TC BLACK - 14" PNEU 1C MOBASE 12" PURPLE TC PURPLE - 12" PNEU 1D MOBASE 14" PURPLE TC PURPLE - 14" PNEU KID KART TLC PAGE 3

4 (12/2012) SILVER BASE TLC FRAME ASSM SILVER Order Wheels and Casters Separately PAGE 4 KID KART TLC

5 CASTER FORK ASSEMBLIES (09/2011) 1A WHEEL/TIRE BLK/GRY 8" PNEUM 8" Pneu 1B WHEEL/TIRE BLK/GRY 8" AIRLESS 8" w/airless Insert 1C WHEEL/TIRE BLK/GRY 6" URETHANE 6" Urethane S WASHER 1/2 FLAT NYLON BEARING 1/2" FLANGED CASTER FORK W/STEM CHROME 8" S WASHER.35 X.49 FLAT STAINLESS HEX BOLT 5/16-18 X 3.25 GRD 5 ZN NYLOK NUT 5/16-18 STEEL ZN /2-20 X 2-1/2" G8 HHCS ZC BOLT S WASHER 1/2 FLAT NYLON BEARING 1/2" FLANGED BEARING SPACER.375 CASTER S NYLOK JAM NUT 1/2-20 STEEL ZN HHCS 5/16-24 X 2-1/2 1A, " FRONT CASTER ASSEMBLY PNEU 8" Pneu 1B, " FRONT CASTER ASSY AIRLESS 8" w/airless Insert KID KART CHROME FORK ASSEMBLY S CASTER FORK ASSEMBLY TC KID KART TLC PAGE 5

6 (03/2009) WHEEL LOCKS S NYLOK NUT 1/4-20 STEEL ZN S WHEEL LOCK LEFT BR01 Left WHEEL LOCK RIGHT BRO2 Right WHEEL LOCK SPACER 5/8" S WHEEL LOCK LEFT BR01 Left WHEEL LOCK RIGHT BR02 Right WHEEL LOCK HANDLE RUBBER GRAY WASHER 1/4" SHOULDER NYLON MA SCRW 1/4-20 x 1.75 BHSK ZN WHEEL LOCK ASSEMBLY LEFT Left WHEEL LOCK ASSEMBLY RIGHT Right PAGE 6 KID KART TLC

7 ANTI-TIPS (03/2009) SNAP BUTTON DOUBLE E S CRUTCH TIP 3/4 BLACK ANTI-TIP ASSY 14" BLACK ANODIZ USE W/ 14" REAR WHEELS ANTI-TIP ASSY 12" BLACK ANODIZ USE W/ 12" REAR WHEELS KID KART TLC PAGE 7

8 (03/2009) REAR WHEELS 1A WHEEL BLK/GRY 14" PNEUMATIC 14" Pneu 1B WHL/TR BLK/GRY 14" AIRLS/INSET 14" Pneu w/airless Insert 1C WHEEL/TIRE BLK/GRY 12" INSET 12" Pneu KID KART AXLE ASSEMBLY PAGE 8 KID KART TLC

9 STROLLER HANDLE (10/2011) Note: Black color was discontinued as of September 2011 and is available as replacement parts only /4" ANTI-RATTLE S SNAP BUTTON SINGLE B HANDLE BAR UPPER TC/XP VENT Black STROLLER HANDLE ASSM SILVER KID KART TLC PAGE 9

10 (09/2010) KID KART PNEUMATIC & PNEU. AIRLESS TIRE TIRE PNEU 12-1/2" X 2-1/4" 12" TIRE PNEUMATIC 18" 18" PAGE 10 KID KART TLC

11 TLC SHELL (09/2011) Note: Effective on chairs with serial number prefix KKTC. 1A SHEL ASSY TLCB2 RCLNE A Recline w/transit 1B SHEL ASSY TLCB1 NON-RCLN A Non-recline W/ Transit 1C SHEL ASSY TLC2 RCLN A Recline no Transit 1D SHEL ASSY TLC1 NO-RCLN A Non-recline no Transit S SEAT TRAY TC S SEAT BACK TC S ADDUCTION PAD SMALL B662 KID KART TLC PAGE 11

12 (08/2017) TLC SHELL (Discontinued) 1A SHEL ASSY TLCB2 RCLNE Recline w/transit 1B SHEL ASSY TLCB1 NON-RCLN Non-recline W/ Transit 1C SHEL ASSY TLC2 RCLN Recline no Transit 1D SHEL ASSY TLC1 NO-RCLN Non-recline no Transit S SEAT TRAY TC S SEAT BACK TC S ADDUCTION PAD SMALL B662 PAGE 12 KID KART TLC

13 Note: Chairs built after S/N Number XPS MX utilized black components and not gray, replacement parts will only be offered in black. Note: Discontinued September 2011, effective on chairs without S/N prefix KKTC only. (08/2017) KID KART TLC PAGE 13

14 (10/2011) SHELL REPLACEMENT PARTS Note: Chairs built after S/N Number XPS MX and with S/N prefix KKTC utilized black components and not gray, replacement parts will only be offered in black LEG PROTECTOR FUSCHIA TC Discontinued Sept LEG PROTECTOR GREEN TC Discontinued Sept LEG PROTECTOR TEAL TC Discontinued Sept LEG PROTECTOR PURPLE TC Discontinued Sept LEG PROTECTOR BLUE TC Discontinued Sept LEG STRAP TLC Gray S FOOTBED TC Footbed only - does not include Hanger S KNOB BLACK 1/4-20 X S FOOTBED HANGER 16" TC Hanger only - does not include Footbed REPLACEMENT FOOTBED ASSY REPLACMENT KIT RECLINE ASSY TC ARM REST PAIR TC (L/R) Pair CYL LOCK LEVER ASSM T45 PAGE 14 KID KART TLC

15 SHELL FABRIC (10/2011) 1, SHELL COVER GREEN TC Parts only, discontinued Sept 2011 on chair as of S/N KKTC , SHELL COVER PURPLE TC Parts only, discontinued Sept 2011 on chair as of S/N KKTC , SHELL COVER BLUE TC Parts only, discontinued Sept 2011 on chair as of S/N KKTC , SHELL COVER TLC BUTTERFLY 1, SHELL COVER TLC RACER 1, SHELL COVER TLC PINK 1, SHELL COVER TLC GREEN 1, SHELL COVER TLC ORANGE 1, SHELL COVER TLC BLUE STORAGE POUCH BLUE TC ARM REST COVER LEFT GREEN TC Parts only, discontinued Sept 2011 on chair as of S/N KKTC ARM REST COVER RIGHT GREEN TC Parts only, discontinued Sept 2011 on chair as of S/N KKTC ARM REST COVER LEFT BLUE TC Parts only, discontinued Sept 2011 on chair as of S/N KKTC ARM REST COVER RIGHT BLUE TC Parts only, discontinued Sept 2011 on chair as of S/N KKTC ARM REST COVER LEFT PURPLE TC Parts only, discontinued Sept 2011 on chair as of S/N KKTC ARM REST COVER RIGHT PURPLE TC Parts only, discontinued Sept 2011 on chair as of S/N KKTC KID KART TLC PAGE 15

16 Pos. (10/2011) Item Number Description Remarks ARMREST COVER TLC GRAY RIGHT ARMREST COVER TLC GRAY LEFT LEG PROTECTOR FUSCHIA TC Parts only, discontinued Sept 2011 on chair as of S/N KKTC LEG PROTECTOR GREEN TC Parts only, discontinued Sept 2011 on chair as of S/N KKTC LEG PROTECTOR TEAL TC Parts only, discontinued Sept 2011 on chair as of S/N KKTC LEG PROTECTOR PURPLE TC Parts only, discontinued Sept 2011 on chair as of S/N KKTC LEG PROTECTOR BLUE TC Parts only, discontinued Sept 2011 on chair as of S/N KKTC LEG STRAP TLC Gray ACCESSORY BAG TLC Gray 6A CANOPY CURVED BUTTERFLIES 6A CANOPY CURVED RACER 6A CANOPY CURVED PINK 6A CANOPY CURVED GREEN 6A CANOPY CURVED PURPLE 6A CANOPY CURVED ORANGE 6A CANOPY CURVED BLUE 6B CANOPY STRIPE BUTTERFLIES 6B CANOPY STRIPE RACER 6B CANOPY STRIPE PINK 6B CANOPY STRIPE GREEN 6B CANOPY STRIPE PURPLE 6B CANOPY STRIPE ORANGE 6B CANOPY STRIPE BLUE 6C SUNSHADE COVER JIVE XP Parts only, discontinued Sept 2011 on chair as of S/N KKTC C SUNSHADE COVER CLASSIC XP (NAVY) Parts only, discontinued Sept 2011 on chair as of S/N KKTC C SUNSHADE COVER ORIGINAL XP (TEAL) Parts only, discontinued Sept 2011 on chair as of S/N KKTC C SUNSHADE-RED BLACK Parts only, discontinued Sept 2011 on chair as of S/N KKTC C SUNSHADE-KAKI (KHAKI/SMOKE) Parts only, discontinued Sept 2011 on chair as of S/N KKTC C SUNSHADE FOREST GREEN Parts only, discontinued Sept 2011 on chair as of S/N KKTC C SUNSHADE BLUE Parts only, discontinued Sept 2011 on chair as of S/N KKTC C SUNSHADE PURPLE Parts only, discontinued Sept 2011 on chair as of S/N KKTC ,6A S BUTTERFLY CRVD STRIPE TLC PKG 1-5,6A S RACER CRVD STRIPE TLC PKG 1-5,6A S PINK CRVD STRIPE TLC PKG 1-5,6A S GREEN CRVD STRIPE TLC PKG 1-5,6A S PURPLE CRVD STRIPE TLC PKG 1-5,6A S ORANGE CRVD STRIPE TLC PKG 1-5,6A S NAVY BLUE CRVD STRIPE TLC PKG 1-5,6B S BUTTERFLY CNTR STRIPE TLC PKG 1-5,6B S RACER CNTR STRIPE TLC PKG 1-5,6B S PINK CNTR STRIPE TLC PKG 1-5,6B S GREEN CNTR STRIPE TLC PKG 1-5,6B S PURPLE CNTR STRIPE TLC PKG 1-5,6B S ORANGE CNTR STRIPE TLC PKG 1-5,6B S NAVY BLUE CNTR STRIPE TLC PKG PAGE 16 KID KART TLC

