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

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Transcription:

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: RTS: Marked For: Ship To: Address: City: State: Zip: Phone: Email/Fax: Catalyst 4C $1395 250 lb weight capacity Frame Seat Width / Seat Depth Select box corresponding to desired Seat Width and Depth Seat Width 14 15 16 17 18 19 20 21 2 22 2 Price N/C N/C N/C N/C N/C $188 $395 1 N/C N/C 14 N/C q q q q q q q q q Heavy Duty Option q 350 lb Weight Capacity $925 Requires minimum 6 caster height Cross Brace q Standard Cross Braces q Seating System Cross Braces N/C Allows for easy attachment of seating system mounting hardware. Not available with Seat Sling. 15 $80 q q q q q q q q q Seat Depth 16 N/C q q q q q q q q q 17 $113 q q q q q q q q q 18 N/C q q q q q q q q q 19 $244 1 q q q q q q q q q 20 $395 1 q q q q q q q q q 1 No charge with Heavy Duty Option 2 Heavy Duty Option required Backrest Back Post / Height Range / Back Height Select Back Height in row corresponding to desired Back Post and Height Range Back Post Standard Angle Adjustable w/ Push Handle Price N/C $231 Height Range Back Height Short q 8.5 q 9.5 q 10.5 q 11.5 Medium q 12.5 q 13.5 q 14.5 q 15.5 Tall q 16.5 q 17.5 q 18.5 q 19.5 Short q 14 q 15 q 16 Medium q 16 q 17 q 18 Tall q 18 q 19 q 20 Standard Back Post Select option below only if a Standard Back Post option is selected on chart at left q Straight with Push Handle q Straight without Push Handle N/C q 8º Bend with Push Handle N/C Not available with Short Back Height Range Back Upholstery q Standard Not available with Short or Medium Back Height Ranges on 20-22 Seat Widths q Tension Adjustable $175 q Omit Back Upholstery -$10 DCN0124.12 Revision Date 10/09/2018 Pricing and specifications subject to change without notice Page 1 of 6

Footrest Hanger Bend q 60º $195 Available only with Extension Tube Hangers q 70º $195 q 80º $195 Not available with 7 or 8 Casters q 90º $195 Available only with Front Mount Hangers. Not available with 7 or 8 Casters. q Elevating Leg Rests (ELR) $369 q Pro Elevating Leg Rests (PRO ELR) $500 q Omit Hangers - $25 Footplate q Composite N/C Not available with Front Mount Hangers or PRO ELR q Composite Angle Adjustable $195 Not available with Front Mount Hangers, ELR or 14 Seat Width q Aluminum Angle Adjustable $185 q One Piece Flip Up Angle Adjustable $238 Not available with Front Mount Hangers, ELR or PRO ELR Footrest / Extension / Seat to Footrest Length Select Seat to Footrest Length in row corresponding to desired Footrest and Extension. Footrest Length of at least 2.5 shorter than Front Seat Height recommended. Extension Tube Hanger measurements are based on 70º Hanger / Front Frame Bend. Footrest Extension Seat to Footrest Length Extension Tube Hangers (60º, 70º, 80º) Short q 11 q 11.5 q 12 q 12.5 q 13 q 13.5 q 14 q 14.5 q 15 Medium q 13 q 13.5 q 14 q 14.5 q 15 q 15.5 q 16 q 16.5 q 17 Long q 15.5 q 16 q 16.5 q 17 q 17.5 q 18 q 18.5 q 19 q 19.5 Front Mount Hangers 1 Elevating Leg Rests (ELR) Extended Length ELR PRO ELR Pivot Short (70º, 80º, 90º) Medium (70º, 80º, 90º) Long (70º, 80º) Standard Selections Requires 3 Extension for $69 q 5 q 5.5 q 6 q 6.5 q 7 q 10 q 10.5 q 11 q 7.5 q 8 q 8.5 q 9 q 9.5 q 11.5 q 12 q 12.5 q 5 q 5.5 q 6 q 6.5 q 7 q 7.5 q 8 q 12 q 12.5 q 13 q 8.5 q 9 q 9.5 q 10 q 10.5 q 11 q 11.5 q 13.5 q 14 q 14.5 q 5 q 5.5 q 6 q 6.5 q 7 q 7.5 q 8 q 8.5 q 9 q 14 q 14.5 q 15 q 9.5 q 10 q 10.5 q 11 q 11.5 q 12 q 12.5 q 13 q 13.5 q 15.5 q 16 q 16.5 Short q 12 q 13 q 14 q 15 q 16 Long q 13 q 14 q 15 q 16 q 17 q 18 Short q 18 q 19 q 20 q 21 q 22 Long q 18 q 19 q 20 q 21 q 22 q 23 q 24 Short q 12-17.5 Long q 15-21 PRO ELR Short q 10.5-15.5 High Pivot Long q 13-19 1 Available only with Aluminum Angle Adjustable Footplates. See Minimum Front Seat Height chart below. Minimum Front Seat Height with Front Mount Hangers Hanger Length Short Medium Long Hanger Bend 70º 80/90º 70º 80/90º 70º 80º Minimum Front Seat Height with Standard Selection 13.5 13.5 14 15 16 17 Minimum Front Seat Height with 3 Extension 14.5 16 16.5 18 18.5 20 3 Extension Available only with Front Mount Hangers. Provided as parts. q 3 Extension for Front Mount Hanger $44 DCN0124.12 Revision Date 10/09/2018 Pricing and specifications subject to change without notice Page 2 of 6

