Custom Manual Options & ACCESSORIES AUSTRALIA 2013
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1 Custom Manual Options & ACCESSORIES AUSTRALIA 2013
2 Casters and Forks CASTERS FORKS Aluminium Soft Roll 4 X X X Aluminium Polyurethane / Soft Roll Multi Position Fork (Short pictured) Tall Short Standard Fork = 5 1/ = = 7 4 X X X 1.5 Soft Roll Pneumatic Semi-Pneumatic X 2 (Pneumatic with Insert) Slotted Fork / Fork with Integrated Bearing 1 1/2 Stem Bolt (Tall Wide pictured) (Silver or Black) 4 X X X X Low Profile Polyurethane Standard Stem Bolt (on multi position fork) /4 Stem Bolt (on multi position fork) /2 Stem Bolt (on multi position fork) Polyurethane Micro and Micro Lighted 3 (Non-Lighted) Lighted Lighted Single Side Fork Low L/H Low R/H Std. L/H std. R/H Frog Leg Caster Pin Lock
3 Accessories POSITIONING BELTS 1.5 Auto Buckle Universal Aircraft Buckle Positioning Belt Standard Padded Aircraft Buckle Positioning Belt Padded STD Long BACK UPHOLSTERY OPTIONS Standard Back Tension Adjustable Back Balistic Back Upholstery 3DX Upholstery Alcanthara NOTE: Not all accessories are available on all chairs. MISCELLANEOUS Quickie Backpack Kids Backpack Quickie Seat Pouch Under Seat Bag FSBAG L Shaped Wrench Tool Kit Oxygen Tank Holder BEOXY Quickie Caddy Wheelchair tray table Tablet Mount Padded Swing Away Armrest Detachable Gel Armpad Cover Europe Tray Quickie Iris Canopy Hardware Wide Right Hardware Wide Left Hardware Wide Right Hardware Wide Left Canopy Black Wide Canopy Black Wide Canopy Assembly Wide Canopy Assembly Wide Wheelchair Canopy RT RT
4 Tires, Wheels and Handrims TYRES Solid Tyre Marathon Plus Evolution Pneumatic (Available w/ Insert) Full Poly Low Poly Schwalbe Speed run High Pressure Schwalber Two Grip Downtown Schwalber Right Run Schwalbe Marathon KIK Mountain Knobby V-TRAK WHEELS Proton Wheel (super light weight) Heat Treated Basketball Heat Treated Tennis Spinergy SPOX Spinergy LX Mountain Wheel Design Wheel Cross Spoke Standard Spoke Lite Spoke Ultra Lightweight Spoke Mag Spinergy Sport HANDRIMS Aluminium Plastic Coated Natural Fit Natural Fit LT Spinergy Flex Rim Oblique Max Grip AXLES & VALVES Black Q Big Button Axle Big Button Quick Release Axle Quad Quick Release Axle Quick Release Axle Presta Valve Schrader Valve Presta to Schrader Valve Adapter
5 Armrest, Push Handles and Hangers ARMPAD Classic Armpad ARMRESTS Contoured Desk Armpad Classic Full Armpad Contoured Full Armpad Padded Swing Away Hemi Arm Pad Dual Post Flip Back Ht Adj. Single Post Ht Adj. Low Flip-Back Ht. Adj. Classic Flip Back Single Post Ht. Adj. Single Post Ht. Adj. Classic Flip-Back Ht. Adj. LITE Adjustable Locking Flip-Up Adjustable Locking Flip-Up (Foam) Length Adjustable Locking Flip-Up (Full) PUSH HANDLES Standard Long Standard Short No Push Handle Fold Down Push Handle Height Adjustable Telescoping Push Handle HANGERS Swing Away - 60, 70, 70 V, 70 Hemi Front Mount Swing Away 70, 70 V, 80, 90 New Front Mount Swing Away 70, 80 Swing In/Out 70, 70 V, 70 Hemi (Bolt) Swing In/Out 70,70 V, 80 (Clamping Lock) New Swing In/Out 60, 70, 80 Front Mount Swing In/Out , 90 Lift Off 70, 80, 90 Direct mount 2 Extention Tube Direct mount 4 Extention Tube Articulating Leg Rest, Kids ALR Elevating Leg Rest, Kids ELR, Hemi ELR, Off set Hanger Mount
6 Wheel Locks and Side Guards WHEEL LOCKS Curved Handle Curved Handle High Mount Push Open High Mount Push Closed High Mount Pull Open High Mount Pull Closed Ergo Scissor Open Ergo Scissor Closed Compact Open Compact Closed Compact Wheel Lock Rear Foot Operated Lock Standard Wheel Lock Knee Lever Wheel Lock Grade Aid R/H L/H Pair with clamps SR45 Extension Handles Wheel Lock Extension Handles Pair Pair SIDE GUARDS Plastic New Plastic Aluminium Slim line Carbon Fiber Aluminium with Fender Carbon with Fender
7 Footplates FOOTPLATES - FOLDING Composite New Composite New Angle Adjustable Composite Adult Angle Adjustable Kids Angle Adjustable Locking Angle Adjustable Aluminium For ELR s Split Platform Angle Adjustable Flip Away Platform Flip Up Tubular Flip Up (Available w/ Cover) Auto Folding Aluminium Divided Footboard FOOTPLATES - RIGID Tubular Tubular with Flat Cover Removable Snap On Cover Platform Aluminium footboard Aluminium Platform Ultra Light Platform FOOTREST OPTIONS Neoprene Impact Guards Fixed Frame S/A Frame Velcro Gel Cover for Hanger/Frame Wear Pads Positioning plates
8 Spoke Guard Options Quickie Q Clear Quickie Black Zippie Color 20 Mag C spoke Mag C spoke Mag Only Spoke Only EU SPOKE GUARD Offered on 22 and 24 Wheels Princess Dancing Bear Water World Randolf Jungle Fever Happy Lions Monkeys Pirates Chrome Wheel Oriental Superhero Graffiti