17 GROWTH KIT (09/2011) Note: Growth pad is 1" thick. Pos. Item Number Description GROWTH KIT BLACK TC KID KART TLC PAGE 17

18 (10/2011) TRANSIT HARNESS NOTE: A TRANSIT SHELL IS REQUIRED FOR TRANSIT APPROVAL HARNESS STRAP XP 1 1/2" CLIP HARNESS SR BLK 1.5 FO /2 BUCKLE SINGLE ENTRY S MA SCRW 1/4-20 X 1/2 BHSK ZN CROTCH STRAP ASSY XP WASHER FLAT THIN AN 1/4 ROHS PAGE 18 KID KART TLC

19 POSITIONING BELTS [08/2016] 1A, LAP BELT 1x19 Plastic Buckle 1B, LAP BELT 1-1/2" Plastic Buckle 1C, LAP BELT ASSY 1-1/2 AUTO XP Auto Style Buckle 1D, " BELT AUTO STY ST DUAL PULL Auto Style Buckle WASHER FLAT THIN AN 1/4 ROHS MA SCRW 1/4-20X3/8 BHSK ZN KID KART TLC PAGE 19

20 (09/2011) SEATING CUSHIONS Note: Gray cushion discontinued as of Sept 2011, available as replacement parts only. Pos. Item Number Description 1A CONT SEAT CUSH 8-11 IV-1 TC 1B CONT SEAT CUSH 8-11 SOFT TC 1C CONT SEAT CUSH 8-11" MED TC 1D CONT SEAT CUSH 8-11 MED/SFT TC 1E CONT SEAT CUSH IV-1 TC 1F CONT SEAT CUSH SOFT TC 1G CONT SEAT CUSH MED TC 1H CONT SEAT CUSH MED/ST TC 2A S SEAT COVER BLACK 8-11 TC 2B S SEAT COVER BLACK TC 2C SEAT COVER GRAY 8-11 TC 2D SEAT COVER GRAY TC 3A SEAT CUSH ASSY 7X13 WEDGE 3B SEAT CUSH ASSY 9X13 WEDGE 3C SEAT CUSH ASSY 11X13 WEDGE 4A SEAT COVER 7X13 BLACK Pos. Item Number Description 4B SEAT COVER 9X13 BLACK 4C S SEAT COVER 11X13 BLAC 4D SEAT COVER 7X13 GRAY 4E SEAT COVER 9X13 GRAY 4F SEAT COVER 11X13 GRAY 5A SEAT CUSH ASSY 7X13 L 5B SEAT CUSH ASSY 9X13 L 5C SEAT CUSH ASSY 11X13 6A S SEAT COVER 7" LEDGE BLACK TC 6B SEAT COVER 9" LEDGE BLACK TC 6C S SEAT COVER 11" LEDGE BLACK TC 6D SEAT COVER 7" LEDGE GRAY TC 6E SEAT COVER 9" LEDGE GRAY TC 6F SEAT COVER 11" LEDGE GRAY TC 7A SEAT CUSHION ASSY 7X13 7B SEAT CUSHION ASSY 9X13 PAGE 20 KID KART TLC

21 Pos. Item Number Description 7C SEAT CUSHION ASSY 11X13 (09/2011) KID KART TLC PAGE 21

22 (10/2011) T BACK CUSHION Note: Please contact Customer Service for custom sizing. Note: Gray upholstery discontinued as of Sept 2011, available as replacement parts only T-BACK COVER GRAY TC T-BACK COVER BLACK TC T-BACK FOAM TC ORDER QTY 2 1, T-BACK CUSHION ASSY GRAY TC 1, T-BACK CUSHION ASSY BLACK TC PAGE 22 KID KART TLC

23 I BACK CUSHION (10/2011) Note: Please contact Customer Service for custom sizing. Note: Gray upholstery discontinued as of Sept 2011, available as replacement parts only. Pos. Item Number Description I-BACK COVER GRAY ZX I-BACK COVER BLACK TC I-BACK FOAM TC 1, I-BACK CUSHION ASSY GRAY TC 1, I-BACK CUSHION ASSY BLACK TC KID KART TLC PAGE 23

24 (10/2011) TRI-WING HEAD SUPPORT Note: Please contact Customer Service for custom sizing. Note: Navy & Gray upholstery discontinued as of Sept 2011 available as replacement parts only. Note: Effective for Xpress chairs prior to May 2007 with S/N without a letter on the end. 1A TRI-WING HEAD SUPP COVER GRAY 1B TRI-WING H/S COVER GRAY HALO Halo Strap not included 1C S TRI-WING HEAD SUPP COVER BLACK 1D, T-WING H/SUPP CVR BLACK W/HALO Halo Strap not included TRI-WING HEAD SUPPORT PLASTIC S MA SCRW 1/4-20 X 2.5 FULTDBHSK ZN TRI-WING HEAD SUPPORT FOAM HEAD SUPP HARDWARE COVER BLACK WING NUT 1/4-20 STEEL ZN HEAD SUPPORT VERTICAL TC S SPACER 1/4 X 1/2 X 1/4 NYL S SPACER 1/4 X 1/2 X 1/2 NYL NUT 1/4-20 MA SCRW STEEL ZN HALO STRAP BLACK 3/4" DEPTH ADJ HEADREST BRACKET XP 1A, HEAD SUPPORT TRI-WING CHAR XP 1B, HEAD SUPP MICRO BLACK W/HALO PAGE 24 KID KART TLC

25 1C, HEAD SUPPORT TRI-WING BLACK 1D, HEAD SUPP T-WING BLACK W/HALO (10/2011) KID KART TLC PAGE 25

26 (10/2011) PLANAR HEAD SUPPORT Note: Navy & Gray upholstery discontinued as of Sept 2011, available as replacement parts only. Note: Effective for Xpress chairs prior to May 2007 with S/N without a letter on the end. Pos. Item Number Description S SPACER 1/4 X 1/2 X 1/2 NYL NUT 1/4-20 MA SCRW STEEL ZN PLANAR HEAD SUPPORT PLASTIC S MA SCRW 1/4-20 X 2.5 FULTDBHSK ZN PLANAR HEAD SUPPORT FOAM 6A PLANAR HEAD SUPPORT COVER GRAY 6B PLANAR HEAD SUPP COVER BLACK HEAD SUPP HARDWARE COVER BLACK WING NUT 1/4-20 STEEL ZN HEAD SUPPORT VERTICAL TC S SPACER 1/4 X 1/2 X 1/4 NYL DEPTH ADJ HEADREST BRACKET XP 1-5,6A, PLANAR HEAD SUPPORT ASSY GRAY 1-5,6B, PLANAR HEAD SUPPORT ASSY BLACK PAGE 26 KID KART TLC

27 MICRO ADJUST HEAD SUPPORT (10/2011) Note: Navy & Gray upholstery discontinued as of Sept 2011, available as replacement parts only. Note: Effective for Xpress chairs prior to May 2007 with S/N without a letter on the end S MA SCRW 1/4-20 X 2.5 FULTDBHSK ZN WASHER FLAT THIN AN 1/4 ROHS HEAD SUPPT VERT SPACER TC 4A MICRO HEAD SUPPORT COVER GRAY 4B MICRO ADJ H/S COVER HALO GRAY Halo Strap not included 4C S MICRO HEAD SUPP COVER BLACK 4D MICRO H/SUPP CVR BLACK W/HALO Halo Strap not included MICRO ADJ HEAD SUPPT PLASTIC HEAD SUPP HARDWARE COVER BLACK S MA SCRW X 3/4 BHSK ZN DEPTH ADJ HEADREST BRACKET XP TNUT 1/4-20 X 5/16 2-BARB STL ZN S TNUT X 5/16 ROUND STL ZN S MA SCRW X 1/2 BHSK ZN HEAD SUPPT BKNG PLT OUTER ZX HALO STRAP BLACK 3/4" 1-4A, HEAD SUPPORT MICRO ADJ CHAR XP KID KART TLC PAGE 27

28 Pos. (10/2011) Item Number Description Remarks 1-4A, MICRO ADJ H/S ASSY w/halo NAVY 1-4B, MICRO ADJ H/S ASSY w/halo GRAY 1-4C, HEAD SUPPORT MICRO ADJ BLACK 1-4D, HEAD SUPP MICRO BLACK W/HALO PAGE 28 KID KART TLC

29 LATERAL ASSEMBLY (09/2011) Note: Gray upholstery discontinued as of Sept 2011, available as replacement parts only LATERAL COVER BLACK LATERAL FOAM 2-3/4" 1-3A LAT ASSY PLAN BLACK 2-3/4 TC PAIR 1-3A LAT ASSY PLAN GRAY 2-3/4 TC PAIR 1-3B LAT ASSY CONT BLACK 2-3/4 TC PAIR 1-3B LAT ASSY CONT GRAY 2-3/4 TC PAIR KID KART TLC PAGE 29