Footrest continued Hanger Release If no selection is made Classic Hanger Release will be used q Classic q 4-Way - In line N/C See reference A to the right. Not available with ELR or PRO ELR. q 4-Way - Out N/C See reference B to the right A B Heel Loop q Heel Loops $30 Not available with One Piece Flip Up Angle Adjustable Footplate q Adjustable Heel Loops $45 Not available with One Piece Flip Up Angle Adjustable Footplate q Omit Heel Loops N/C Calf Strap q Velcro Adjustable $44 q Padded Velcro Adjustable $85 q Bodypoint Padded AeroMesh $123 Front Seat Height and Casters Residual Limb Support q Residual Limb Support q Left $450 q Right $450 q Omit Left Hanger -$14 q Omit Right Hanger -$14 Cover q Smooth q Air Mesh q Smooth q Air Mesh Pad Size q 5 x 8 q 9 x 14 q 5 x 8 q 9 x 14 q 7 x 10 q 11 x 10 q 7 x 10 q 11 x 10 q 9 x 10 q 11 x 14 q 9 x 10 q 11 x 14 Caster Size / Front Frame Type / Front Seat Height Select Front Seat Height in row corresponding to desired caster size. Note: Selections in first three Front Seat Height columns use Front Frame. Caster Front Seat Height Size Uses Front Frame 3 4 q 13.5 1 q 14 q 14.5 q 15 2 q 15.5 q 16 q 16.5 q 17 q 17.5 q 18 q 18.5 q 19 q 19.5 q 20 5 q 14.5 q 15 q 15.5 q 16 q 16.5 q 17 q 17.5 q 18 q 18.5 q 19 q 19.5 q 20 q 20.5 6 q 15.5 q 16 q 16.5 q 17 q 17.5 q 18 q 18.5 q 19 q 19.5 q 20 q 20.5 q 21 7 q 17 q 17.5 q 18 q 18.5 q 19 q 19.5 q 20 q 20.5 q 21 8 q 17.5 q 18 q 18.5 q 19 q 19.5 q 20 q 20.5 q 21 1 Front Seat Height not available with 4 x 1 Poly Caster 2 Front Frame required when using 4 x 1 Poly Caster 3 Front Frame $100 retail Caster Type q 1 Poly N/C q 1 Poly Aluminum $100 Not available with 6, 7 and 8 Caster Sizes q 1 Pneumatic $100 Not available with 4, 5 and 7 Caster Sizes q 1.5 Poly $63 Not available with 7 and 8 Caster Sizes q 1.5 Soft Roll Aluminum $150 Not available with 7 and 8 Caster Sizes q 2 Poly $88 Not available with 4, 5, 7 and 8 Caster Sizes q 2 Pneumatic w/ Foam Insert $285 Not available with 4, 5, 6 and 7 Caster Sizes Maximum Seat Dump Reference (Front Seat Height minus Rear Seat Height) Seat Depth 14 15 16 17 18 19 20 Maximum Dump 1.5 2 2 2 2.5 2.5 2.5 Fork Stem q Standard Fork Stem q 3/4 Longer Fork Stem $44 q Longer Fork Stem $44 Fork Options q Frog Legs Ultra-Sport Fork - Black $425 Available only with 4, 5 or 6 Casters. Not available with Caster Pin Locks, Heavy Duty Option, 2 Poly caster or 2 Pneumatic w/ Foam Insert caster. End User Weight Required: lbs q Caster Pin Locks $244 Not available with Longer Fork Stem or Frog Legs Fork DCN0124.12 Revision Date 10/09/2018 Pricing and specifications subject to change without notice Page 3 of 6