9 Spoke Guard Options Racing Dirt Race Galaktica Hot Wheels Basketball Basketball Space Fantasy Pool Flying Water Tiger Zebra Abstract Creative Bibbo Rotation Cheese Feather Silk Graphik
10 Specialised Options BRAKES TRANSIT CONVERSION Attendant Brake DBK 12 (Mag Wheel) DBK 16 (Spoke Wheel) DBK 24 (Spoke Wheel) N/A with rear rounded frame 12 Wheel Transit Conversion Q212CONV STUMP SUPPORT Comfort Style Universal Mount Comfort Style (L) - SSLCOM Comfort Style (R) - SSRCOM Comfort Style (Pair) - SSPCOM Comfort Style - Quickie Hanger Mount Please see Stump Support order form for complete range of options SSLBRZ BasiX Style (L) L (LHS) SSRBRZ BasiX Style (R) R (RHS) SSRBRZ BasiX Style (Pair) (P) HANDLES IRIS Style - HASHI Zippie Style - HASH (max. height is 1 meter.) BasiX Style on Zone
11 Notes:
12 Sunrise Medical.O&A.2014.Rev A.AU Sunrise Medical Australia Pty Ltd 6 Healey Circuit, Huntingwood, NSW 2148 Phone: (02) Fax: (02) enquiries@sunrisemedical.com.au
Town: Postal code: Town: Postal code: CLIENT MEASUREMENTS. Seat Width in cm 38 cm 40 cm 42 cm 44 cm 46 cm. 40 cm
Front Castor Seat Depth in cm Deliver to: Deliver to: Name: Name: Street: Street: Town: Postal code: Town: Postal code: E-Mail: E-Mail: Tel: Fax: Tel: Fax: Order date: Purchase order: Number required:
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Front Castor Seat Depth in cm Deliver to: Deliver to: Name: Name: Street: Street: Town: Postal code: Town: Postal code: E-Mail: E-Mail: Tel: Fax: Tel: Fax: Order date: Purchase order: Number required:
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Manual Wheelchair Retail Prescription Form ACTION3JUNIORLARGE15112017 Tel: 01656 776222 Fax: 01656 776220 JAN 2018 Email: ordersuk@invacare.com Online Spares available at www.invacare.co.uk Customer Ref:
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Invacare Ltd Manual Wheelchair Pencoed Technology Park Dealer Prescription Form Pencoed. CF35 5AQ LPF1U2CHAMPION211114D Tel: 01656 776222 Fax: 01656 776220 LPF0015Z email: ordersuk@invacare.com January
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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 orders@motioncomposites.com www.motioncomposites.com 4.2 MOVE ORDER FORM - CANADA
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Manual Wheelchair Retail Prescription Form ACTION3NGTRANSIT10112016 Tel: 01656 776222 Fax: 01656 776220 JAN 2017 Email: ordersuk@invacare.co.uk Online Spares available at www.invacare.co.uk Customer Ref:
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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 Helio A6 ORDER FORM - INTERNATIONAL P.O.
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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 4.6 APEX ORDER FORM - International P.O. number:*
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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 4.7 Helio A6 ORDER FORM - CANADA P.O. number:*
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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 Helio A6 ORDER FORM - CANADA P.O. number:*
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Manual Wheelchair Retail Prescription Form KSeriesCarbon061218 Tel: 01656 776222 Fax: 01656 776220 Email: ordersuk@invacare.com Online spares available at: www.invacare.co.uk January 2019 Customer Ref:
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Invacare Ltd Manual Wheelchair Pencoed Technology Park Dealer Prescription Form Pencoed. CF35 5AQ LPF1U2CHAMPION290514D Tel: 01656 776222 Fax: 01656 776220 LPF0015Z email: ordersuk@invacare.com January
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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:*
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2915 Ogletown RD # 2270 Newark, DE 19713 T.+1-866-650-6555 F. +1-888-966-6555 orders@motioncomposites.com www.motioncomposites.com 4.7 APEX ORDER FORM - USA P.O. number:* Date: Ship to:* Company Name:*
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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 4.6 P.O. number:* Date: Ship to:* Company Name:*
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2915 Ogletown RD # 2270 Newark, DE 19713 T.+1-866-650-6555 F. +1-888-966-6555 orders@motioncomposites.com www.motioncomposites.com 4.7 VELOCE ORDER FORM - USA P.O. number:* Date: Ship to:* Company Name:*
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