30 (08/2016) ABDUCTOR BLOCK Note: Gray upholstery discontinued as of Sept 2011, available as replacement parts only. Pos. Item Number Description 1A AB BLOCK COVER SMALL GRAY 1B AB BLOCK COVER SMALL BLACK 1C ABDUCTOR COVER LARGE GRAY 1D AB BLOCK COVER LARGE BLACK 2A, ABDUCTION BLOCK SM W/HARDWR XP 2B, ABDUCTION BLOCK LG W/HARDWR XP S SNAP BUTTON SINGLE B S MA SCRW 1/4-20 X 7/8" BHSK ZN STEEL ANGLE AB HARDWARE LONG S WASHER 1/4" I.D. STANLSS STEEL AB HARDWARE ANTI-SPIN PLATE XP 1A, 2A, ABDUCTOR SMALL CHARCOAL XP 1B, 2A, ABDUCTOR SMALL BLACK 1C, 2B, ABDUCTOR LARGE CHARCOAL XP 1D, 2B, ABDUCTOR LARGE BLACK PAGE 30 KID KART TLC

31 ANTERIOR TRUNK SUPPORT (03/2009) 1A BUTTERFLY ASSY XXSMALL 1B BUTTERFLY ASSY XSMALL 1C BUTTERFLY ASSY SMALL 1D BUTTERFLY ASSY MEDIUM 1E BUTTERFLY ASSY LARGE S MA SCRW 1/4-20 X 5/8 BHSK ZN S TNUT 1/4-20 X 1/4 ROUND STL ZN BUTTERFLY STRAP 23" STRAP COVER Optional Shoulder Straps 1A, BUTTERFLY PKG XXSMALL 1B, BUTTERFLY PKG XSMALL 1C, BUTTERFLY PKG SMALL 1D, BUTTERFLY PKG MEDIUM 1E, BUTTERFLY PKG LARGE KID KART TLC PAGE 31

32 (08/2016) PELVIC POSITIONING BELTS 1A, LAP BELT 1x19 Plastic Buckle 1A, LAP BELT 1-1/2" Plastic Buckle 1B, LAP BELT ASSY 1-1/2 AUTO XP Auto-Style Buckle 1B, " BELT AUTO STY ST DUAL PULL Auto-Style Buckle WASHER FLAT THIN AN 1/4 ROHS MA SCRW 1/4-20 X 3/8 BHSK ZN PAGE 32 KID KART TLC

33 KNEE ADDUCTION PACKAGE (09/2011) Note: Gray upholstery discontinued as of Sept 2011 available replacement as parts only. KID KART TLC PAGE 33

34 Pos. (09/2011) Item Number Description Remarks KNEE ADDUCTOR BLADE LEFT TC Left KNEE ADDUCTOR BLADE RIGHT TC Right S WASHER 1/4" I.D. STAINLESS STEEL MA SCRW 1/4-20 X 3/8 BHSK ZN TNUT 1/4-20 X 1/4 SL BASE STL ZN 6A ADDUCTOR COVER SMALL GRAY TC 6A ADDUCTOR COVER SMALL BLACK TC 6B ADDUCTOR COVER LARGE GRAY TC 6B S ADDUCTOR COVER LARGE BLACK TC 7A S ADDUCTION PAD SMALL B662 7B ADDUCTION PAD LARGE B MA SCRW 1/4-20 X 3/8 WA BHSK ZN 1A,2-5,6A,7A, KNEE ADDUCTION PKG SM GRAY TC Gray 1A,2-5,6A,7A, KNEE ADDUCTION PKG SM BLACK TC Black 1B,2-5,6B,7B, KNEE ADDUCTION PKG LG GRAY TC Gray 1B,2-5,6B,7B, KNEE ADDUCTION PKG LG BLACK TC Black PAGE 34 KID KART TLC

35 LATERAL HIP ADDUCTION PACKAGE (09/2011) Note: Gray upholstery discontinued as of Sept 2011, available as replacement parts only S MA SCRW 1/4-20 X 5/8 BHSK ZN TNUT 1/4-20 X 1/4 SL BASE STL ZN MA SCRW 1/4-20 X 3/8 BHSK ZN S WASHER 1/4"I.D. STANLSS STEEL 6A ADDUCTOR COVER SMALL GRAY TC 6A ADDUCTOR COVER SMALL BLACK TC 6B ADDUCTOR COVER LARGE GRAY TC 6B S ADDUCTOR COVER LARGE BLACK TC 7A S ADDUCTION PAD SMALL B662 7B ADDUCTION PAD LARGE B ,6A,7A,8A HIP ADDUCTOR PKG SM GRAY TC Gray 1-5,6B,7B,8B HIP ADDUCTOR PKG LG GRAY TC Gray 1-5,6A,7A,8A HIP ADDUCTOR PKG SM BLACK TC Black 1-5,6B,7B,8B HIP ADDUCTOR PKG LG BLACK TC Black KID KART TLC PAGE 35

36 (09/2011) FEEDER BASE CASTER 2.38" PLASTIC W/BRAKE CASTER 2-3/8" PLASTIC MA SCREW 1/2-20 X 2.0 BHSK ZN NYLOCK JAM NUT 3/8-16 STL ZN MA SCRW 3/8-16 X 2.25 SKCP ZN FRONT CASTER POST FEEDER BASE FEEDER BASE TC Black PAGE 36 KID KART TLC

37 SUNSHADE [09/2011] SUNSHADE ROD FRONT XP SUNSHADE FOLD BLOCK (SET) XP S MA SCRW 10-24X1 BHSK ZN SUNSHADE ANGLE ADJ BLOCK LEFT NYLOK NUT STEEL ZN S MA SCRW 10-24X1 BHSK ZN SUNSHADE ROD REAR XP SUNSHADE MOUNTING TUBE XP SPRING PIN 1/8 X 3/4 SS SPRING PIN 1/8 x 5/8 SS MA SCRW 10-24X7/8 BHSK ZN SUNSHADE ANGLE ADJ BLOCK RIGHT SUNSHADE HARDWARE ASSEMBLY XP 13A CANOPY CURVED BUTTERFLIES 13A CANOPY CURVED RACER 13A CANOPY CURVED PINK 13A CANOPY CURVED GREEN 13A CANOPY CURVED PURPLE 13A CANOPY CURVED ORANGE KID KART TLC PAGE 37

38 Pos. [09/2011] Item Number Description Remarks 13A CANOPY CURVED BLUE 13B CANOPY STRIPE BUTTERFLIES 13B CANOPY STRIPE RACER 13B CANOPY STRIPE PINK 13B CANOPY STRIPE GREEN 13B CANOPY STRIPE PURPLE 13B CANOPY STRIPE ORANGE 13B CANOPY STRIPE BLUE 13C SUNSHADE COVER JAZZ XP Color discontinued as of Sept 2011, parts only 13C SUNSHADE COVER CLASSIC XP (NAVY) Color discontinued as of Sept 2011, parts only 13C SUNSHADE COVER ORIGINAL XP (TEAL) Color discontinued as of Sept 2011, parts only 13C SUNSHADE-RED BLACK Color discontinued as of Sept 2011, parts only 13C SUNSHADE-KAKI (KHAKI/SMOKE) Color discontinued as of Sept 2011, parts only 13C SUNSHADE FOREST GREEN Color discontinued as of Sept 2011, parts only S TNUT 1/4-20X1/4 ROUND STL ZN /4" SADDLE THIN S KNOB BLACK X 1/ S MA SCRW 1/4-20X1.25 BHSK ZN /4" INSERT PLUG RIBBED S TOWEL BAR ASSM 1-12,13A CANOPY ASSM CRVD BUTRFLYS 1-12,13A CANOPY ASSM CRVD RACER 1-12,13A CANOPY ASSM CRVD PINK 1-12,13A CANOPY ASSM CRVD GREEN 1-12,13A CANOPY ASSM CRVD PURPLE 1-12,13A CANOPY ASSM CRVD ORANGE 1-12,13A CANOPY ASSM CRVD BLUE 1-12,13B CANOPY ASSM STRIPE BUTRFLYS 1-12,13B CANOPY ASSM STRIPE RACER 1-12,13B CANOPY ASSM STRIPE PINK 1-12,13B CANOPY ASSM STRIPE GREEN 1-12,13B CANOPY ASSM STRIPE PURPLE 1-12,13B CANOPY ASSM STRIPE ORANGE 1-12,13B CANOPY ASSM STRIPE BLUE 1-12,13C SUNSHADE ASSEMBLY JAZZ XP Color discontinued as of Sept 2011, parts only 1-12,13C SUNSHADE ASSEMBLY CLASSIC XP (NAVY) Color discontinued as of Sept 2011, parts only 1-12,13C SUNSHADE ASSEMBLY ORIGINAL XP (TEAL) Color discontinued as of Sept 2011, parts only 1-12,13C SUNSHADE ASSM RED/BLK XP Color discontinued as of Sept 2011, parts only 1-12,13C SUNSHADE ASSM KHAKI/SMOKE XP Color discontinued as of Sept 2011, parts only PAGE 38 KID KART TLC

39 SHOE HOLDER ASSEMBLY (09/2010) S TNUT X 5/16 ROUND STL ZN WASHER 1/4 FENDER STEEL ZN S MA SCRW X 1/2 BHSK ZN 4A S SHOE HOLDER STRAP SHORT 10 3/8" 4B S SHOE HOLDER STRAP MED 13 1/8" 5A QUS SHOE HOLDER W/O STRAP SHORT 6" 5B QUS SHOE HOLDER W/O STRAP MED 8" 1-3,4A,5A SHOE HOLDER ASSY SMALL (PAIR) pair 1-3,4B,5B SHOE HOLDER ASSY MEDIUM (PAIR) pair 6A FOOT STRAP ASSEMBLY 16" 6B FOOT STRAP ASSEMBLY 18" KID KART TLC PAGE 39