Wheel Locks Wheel Lock q Push to Lock q Push to Lock Flush Mount N/C q Pull to Lock N/C q Omit Wheel Locks N/C Rear Seat Height and Wheels Wheel Size / Tire Profile / Rear Seat Height Select Rear Seat Height in row corresponding to desired Wheel Size and Tire Profile. 14 Seat Depth not available with 24, 25 or 26 Rear Wheels. Wheel Tire Rear Seat Height Size Profile 20 22 24 q 12.5 1 q 13.5 q 14.5 q 15.5 q 16.5 Full q 13 1 q 14 q 15 q 16 q 17 q 13.5 1 q 14.5 q 15.5 q 16.5 q 17.5 Full q 14 1 q 15 q 16 q 17 q 18 q 14.5 1 q 15.5 q 16.5 q 17.5 q 18.5 Full q 15 1 q 16 q 17 q 18 q 19 25 q 15 1 q 16 q 17 q 18 q 19 26 q 15.5 1 q 16.5 q 17.5 q 18.5 q 19.5 Full q 16 1 q 17 q 18 q 19 q 20 1 Not available with Flip Back Armrests Rear Tire Type Full Profile q Street Pneumatic 1 3/8 Not available on 25 rear wheel q Full Poly 1 3/8 N/C Not available on light or 25 rear wheel q Pneumatic with Airless Insert 1 3/8 $200 Not available on light or 25 rear wheel q Schwalbe HS-127 1 3/8 $119 Available only on 24 rear wheel. Not available on Mag wheels. q Euro Trek Knobby 1 3/8 $119 Available only on 24 rear wheel Wheel Lock Options q Extension Handles $84 Available only with Push to Lock or Pull to Lock Wheel Locks q Grade Aids $187 Available only with Push to Lock Wheel Locks and Pneumatic or Pneumatic with Airless Insert Rear Tire Types Rear Wheel Type q Assembled 24 Six-Spoke Mag with Treaded Tire and Composite Handrim - $25 No substitutions available. Do not select Rear Tire Type or Handrim. Measures as Full Tire. q 24 Spoke N/C q 20 Spoke $125 q Spoke (22, 25 or 26 ) $225 q Mag (22 or 24 ) N/C q 20 Mag $125 q light Spoke $369 Available only in 24 and 25 rear wheels. Not available with Heavy Duty Option. q Spinergy Spox $795 Not available in 20 rear wheel Color: q Black q Red q White q Blue q Yellow Handrim: q Short Tab q Long Tab Available only with Aluminum Anodized and Plastic Coated Handrims Profile q Poly 1 N/C Not available on light, 25 or 26 rear wheels q Sentinel Solid Tire 1 N/C Not available on light wheels or 20 and 22 Mag wheels q High Pressure 1 $119 Not available on Mag wheels Handrim Standard Handrims q Aluminum Anodized q light Aluminum Anodized $50 Available only on 24 and 25 light and Spinergy wheels. Not available with Heavy Duty Option. q Plastic Coated $119 q Projection (8 Vertical Projections) $299 Available on 22, 24, 25 and 26 Spoke wheels & 24 Mag wheels w/full tires q Omit Handrim N/C Handrim Option q 3M Micro Grip $81 Not available on Plastic Coated or Projection Handrims Natural Fit Handrims Not available on 20 rear wheel or 22 Mag wheels. Not recommended with Mag wheels. q Natural Fit LT Regular Grip $445 q Natural Fit Standard Regular Grip $445 q Natural Fit LT Grip $495 q Natural Fit Standard Grip $495 q Natural Fit LT Omit Grip $345 q Natural Fit Standard Omit Grip $345 DCN0124.12 Revision Date 10/09/2018 Pricing and specifications subject to change without notice Page 4 of 6