40 (03/2009) UPPER EXTREMITY SUPPORT TRAY - TLC MA SCREW 1/4-20 X 1 FHSK ZN 2A THERA-TRAY CLEAR EX CLEAR 2B THERA-TRAY XP GRAY - OPAQUE TRAY PLATE SET XP Pair (Left & Right) S TOP LOCK JAM NUT 1/4-20 STL ZN TRAY CLAMP SPINDLE S CLAMP DE-STA-CO NYLOK NUT 8-32 STEEL ZN SMS SCRW #6 X 5/8 PHPH ZN 3, TRAY CLAMP AND HDWARE SET TC 1,2A, THERA-TRAY CLEAR EX CLEAR 1,2B, THERA-TRAY OPAQUE EX GRAY - OPAQUE PAGE 40 KID KART TLC

41 VENT AND BATTERY TRAY (03/2009) Pos. Item Number Description S VENT TRAY STRAP TC SELL VENT TRAY CLIP TC S NYLOK NUT 1/4-20 STEEL ZN S MA SCRW 1/4-20 X 1.5 BHSK ZN MA SCRW 1/4-20 X 7/8 82FHPH ZN S VENT TRAY TC BATTERY SUPPORT BLOCK TC S NYLOK NUT 1/4-20 STEEL ZN VENT TRAY ASSEMBLY KID KART TLC PAGE 41

42 [03/2009] TBIRD VENT TRAY & BATTERY TRAY PAGE 42 KID KART TLC

43 S VENT TRAY STRAP TC SELL BATTERY TRAY T-BIRD LEGACY 8.3" x 11.5" VENT TRAY CLIP TC S NYLOK NUT 1/4-20 STEEL ZN S MA SCRW 1/4-20 X 1.5 BHSK ZN MA SCREW 1/4-20 X 7/8 FHSK ZN BATTERY TRAY SPPRT BLCK TB LEG VENT TRAY T-BIRD 13" x 21" TUBE CLEAR SILICONE 5/16 x 7/ HOOK BOLT 3/8-16 X 7 ZN BATTERY TRAY LATCH BLOCK SPRING COMPRESSION.54 X NYLOK NUT 3/8-16 STEEL ZN BATTERY TRAY ASSEMBLY T-BIRD VENT TRAY ASSEMBLY T-BIRD [03/2009] KID KART TLC PAGE 43

44 (03/2009) O2 HOLDER Pos. Item Number Description /8IN ROUND TUBE PLUG O2 HOLDER RINGS O2 TUBE TC S NYLOK NUT 1/4-20 STEEL ZN S MA SCRW #8 X 3/4 SHT MTL PHPH S MA SCRW 1/4-20 SHOULDER 1/2 SS MA SCRW 1/4-20 X 1 BHSK ZN O2 CLAMP BLOCK TC S MA SCRW 1/4-20 X 1.25 BHSK ZN O2 HOLDER BRACKET UPPER S SPACER 1/4 X 1/2 X 1/4 NYL RUBBER BAND 1" EPDM O2 LOCK LEVER TC S O2 HOLDER BRACKET LOWER TC MOUNTING BLOCK ASSY ACCESSORY O2 HOLDER ASSEMBLY XP PAGE 44 KID KART TLC

45 IV POLE ASSEMBLY W/BASE (07/2012) Pos. Item Number Description S KNOB BLACK X 1/ IV POLE LOCK COLLAR TC S MA SCRW 1/4-20 SHOULDER 1/2 SS O2 HOLDER BRACKET UPPER IV HOLDER BLOCK TC O2 TUBE TC S IV POLE BRACKET LOWER S MA SCRW #8 X 3/4 SHT MTL PHPH MA SCRW 1/4-20 X 1 BHSK ZN O2 CLAMP BLOCK TC S MA SCRW 1/4-20 X 1.25 BHSK ZN S SPACER 1/4 X 1/2 X 1/4 NYL Pos. Item Number Description RUBBER BAND 1" EPDM O2 LOCK LEVER TC S NYLOK NUT 1/4-20 STEEL ZN IV HOOK IV HOOK LOCK COLLAR TC S IV HOOK ADJUSTMENT COLLAR S ST SCRW #8 X 3/16 CUP PT SS IV POLE TC 3, 9, MOUNTING BLOCK ASSY ACCESSORY IV POLE BASE ONLY 1, IV POLE ASSEMBLY W/O BASE IV POLE ASSEMBLY WITH BASE XP KID KART TLC PAGE 45

46 (07/2012) O2 HOLDER AND IV ASSEMBLY Pos. Item Number Description /8IN ROUND TUBE PLUG IV POLE LOCK COLLAR TC O2 HOLDER RINGS O2 TUBE TC S NYLOK NUT 1/4-20 STEEL ZN S MA SCRW #8 X 3/4 SHT MTL PHPH S MA SCRW 1/4-20 SHOULDER 1/2 SS MA SCRW 1/4-20 X 1 BHSK ZN O2 CLAMP BLOCK TC S MA SCRW 1/4-20 X 1.25 BHSK ZN O2 HOLDER BRACKET UPPER S SPACER 1/4 X 1/2 X 1/4 NYL RUBBER BAND 1" EPDM O2 LOCK LEVER TC S O2 HOLDER BRACKET LOWER TC IV HOOK IV HOOK LOCK COLLAR TC S IV HOOK ADJUSTMENT COLLAR S ST SCRW #8X3/16 CUP PT SS IV POLE TC S KNOB BLACK X 1/ MOUNTING BLOCK ASSY ACCESSORY O2 HOLD WITH IV POLE XP PAGE 46 KID KART TLC

47 ADJUSTMENT TOOLS [03/2009] Pos. Item Number Description S HEX DRIVER 5/32 BALL POINT /16 SHORT ARM HEX KID KART TLC PAGE 47

48 (03/2011) TIRE PUMP Pos. Item Number Description TIRE PUMP VALVE ADAPTER PRESTA PAGE 48 KID KART TLC

KID KART XPRESS PAGE 1

KID KART XPRESS PAGE 1 KID KART XPRESS PAGE 1 Product... 1 KID-KART XPRESS... 4 BASE... 4 MOBILITY BASE... 4 STANDARD BASE FRAME... 4 FRAME AND PUSH HANDLE DISCONTINUED... 5 FRAME AND PUSH HANDLE... 6 FOLD RELEASE MECHANISM...

More information

SHIPPING INFORMATION Provider Acct #:

SHIPPING INFORMATION Provider Acct #: May 2014 Kid's ROCK TM Size 3 Order Form Maximum Weight Capacity 215 lbs. 17Wx20Dx26H Seating Capacity Customer Service: 800-800-8586 (toll free) Email: orders@pridemobility.com Date: Quote Order SHIPPING

More information

SHIPPING INFORMATION Provider Acct #:

SHIPPING INFORMATION Provider Acct #: May 2014 Kids ROCK TM Size 2 Order Form Maximum Weight Capacity 115 lbs. 14"Wx16"Dx22"H Seating Capacity. Customer Service: 800-800-8586 (toll free) Email: orders@pridemobility.com Date: Quote Order SHIPPING

More information

SHIPPING INFORMATION Provider Acct #: Address: ST: ZIP:

SHIPPING INFORMATION Provider Acct #: Address: ST: ZIP: May 2014 Kids FAST Order Form Maximum Weight Capacity 80 lbs. 12"Wx14.5"Dx19.5"H Seating Capacity. Customer Service: 800-800-8586 (toll free) Email: orders@pridemobility.com Date: Quote Order SHIPPING

More information

Frame. Pos Item number Description Comment

Frame. Pos Item number Description Comment Titel - 1 - Titel - 2 - Table of Content Zippie Voyage... 4 Basic Equipment... 4 Frame... 4 Slide-N-Lock Interface... 5 Transit Kit... 6 Canopy... 7 Seat, Back... 8 Seat Base... 8 Seatback... 10 Seat Cushion...

More information

SHIPPING INFORMATION. Order

SHIPPING INFORMATION. Order Size 3 Order Form MASS 2014 Maximum Weight Capacity 215 lbs. 17Wx20Dx26H Seating Capacity Pride Mobility Products Aust Pty Ltd 20-24 Apollo Drive Hallam VIC 3803 Ph: 03 8770 9600 Fax: 03 9703 2960 Date:

More information

MASS Script Form. Frame. Backrest. Seat Depth. Tsunami ALX K0005 Charge. Sling Position. Seat Width / Seat Depth. Seat Width.

MASS Script Form. Frame. Backrest. Seat Depth. Tsunami ALX K0005 Charge. Sling Position. Seat Width / Seat Depth. Seat Width. MASS Script Form Company: Account Number: Date: Quote PO Number: RTS: Marked For: Australian Order Form Effective 05/07/2014 Ship To: Address: City: State: Zip: Phone: Email/Fax: Tsunami ALX K0005 Charge

More information

x:panda, size 1, med. back X c x:panda, size 1, med. seat 7¼" X c

x:panda, size 1, med. back X c x:panda, size 1, med. seat 7¼ X c Account No. Drop Ship: Date: Name P.O. Number: Address Buyer: City Marked For: State Zip E Mail: Tel. Fax Features included in standard price: Height, Depth & Angle Adjustable Back Angle Adjustable Adduction

More information

MASS Script Form. 160 Kg Weight Capacity Charge. Transit Option. 136 Kg maximum weight capacity. Not available with Removable Seat Pan.

MASS Script Form. 160 Kg Weight Capacity Charge. Transit Option. 136 Kg maximum weight capacity. Not available with Removable Seat Pan. MASS Script Form Australian Order Form Effective 05/07/2014 Company: Account Number: Date: Quote PO Number: RTS: Marked For: Ship To: Address: City: State: Zip: Phone: Email/Fax: Catalyst 5Vx K0005 Charge

More information

MASS Script Form. Frame. Backrest. Seat Depth

MASS Script Form. Frame. Backrest. Seat Depth MASS Script Form Company: Account Number: Date: Quote PO Number: RTS: Marked For: Australian Order Order Effective 01/10/2014 Ship To: Address: City: State: Zip: Phone: Email/Fax: Rogue XP K0005, E1235

More information

Convaid Trekker 2 - HCPCS E1234 Canadian Retail Price List / Order Form

Convaid Trekker 2 - HCPCS E1234 Canadian Retail Price List / Order Form Account #: Contact: Canadian Retail Price List / Order Form Purchase Order #: Date: Mark For: Bill To: Address: City/State/Zip: Phone: Email: Ship To: Address: City/State/Zip: Phone: TR14 Base Accepts

More information

Convaid Trekker 2 - HCPCS E1234 Retail Price List / Order Form

Convaid Trekker 2 - HCPCS E1234 Retail Price List / Order Form Account #: Contact: Retail Price List / Order Form Purchase Order #: Date: Mark For: Bill To: Address: City/State/Zip: Phone: Email: Ship To: Address: City/State/Zip: Phone: TR14 Base Accepts TR12 & TR14

More information

USA Parts List FUZE T50

USA Parts List FUZE T50 USA Parts List FUZE T50 Effective January 1, 2018. Prices in U.S. Dollars. Prices and descriptions contained in this manual are subject to change without prior notice. Fuze T50 Frame-Seat Pan Cross Bar

More information

R82 x:panda. USD Retail Price List/ Order Form. Account #: Purchase Order No.:

R82 x:panda. USD Retail Price List/ Order Form. Account #: Purchase Order No.: Account #: Purchase Order No.: Contact: R82 x:panda USD Retail Price List/ Order Form Date: Mark For: Bill To: Address: City/State/Zip: Phone: Email Ship To: Address: City/State/Zip: Phone: US Configuration

More information

Frame Width. Seating Setup. q 16 q 15 q 14 q 17 q 16 q 15 q 14 Short q 18 q 17 q 16 q 15 q 14 q 19 q 18 q 17 q 16 q 15 q 14

Frame Width. Seating Setup. q 16 q 15 q 14 q 17 q 16 q 15 q 14 Short q 18 q 17 q 16 q 15 q 14 q 19 q 18 q 17 q 16 q 15 q 14 Phone 0800 5 Fax 0800 5 365 Funder: Account Number: Date: Quote PO Number: Therapist: Marked For: Focus CR $ 36kg weight capacity. Tilt range: -5º anterior to 50º posterior. Effective /0/0 Ship To: Address:

More information

ZIPPIE IRIS (Chairs w/ S/N Prefix PCG) PAGE 1

ZIPPIE IRIS (Chairs w/ S/N Prefix PCG) PAGE 1 ZIPPIE IRIS (Chairs w/ S/N Prefix PCG) PAGE 1 Multimedia... 1 ZIPPIE IRIS (Chairs w/ S/N Prefix PCG)... 6 BASE FRAME... 6 FRAME... 6 BASE FRAME... 6 ROLLER ASSM... 8 FOOT RELEASE ZIPPIE IRIS (S/N prefix

More information

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.

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

More information

R82 x:panda. USD Retail Price List/ Order Form. Account #: Purchase Order No.:

R82 x:panda. USD Retail Price List/ Order Form. Account #: Purchase Order No.: Account #: Purchase Order No.: Contact: R82 x:panda USD Retail Price List/ Order Form Date: Mark For: Bill To: Address: City/State/Zip: Phone: Email Ship To: Address: City/State/Zip: Phone: US Configuration

More information

PAGE 2 BREEZY ELEGANCE

PAGE 2 BREEZY ELEGANCE PAGE 2 Category... 1 Product... 1... 5 BASE FRAME... 5 AXLE PARTS... 5 CASTER FORK... 6 ANTI-TIP... 7 WHEEL LOCK... 8 DRUM BRAKE... 9 REAR WHEEL - STANDARD... 10 REAR WHEEL - DRUM BRAKE EQUIPPED... 11

More information

R82 Kudu - E1233. CAD Retail Price List/ Order Form. Account #: Purchase Order No.: Kudu Standard Features:

R82 Kudu - E1233. CAD Retail Price List/ Order Form. Account #: Purchase Order No.: Kudu Standard Features: Account #: Purchase Order No.: Contact: R82 Kudu - E1233 CAD Retail Price List/ Order Form Date: Mark For: Bill To: Address: City/State/Zip: Phone: Email Ship To: Address: City/State/Zip: Phone: Kudu Standard

More information

R82 Kudu - E1233. Retail Price List/ Order Form. Account #: Purchase Order No.: Kudu Standard Features: Recline No HCPCS Code Assigned to Kudu sz 4

R82 Kudu - E1233. Retail Price List/ Order Form. Account #: Purchase Order No.: Kudu Standard Features: Recline No HCPCS Code Assigned to Kudu sz 4 Account #: Purchase Order No.: Contact: R82 Kudu - E1233 Retail Price List/ Order Form Date: Mark For: Bill To: Address: City/State/Zip: Phone: Email Ship To: Address: City/State/Zip: Phone: Kudu Standard

More information

q Little Wave Flip XP - Rigid Base KF-XPRIGID $

q Little Wave Flip XP - Rigid Base KF-XPRIGID $ Phone 0800 5 222 Fax 0800 275 65 Effective /06/207 Funder: Account Number: Date: Quote PO Number: Therapist: Marked For: Little Wave Flip XP - Rigid Base KF-XPRIGID $ 9.8kg weight capacity. One time free

More information

USA Parts List FUZE T20

USA Parts List FUZE T20 USA Parts List FUZE T20 Effective January 1, 2018. Prices in U.S. Dollars. Prices and descriptions contained in this manual are subject to change without prior notice. Fuze T20 Frame-Seat Pan Cross Bar

More information

JAY FIT ADJUSTABLE CONTOUR

JAY FIT ADJUSTABLE CONTOUR JAY FIT ADJUSTABLE CONTOUR SEATING Jay Fit Seating/Seating Hardware (Pictorial)...1.0 Jay Fit Seats...1.1 Jay Fit Seat Well Insert Foam...1.2 Jay Fit Seat Well Fluid Pad Option...1.2 Lateral Pelvic Supports...1.3

More information

Mulitmedia... 1 QUICKIE IRIS

Mulitmedia... 1 QUICKIE IRIS 10/1/2008 Mulitmedia... 1 QUICKIE IRIS... 4 BASE FRAME... 4 FRAME... 4 BASE FRAME & ROLLER ASSM (SN Prefix IRS or ISE only)... 4 BASE FRAME (S/N Prefix CGT)... 6 ANGLE INDICATOR (S/N Prefix CGT)... 8 ROCKER

More information

ZIPPIE IRIS (Chairs w/ S/N Prefix ZRS & ZRSE) PAGE 1

ZIPPIE IRIS (Chairs w/ S/N Prefix ZRS & ZRSE) PAGE 1 ZIPPIE IRIS (Chairs w/ S/N Prefix ZRS & ZRSE) PAGE 1 ZIPPIE IRIS (Chairs w/ S/N Prefix ZRS & ZRSE)... 7 BASE FRAME... 7 RIGID FRAME... 7 BASE FRAME & ROLLER ASSM prior to S/N ZRS-041800 & ZRSE-051100...

More information

BEARINGS BEARINGS

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....

More information

q Little Wave Flip XP-Rigid Base E1233, E1161 $

q Little Wave Flip XP-Rigid Base E1233, E1161 $ Funder: Therapist: Date: q MOH q ACC Marked For: Details: Ship To: Address: City: Postcode: Phone: Email: Notes: q Little Wave Flip XP-Rigid Base E1233, E1161 $ 74 kg weight capacity. Price includes one

More information

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

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

More information

R82 Kudu - E1233. Retail Price List/ Order Form. Account #: Purchase Order No.: Kudu Standard Features: Recline No HCPCS Code Assigned to Kudu sz 4

R82 Kudu - E1233. Retail Price List/ Order Form. Account #: Purchase Order No.: Kudu Standard Features: Recline No HCPCS Code Assigned to Kudu sz 4 Account #: Purchase Order No.: Contact: R82 Kudu - E1233 Retail Price List/ Order Form Date: Mark For: Bill To: Address: City/State/Zip: Phone: Email Ship To: Address: City/State/Zip: Phone: Kudu Standard

More information

R82 Stingray - E1233

R82 Stingray - E1233 Account #: Purchase Order No.: Contact: R82 Stingray - E1233 USD Retail Price List/ Order Form Date: Mark For: Bill To: Address: City/State/Zip: Phone: Email Ship To: Address: City/State/Zip: Phone: US

More information

2241 N Madera Rd Simi Valley, CA Phone: (800) Fax: (888) Freedom 2 Kids

2241 N Madera Rd Simi Valley, CA Phone: (800) Fax: (888) Freedom 2 Kids Freedom 2Kids Manual Wheelchair Date: Buyer: Company: Email: Quote Order PO# Location: Phone: Fax: Frame Options FD2K Folding Transport Optional (E1236) or (K0005) FD2K-30270 $2085 Note: Transportation

More information

R82 Stingray. CAD Retail Price List/ Order Form. Account #: Purchase Order No.: City/State/Zip: Effective: 2/01/ Rev 7.