Axles Axle Bracket q Offset Axle Bracket q Reverse Mount Offset Axle Bracket N/C Not available with Swing Away Armrests Armrests Armrest Please select Arm Pad option q Height Adjustable T-Arm (8.5-13.5 ) $295 q Height Adjustable T-Arm (7.5-11.5 ) $295 q Height Adjustable Flip Back T-Arm (9.5-13.5 ) $295 q Flip Back (10.5 ) N/C Not available with Seat Depths less than 16 or Angle Adjustable Back Posts Axle q Fixed Axle q Quick Release N/C q Quad Quick Release $219 Not available with Mag wheels Armrest continued q Swing Away (10.5-12.5 ) $175 Not available with Angle Adjustable Back Posts or Arm Pads q Omit Armrests N/C Arm Pad Not available with Swing Away Armrests Standard Arm Pad N/C q Desk q Full Waterfall Arm Pad $35 q Desk q Full Available only with Height Adjustable T-Arms Accessories Removable Side Guard q Composite Side Guards $175 Not available with T-Arm or Flip Back Armrests Anti-Tip q Rear Anti-Tips $110 Positioning Belt q Auto Buckle $21.25 q Padded Auto Buckle $170 q 2 Airline Buckle $150 q Bodypoint Evoflex - Pelvic Stabilizer $219 Size: q Small (16-24 ) q Medium (19-29 ) q Large (25-37 ) q Bodypoint Belt Mounting Kit $126 Style: q Bracket q Band Clamp 1 Frame Color Seat Pan q Removable Aluminum Seat Pan $245 Pan depth 1/2 shorter than Seat Depth Other Accessories q Tool Kit $60 q Removable Underseat Pouch $75 q Ki Mobility Backpack $90 q Black Neoprene Impact Guards $95 q Clear Spoke Guards $144 Not available with Mag wheels q Black Spoke Guards $144 Not available with 20 rear wheel or Mag wheels q Cane and Crutch Holder $110 q IV Pole $175 Available only with Standard Straight Back Posts O 2 Holder q O 2 Holder $110 q Right Side q Left Side Gloss Finish q Black N/C q Blue N/C DCN0124.12 Revision Date 10/09/2018 Pricing and specifications subject to change without notice Page 5 of 6

Catalyst Front Seat Height Matrix 4 Caster 5 Caster 6 Caster 7 Caster 8 Caster FSH Stem Fork 15 1 13.5 1 16.5 2 15 2 16 14.5 17 15.5 18 17 19 18 15.5 14 16.5 15.5 3/4 4 18 16.5 3/4 5 18.5 17.5 20 18.5 3/4 16 2 14.5 17.5 16 18.5 17 19 17.5 20.5 n/a 3/4 4 3/4 6 16.5 15 16 15 17 16 19.5 18 19 17.5 16.5 15.5 17.5 16.5 19.5 18.5 19.5 18 17 15.5 17 15.5 18 17 20 19 20 18.5 3/4 5 15.5 14.5 17.5 16 18 16.5 18.5 17.5 20.5 19 16 15 17.5 16.5 18.5 17 3/4 6 19 18 19.5 18.5 16.5 15 18 17 19 17.5 19.5 18.5 20 19 3/4 5 3/4 17 15.5 16.5 15.5 18.5 17.5 20 19 20.5 n/a 6 7 17 16 17 16 19 18 19 18 21 n/a 17.5 16.5 17.5 16.5 19.5 18.5 19.5 18.5 7 20.5 19 3/4 17 15.5 17.5 16 18 16.5 20 19 21 n/a 17.5 16 18 16.5 3/4 6 18.5 17 20.5 n/a 8 x 2 caster not 17.5 16.5 18.5 17 19 17.5 20 18.5 available with 6 fork 3/4 6 18 17 18 17 19.5 18.5 20.5 19 18.5 17 18.5 17.5 18.5 17.5 19 17.5 19 18 19 18 18 17 18 16.5 19.5 18.5 18.5 17.5 18.5 17 20 19 3/4 7 21 n/a 19 17.5 19 17.5 19.5 18 3/4 7 19.5 18 18.5 17.5 20 18.5 19.5 18.5 19 18 3/4 7 20.5 19 20 19 19.5 18.5 21 n/a 19.5 18 20 18.5 6 x 2 caster not available with 5 fork 20.5 19 1 Front Seat Height not available with 4 x 1 Poly Caster 2 Not available with 4 x 1 Poly, 4 x 1.5 Poly or 4 x 1.5 Soft Roll Aluminum Seat heights with FSH heading available with Standard Front Frame. Seat heights with heading available with Front Frame. Actual seat height may vary depending upon configuration. DCN0124.12 Revision Date 10/09/2018 Pricing and specifications subject to change without notice Page 6 of 6