R82 Stingray. CAD Retail Price List/ Order Form. Account #: Purchase Order No.: City/State/Zip: Effective: 2/01/ Rev 7. R82 Stingray CAD Retail Price List/ Order Form Account #: Purchase Order No.: Date: Contact: Mark For: Bill To: Address: City/State/Zip: Phone: Email Ship To: Address: City/State/Zip: Phone: US Configuration

More information

QUICKIE IRIS (S/N PREFIX CGT )

QUICKIE IRIS (S/N PREFIX CGT ) PAGE 2 Cover... 1 multimedia... 1 PREFIX CGT)... 6 BASE FRAME... 6 FRAME... 6 BASE FRAME (S/N Prefix CGT)... 6 ANGLE INDICATOR... 8 ROCKER ASSM (S/N Prefix CGT)... 9 TILT STOPS (S/N Prefix CGT)... 11 ROLLER

More information

USA Parts List BENTLEY

USA Parts List BENTLEY USA Parts List BENTLEY Effective January 1, 2018. Prices in U.S. Dollars. Prices and descriptions contained in this manual are subject to change without prior notice. Bentley Frame-Seat Pan Floor Jack

More information

QUICKIE IRIS (SN PREFIX IRS & IRSE)

QUICKIE IRIS (SN PREFIX IRS & IRSE) PAGE 2 QUICKIE IRIS (SN PREFIX IRS & IRSE) Cover... 1 Multimedia... 1 QUICKIE IRIS (SN PREFIX IRS & IRSE)... 7 BASE FRAME... 7 FRAME... 7 BASE FRAME & ROLLER ASSM after S/N IRS-045100 & IRSE-057300...

More information

2016 EZ RIDER UPRIGHT PRODUCT PPT

2016 EZ RIDER UPRIGHT PRODUCT PPT 2016 EZ RIDER UPRIGHT PRODUCT PPT By Nancy Guzman 310.618.0111, Ext. 143 nancyg@convaid.com Product Overview EZ RIDER 10 Fixed Tilt Customizable Multiple Upholstery Styles & Colors 5 years of Growth Capabilities

More information

Quickie GTX Fixed Frame EIF3, Effective July 2009

Quickie GTX Fixed Frame EIF3, Effective July 2009 Quickie GTX Fixed Frame EIF3, Effective July 2009 Account No: Date: P.O. #: Buyer: Marked For: Drop Ship/Ship To: Name: Address: City: State: Zip Code: Phone Number: The HCPCS codes provided are based

More information

Parts Manual for the Wright Z

Parts Manual for the Wright Z Parts Manual for the Wright Z Serial numbers 40581 & Higher Check www.wrightmfg.com for the latest revision Rev 6/2010 Shown with OPTIONAL Grass Collection System 2010 Wright Manufacturing Inc., All Rights

More information

Anti-tips IN THIS SECTION

Anti-tips IN THIS SECTION Anti-tips IN THIS SECTION Anti-Tip (Breezy) (Disc.)...5.1 Anti-Tip (Breezy 510)...5.2 Anti-Tip (Breezy 500/510/510 Recliner)...5.3 Anti-Tip (Breezy 100/150)...5.3 Anti-Tip (Quickie GPS/Kidz/R2/Recliner/Rx/

More information

TILT COMMODE September 16, 2011

TILT COMMODE September 16, 2011 PARTS CATALOG REV. 09/2011 TILT COMMODE September 16, 2011 TABLE OF CONTENTS 1 GENERAL VIEW 2 FRAME 3 CASTERS 4 RIGGINGS AND FOOTPLATES 5 TILTING HARDWARE 6 BACK SUPPORT 7 ARMRESTS 8 HEADREST 9 ANTI-TIPPERS

More information

Phone: Nov-17

Phone: Nov-17 By Ormesa New 201 Growth Parkway Angola, IN 46703 U.S Suggested Retail Price List in USD Phone: 800-327-0681 Nov-17 Fax: 260-665-3047 Email: iim@mobility-usa.com Quote: P.O. www.mobility-usa.com Bill To

More information

Quickie QX December 2018

Quickie QX December 2018 Quickie QX December 2018 EIF6 Mark For: Submitting for: Quote Order Date: PO#: Dealer Acct #: Dealer: ADDITIONAL SHIPPING INFORMATION Dealer Contact: Ship To: Dealer Address: Attention: Dealer City: PV:

More information

Quickie QX July 2017

Quickie QX July 2017 Quickie QX July 2017 EIF6 Mark For: Submitting for: Date: PO#: Quote Order Dealer Acct #: Dealer: ADDITIONAL SHIPPING INFORMATION Dealer Contact: Ship To: Dealer Address: Attention: Dealer City: Dealer

More information

Parts Catalog Issued: Jan 8, Orbit. Wheelchair

Parts Catalog Issued: Jan 8, Orbit. Wheelchair Parts Catalog Issued: Jan 8, 2018 Orbit Wheelchair Parts Catalog Usage Guide The information contained in this document is subject to change without notice. This catalog contains service parts for. If

More information

ZIPPIE SALSA R2 - CHASSIS

ZIPPIE SALSA R2 - CHASSIS Title - 1 - Table Of Contents ZIPPIE SALSA R2 / ZIPPIE SALSA M2... 4 FRAME AND BATTERY BOX... 4 ZIPPIE SALSA R2 - CHASSIS... 4 ZIPPIE SALSA M2 - CHASSIS... 5 ZIPPIE SALSA R2 - SEAT HEIGHT EXTENSION KIT...

More information

Quickie IRIS January 2014

Quickie IRIS January 2014 Submitting for: Quote Order Date: PO#: Dealer Acct #: Dealer: ADDITIONAL SHIPPING INFMATION Dealer Contact: Ship To: Dealer Address: Attention: Dealer City: ST: ZIP: Address: Dealer Phone: ( ) Fax: ( )

More information

FUZE T20. Order Form - Canada Prices in Canadian Dollars. January 1, 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.

FUZE T20. Order Form - Canada Prices in Canadian Dollars. January 1, 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. 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 * Dealer/Provider Name * Purchaser Name and Contact Information * Billing Address * Tag v.070118 Shipping Address * * required F r a

More information

MEDmobility Calgary Trail NW Edmonton AB T6H 2K1 P: F:

MEDmobility Calgary Trail NW Edmonton AB T6H 2K1 P: F: Canada MEDmobility 5711- Calgary Trail NW Edmonton AB T6H 2K1 P: 780-437-3300 F: 780-430-9381 www.medmobility.ca Company: Account Number: Date: Quote PO Number: RTS: AADL #W154 Effective 10/01/2017 Ship

More information

Zippie Zone July 2018 EIRZ1

Zippie Zone July 2018 EIRZ1 Zippie Zone July 2018 EIRZ1 Date: SUBMITTING F: Quote Order Dealer Acct #: Dealer: PO#: Dealer Contact: Ship To: Dealer Address: Attention: Dealer City: PV: PC: Address: Dealer Phone: ( ) Fax: ( ) Address:

More information

PARTS LIST WRANGLER 1710AB, 2010AB 120V AND 240V, TYPE F PLUG

PARTS LIST WRANGLER 1710AB, 2010AB 120V AND 240V, TYPE F PLUG PARTS LIST WRANGLER 1710AB, 2010AB 120V AND 240V, TYPE F PLUG CONTROL PANEL ASSEMBLY 101 1394151 ROUND POWER SWITCH 1 102 0693141 RUBBER SWITCH BOOT 2 103 9122465.516 I.D. X.813 O.D. X.027/.030 THICK FLAT

More information

NXT Pediatric. Manual Wheelchair. Transport Optional Base

NXT Pediatric. Manual Wheelchair. Transport Optional Base Pediatric Manual Wheelchair Date: Buyer: Company: Email: Quote Order PO# Location: Phone: Fax: Transport Optional Base Folding (E1234) NXT-30300 $2800 Transport Optional Note: Transportation Option selected

More information

COMPACT STANDON ER32FS600VL ER36FS600VL ER36FS600VLCA

COMPACT STANDON ER32FS600VL ER36FS600VL ER36FS600VLCA COMPACT STANDON PARTS MANUAL ER32FS600VL ER32FS600VLCA ER36FS600VL ER36FS600VLCA 2 ENCORE MANUFACTURING A DIVISION OF WORLDLAWN POWER EQUIPMENT, INC. ENCOREEQUIPMENT.COM 401 N. COMMERCE STREET BEATRICE,

More information

Tilt in space up to 60 degrees Comfort seating Max. user weight: 113kg. Height adjustable folding back Heavy Duty version 158kg

Tilt in space up to 60 degrees Comfort seating Max. user weight: 113kg. Height adjustable folding back Heavy Duty version 158kg QUICKIE IRIS Invoice to: Deliver to: Name: Name: Street: Street: Town: Postal code: Town: E-Mail: E-Mail: Tel: Fax: Tel: Order date: Marked for: Purchase order: Number required: Sunrise order no: Base

More information

Mygo Seat Spare Parts Catalogue

Mygo Seat Spare Parts Catalogue Mygo Seat Spare Parts Catalogue Contents 03-04 Mygo Seat Complete 05 Backrest Assembly 06 LH Footrest Assembly 07 RH Footrest Assembly 08 Size 1 Abduction Assembly 09-10 Size 2 Abduction Assembly 11 Seatbase

More information

Parts Catalog Issued: Nov 10, 2006

Parts Catalog Issued: Nov 10, 2006 Parts Catalog Issued: Nov 10, 2006 MX Yes, you can. Parts Catalog Usage Guide The information contained in this document is subject to change without notice. This catalog contains service parts for. If

More information

ZIPPIE 2 (Chairs w/ S/N Prefix Z2A and some Z2 prefix's see frame pages for details) PAGE 1

ZIPPIE 2 (Chairs w/ S/N Prefix Z2A and some Z2 prefix's see frame pages for details) PAGE 1 ZIPPIE 2 (Chairs w/ S/N Prefix Z2A and some Z2 prefix's see frame pages for details) PAGE 1 PAGE 2 ZIPPIE 2 (Chairs w/ S/N Prefix Z2A and some Z2 prefix's see frame pages for details) ZIPPIE 2 - Z2A (Chairs

More information

2241 N Madera Rd Simi Valley, CA Phone: (800) Fax: (888) PRO-CG. Adult Manual Wheelchair

2241 N Madera Rd Simi Valley, CA Phone: (800) Fax: (888) PRO-CG. Adult Manual Wheelchair PRO-CG Adult Manual Wheelchair email: customerservice@freedomdesigns.com TM SE Clear Form Email Form to Customer Service Date: Buyer: Company: Email: Quote Order PO# Location: Phone: Fax: Notice: A seating

More information

Quickie IRIS FSS Net Order Form/Price List (SIN F-1)

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

More information

Kimba. T h e K i m b a F a m i l y o f P e d i a t r i c M o b i l i t y P r o d u c t s

Kimba. T h e K i m b a F a m i l y o f P e d i a t r i c M o b i l i t y P r o d u c t s Kimba T h e K i m b a F a m i l y o f P e d i a t r i c M o b i l i t y P r o d u c t s Great for Kids Easy for Moms, Dads and Caregivers! Finally, a tilt-in-space mobility system that brings it all together.

More information

Quickie QXi AADL. EIF6, October ADDITIONAL SHIPPING INFORMATION Dealer Contact: Ship To City: Fax. Price 1. FRAME $2,

Quickie QXi AADL. EIF6, October ADDITIONAL SHIPPING INFORMATION Dealer Contact: Ship To City: Fax. Price 1. FRAME $2, Quickie QXi AADL EIF6, October 2018 Mark For: Submitting for: Date: PO#: Quote Order Dealer Acct #: Dealer: ADDITIONAL SHIPPING INFORMATION Dealer Contact: Ship To: Dealer Address: Attention: Dealer City:

More information

Zippie GS. Growth System

Zippie GS. Growth System Zippie GS Growth System Folds compactly for easy transport Growth system adjusts in width and depth to last kids a long, long time. Versatile design meets most functional needs. Crash Tested for safe bus

More information

ZIPPIE TS / ZIPPIE TS SE (Chairs w/ S/N Prefix Z1A & Z1SE) PAGE 1

ZIPPIE TS / ZIPPIE TS SE (Chairs w/ S/N Prefix Z1A & Z1SE) PAGE 1 ZIPPIE TS / ZIPPIE TS SE (Chairs w/ S/N Prefix Z1A & Z1SE) PAGE 1 ZIPPIE TS / ZIPPIE TS SE (Chairs w/ S/N Prefix Z1A & Z1SE)... 7 BASE FRAME... 7 FRAME... 7 FRAME (RIGID) prior to S/N Z1A-038633 & Z1SE-013380...

More information

Parts Catalog Issued: Apr 11, Crossfire T7A. Adjustable Rigid Wheelchair

Parts Catalog Issued: Apr 11, Crossfire T7A. Adjustable Rigid Wheelchair Parts Catalog Issued: Apr, 08 Crossfire T7A Adjustable Rigid Wheelchair Parts Catalog Usage Guide The information contained in this document is subject to change without notice. This catalog contains service

More information

FUSION Seating Prescription Form Custom Built Seating System

FUSION Seating Prescription Form Custom Built Seating System GENERAL INFORMATION Clinician: Email: Date: Service: Delivery Address: Client Name/Ref: Address/School: Current Equipment: Issues with Current Equipment: Observations, deformity: Hips/Pelvis: Spine/Trunk:

More information

Convaid, the company that invented the adaptive assisted wheelchair, has helped special

Convaid, the company that invented the adaptive assisted wheelchair, has helped special 2014 www.convaid.com Convaid, the company that invented the adaptive assisted wheelchair, has helped special needs children and their families live fuller, more productive lives since 1976. Convaid produces

More information

FUZE T50. Order Form USA. Please send your completed order form by to or by fax to

FUZE T50. Order Form USA. Please send your completed order form by  to or by fax to Page 1 of 5 Purchase Order Tag Dealer/Organization Name Purchaser Name and Contact Information Mailing Address Shipping Address Please send your completed order form by email to info@pdgmobility.com or

More information

WYS48FX730VLCA WYS52FX730V WYS52FX730VCA

WYS48FX730VLCA WYS52FX730V WYS52FX730VCA PARTS MANUAL WYS48FX730VL WYS48FX730VLCA WYS52FX730V WYS52FX730VCA 2 WORLDLAWN POWER EQUIPMENT, INC. WORLDLAWNPOWEREQUIPMENT.COM 401 COMMERCE STREET BEATRICE, NE 68310 800-267-4255 FAX 402-223-4103 3 4

More information

Product. QUICKIE QRi PAGE 1

Product. QUICKIE QRi PAGE 1 PAGE 2 QUICKIE QRi Product QUICKIE QRi PAGE 1 Category... 1 Product... 1 QUICKIE QRi... 5 BASE FRAME... 5 FRAME... 5 FRAME... 5 TRANSIT KIT... 6 AXLE PLATES AND AXLES... 7 QUICK RELEASE AXLES MATRIX-Q7/QRI/ZONE...

More information

2241 N Madera Rd Simi Valley, CA Phone: (800) Fax: (888) P.R.O. CG

2241 N Madera Rd Simi Valley, CA Phone: (800) Fax: (888) P.R.O. CG P.R.O. CG 2241 N Madera Rd Simi Valley, CA 93065 Phone: (800) 331-8551 Fax: (888) 582-1509 www.freedomdesigns.com Date: PO# Adult Manual Wheelchair TM SE Date: Buyer: Company: Email: Quote Order PO# Location:

More information

Invacare EXPRESS Manual Wheelchair Order Form Suggested Canadian Price List Effective October 30th, 2018

Invacare EXPRESS Manual Wheelchair Order Form Suggested Canadian Price List Effective October 30th, 2018 TRACER EX2 FOLDING WHEELCHAIRS Invacare EXPRESS Manual Wheelchair Order Form Suggested Canadian Price List Effective October 30th, 2018 PROVIDER NAME PHONE NO ACCOUNT # P.O. DATE ADDRESS Invacare Canada

More information

PARTS MANUAL EE60FX730V34CA EE52FX691V34CA

PARTS MANUAL EE60FX730V34CA EE52FX691V34CA PARTS MANUAL EE48FR691V32 EE48FR691V32CA EE60FX730V34 EE60FX730V34CA EE52FR691V32 EE52FR691V32CA EE52FX691V34 EE52FX691V34CA 2 WWW.ENCOREEQUIPMENT.COM 401 COMMERCE STREET BEATRICE, NE 68310 800-267-4255

More information

FUZE T50. Order Form - USA Prices in U.S. Dollars. January 1, 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.

FUZE T50. Order Form - USA Prices in U.S. Dollars. January 1, 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. 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 * Dealer/Provider Name * Purchaser Name and Contact Information * Billing Address * Tag v.070118 Shipping Address * * required F r a

More information

October 2018 EIQ2X. Mark For: Submitting for: Quote Order. ADDITIONAL SHIPPING INFORMATION Dealer Contact: Price. Option # 1. FRAME 002RS1 002RS2

October 2018 EIQ2X. Mark For: Submitting for: Quote Order. ADDITIONAL SHIPPING INFORMATION Dealer Contact: Price. Option # 1. FRAME 002RS1 002RS2 Quickie 2 October 2018 EIQ2X Mark For: Submitting for: Quote Order Date: PO#: Dealer Acct #: Dealer: ADDITIONAL SHIPPING INFORMATION Dealer Contact: Ship To: Dealer Address: Attention: Dealer City: PV:

More information

Frame. Backrest. Seat Depth. Little Wave - Clik XP $3600 Width Growable Frame. Price includes one time free growth kit. 165 lb weight capacity.

Frame. Backrest. Seat Depth. Little Wave - Clik XP $3600 Width Growable Frame. Price includes one time free growth kit. 165 lb weight capacity. Canada Patent Pending AADL #W157 Effective 10/01/2017 Company: Ship To: Account Number: Date: Quote PO Number: RTS: Marked For: Little Wave - Clik XP $3600 Width Growable Frame. Price includes one time

More information

ZIPPIE TS / ZIPPIE TS SE (Chairs w/ S/N Prefix Z1A & Z1SE) PAGE 1

ZIPPIE TS / ZIPPIE TS SE (Chairs w/ S/N Prefix Z1A & Z1SE) PAGE 1 ZIPPIE TS / ZIPPIE TS SE (Chairs w/ S/N Prefix Z1A & Z1SE) PAGE 1 PAGE 2 ZIPPIE TS / ZIPPIE TS SE (Chairs w/ S/N Prefix Z1A & Z1SE) ZIPPIE TS / ZIPPIE TS SE (Chairs w/ S/N Prefix Z1A & Z1SE)... 6 BASE

More information

M1 - NPO. Dealer Information. Client Information. Client Measurements

M1 - NPO. Dealer Information. Client Information. Client Measurements Dealer Information * Contact: Dealer Code: * Dealer Name: Address: * City: * Province: * Phone#: * Fax#: PO#: Email Address: Client Information Permobil recommends that the client is evaluated by a certified

More information

ZIPPIE GS / ZIPPIE GS SE (Chairs w/ S/N Prefix ZGSA & ZGSE) PAGE 1

ZIPPIE GS / ZIPPIE GS SE (Chairs w/ S/N Prefix ZGSA & ZGSE) PAGE 1 ZIPPIE GS / ZIPPIE GS SE (Chairs w/ S/N Prefix ZGSA & ZGSE) PAGE 1 PAGE 2 ZIPPIE GS / ZIPPIE GS SE (Chairs w/ S/N Prefix ZGSA & ZGSE) ZIPPIE GS (ZGSA ZGSE)... 1 ZIPPIE GS / ZIPPIE GS SE (Chairs w/ S/N

More information

Order no.: ... Date Signature. Posterior seat height

Order no.: ... Date Signature. Posterior seat height Start M6 Junior Scripted Order no.: Start M6 Junior Lightweight wheelchair Article number: 480F53=60000_K Provide estimate only Order Billing address/customer number Ottobock START_M6_647F263=EN-05-1510

More information

[ ] Quote [ ] Order. Junior US Retail Price List. Account Information. Ship To Information. Standard Features.

[ ] Quote [ ] Order. Junior US Retail Price List. Account Information. Ship To Information. Standard Features. Account Information Date Account Number Branch Dealer Contact Phone Fax Email Address PO Number Mark For Ship To Information [ ] Quote [ ] Order Shown with Optional Equipment Standard Features Name Address

More information

Parts Catalog Issued: Mar 12, Comet Rocket. Wheelchairs

Parts Catalog Issued: Mar 12, Comet Rocket. Wheelchairs Parts Catalog Issued: Mar 2, 208 Comet Rocket Wheelchairs Parts Catalog Usage Guide The information contained in this document is subject to change without notice. This catalog contains service parts for.

More information

Phone: Jan 17. Fax: usa.com Quote: P.O. usa.com Bill To

Phone: Jan 17. Fax: usa.com Quote: P.O.   usa.com Bill To By Ormesa New 201 Growth Parkway Angola, IN 46703 U.S Suggested Retail Price List Phone: 800 327 0681 Jan 17 Fax: 260 665 3047 Email: iim@mobility usa.com Quote: P.O. www.mobility usa.com Bill To Dealer:

More information

User. Instruction. Manual & Warranty. With Transit Option Without Transit Option

User. Instruction. Manual & Warranty. With Transit Option Without Transit Option Kid Kart Xpress User Instruction Manual & Warranty SUPPLIER: THIS MANUAL MUST BE GIVEN TO THE USER OR OWNER OF THIS DEPENDENT MOBILITY BASE. BEFORE USING THIS DEPENDENT MOBILITY BASE READ THIS ENTIRE MANUAL

More information

Personal Care Commode

Personal Care Commode Parts Catalog Issued: Jan 23, 2004 Personal Care Commode Yes, you can. PARTS CATALOG USAGE GUIDE The information contained in this document is subject to change without notice. This catalog contains service

More information

ADJ BACK UPH USED W/ OMIT & INTEGRAL PUSH HANDLES ADJ BACK UPH USED W/ FOLDING PUSH HANDLES VENTED ADJ BACK UPH FOOTRESTS...

ADJ BACK UPH USED W/ OMIT & INTEGRAL PUSH HANDLES ADJ BACK UPH USED W/ FOLDING PUSH HANDLES VENTED ADJ BACK UPH FOOTRESTS... QUICKIE GTI PAGE 1 PAGE 2 QUICKIE GTI QUICKIE GTI... 5 DISCONTINUED LETTER... 5 QUICKIE GTI DISCONTINUED... 5 BASE FRAME... 5 FRAME... 5 FRAME... 6 FRAME -DISC... 9 AXLE PLATES & AXLES... 10 AXLE PLATE

More information

Parts Catalog Issued: Aug 1, Patriot. Wheelchair

Parts Catalog Issued: Aug 1, Patriot. Wheelchair Parts Catalog Issued: Aug 1, 2018 Patriot Wheelchair Parts Catalog Usage Guide The information contained in this document is subject to change without notice. This catalog contains service parts for. If

More information

365L (2001) Page 1 of 36 54" Deck Assembly

365L (2001) Page 1 of 36 54 Deck Assembly 365L (2001) Page 1 of 36 54" Deck Assembly 365L (2001) Page 2 of 36 54" Deck Assembly 1 720-0241 1 S Wing Nut Knob 2 703-2817 1 Belt Cover LH 3 703-2816 1 Belt Cover RH 4 747-3306 1 Idler Spring Mounting

More information

Pronto M50 Pronto M51 with SureStep (Before 1/20/05)

Pronto M50 Pronto M51 with SureStep (Before 1/20/05) Parts Catalog Issued: Aug 30, 2018 Pronto M50 Pronto M51 with SureStep (Before 1/20/05) MWD Power Wheelchairs Parts Catalog Usage Guide The information contained in this document is subject to change without

More information

Parts Catalog Issued: Apr 11, Crossfire T6A. Wheelchair

Parts Catalog Issued: Apr 11, Crossfire T6A. Wheelchair Parts Catalog Issued: Apr, 208 Crossfire T6A Wheelchair Parts Catalog Usage Guide The information contained in this document is subject to change without notice. This catalog contains service parts for.

More information

SIGNATURE SERIES FZAB ABDOMINAL. Customer Support Services PARTS LIST. Page 1

SIGNATURE SERIES FZAB ABDOMINAL. Customer Support Services PARTS LIST. Page 1 SIGNATURE SERIES FZAB ABDOMINAL Page 1 Customer Support Services PARTS LIST Contents PAGE COMPONENT ASSEMBLY 3 COMPONENT ASSEMBLY II 4 COMPONENT ASSEMBLY LEGEND 5 FZ SEAT CARRIAGE ASSEMBLY 6 FZAB ADJUSTER

More information

ER48FX730VLCA ER52FX730VL ER52FX730VLCA

ER48FX730VLCA ER52FX730VL ER52FX730VLCA PARTS MANUAL ER48FX730VL ER48FX730VLCA ER52FX730VL ER52FX730VLCA 2 ENCORE MANUFACTURING A DIVISION OF WORLDLAWN POWER EQUIPMENT, INC. ENCOREEQUIPMENT.COM 2415 ASHLAND AVE BEATRICE, NE 68310 800-267-4255

More information

This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. AADL CAT # 151.

This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. AADL CAT # 151. This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Canada AADL CAT # 151 Effective 10/01/2018 Company: Account Number: Date: q Quote q PO Number:

More information

R82 Wombat Living. CAD Retail Price List/ Order Form. Account #: Purchase Order No.: Date: Wombat Living Standard Features:

R82 Wombat Living. CAD Retail Price List/ Order Form. Account #: Purchase Order No.: Date: Wombat Living Standard Features: Account #: Purchase Order No.: Date: Contact: R82 Wombat Living CAD Retail Price List/ Order Form Mark For: Bill To: Address: City/State/Zip: Phone: Email Ship To: Address: City/State/Zip: Phone: Wombat

More information

Condor Script Form Folding Frame Day Wheelchair 90050

Condor Script Form Folding Frame Day Wheelchair 90050 90050 To Order Fill in the frame dimensions and features required. For variations describe in detail on a separate page. If you have any further questions contact us at the address at the bottom of the

More information

Parts List for all Sentar Sport models For Sentar Sport serial #33615 and higher until superseded

Parts List for all Sentar Sport models For Sentar Sport serial #33615 and higher until superseded Parts List for all Sentar Sport models For Sentar Sport serial #33615 and higher until superseded WRIGHT MANUFACTURING, INC. - 4600X WEDGEWOOD BLVD - FREDERICK, MD 21703 Revised 01/2007 36" CUTTER DECK

More information

Personal Care Commode

Personal Care Commode Parts Catalog Issued: Jun 2, 2009 Personal Care Commode Yes, you can. Parts Catalog Usage Guide The information contained in this document is subject to change without notice. This catalog contains service

More information

JAY Fit. Backrest and Seat Assembly. July 2017

JAY Fit. Backrest and Seat Assembly. July 2017 JAY Fit Backrest and Seat Assembly July 2017 Mark For: Submitting for: Quote Order Date: PO#: Dealer Acct #: Dealer: ADDITIONAL SHIPPING INFORMATION Dealer Contact: Ship To: Dealer Address: Attention:

More information

BENTLEY. Order Form - AADL - W322 Prices in Canadian Dollars. October 1, W h e e l L o c k s. A n t i - T i p p e r s. B a c k P o s t S t y l e

BENTLEY. Order Form - AADL - W322 Prices in Canadian Dollars. October 1, W h e e l L o c k s. A n t i - T i p p e r s. B a c k P o s t S t y l e 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 Dealer/Provider Name * Purchaser Name and Contact Information * Billing Address * Shipping Address * * required F r a m e T y

More information

C300 Corpus Tilt. Please send order/quote to fax#: (800) to: * Indicates a Required Field Dealer Information

C300 Corpus Tilt. Please send order/quote to fax#: (800) to: * Indicates a Required Field Dealer Information * Indicates a Required Field Dealer Information * Contact: Dealer Code: * Dealer Name: Address: * City: * State/Zip: * Phone#: * Fax#: PO#: Email Address: Client Information Permobil recommends that the

More information

PAGE 2 QUICKIE S636 W/ RNET & VR2

PAGE 2 QUICKIE S636 W/ RNET & VR2 PAGE 2 QUICKIE S636 W/ RNET & VR2 QUICKIE S636 W/ RNET & VR2 PAGE 1 Product COVER... 1 Product... 1 QUICKIE S636 W/ RNET & VR2... 6 BASE... 6 FRAME... 6 FRAME S636/S646/S646SE... 6 TRANSIT KIT... 8 MOTOR...

More information