Quickie 2 AADL - W137

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

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

Quickie 2 January 2014

Quickie QX July 2017

Quickie QX December 2018

Quickie 2 EIQ2N Effective April 2011

Quickie Q7 Adjustable March 2014

Zippie Zone July 2018 EIRZ1

Quickie IRIS January 2014

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

Quickie GTX Fixed Frame EIF3, Effective July 2009

Quickie GTX Swing-Away FSS NET ORDER FORM/PRICE LIST (SIN F-1)

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

Custom Manual Options & ACCESSORIES AUSTRALIA 2013

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.

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

Quickie IRIS March 2015

ZIPPIE IRIS (Transit Included) EIZ5A

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

Quickie 2HP July 2018

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

Quickie QXi July 2018

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

Quickie LXI/LX. January 2019 EILXI/EILX. Address: Ship To City: o Fax o

QUICKIE P222 SE BD/SD Solid Seat (No Power or Single Power Seating Options) EIPW2 - Effective January 2018

MASS Script Form. Frame. Backrest. Seat Depth

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

Quickie Qxi November 2016

Quickie QX February 2019

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

4.6. Clinician/ATP/RTS: City: State: C2MA029 * Required

Quickie 2HP January 2018

Account Number: Provider Name: Contact:

4.2 HELIO KIDS MODEL. Ultralight Folding Carbon Fiber HELIO KIDS Wheelchair Including angle & depth adjustable back (79 kg lbs weight capacity)

Quickie 2HP January 2017

Quickie QXi January 2018

Quickie QXi January 2019

Account Number: Provider Name: Contact:

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

STD +1" +2" STD +1" +2" STD +1" +2" STD +1" +2" STD +1" +2" STD

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

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

Kids Quickie 2 SE January 2018 EIZ10

4.6. Clinician/ATP/RTS: City: State: VEMA039 * Required. Veloce - FRONT Seat-to-floor height. 16 to 19 Specify desired height: 80.

Condor Script Form Folding Frame Day Wheelchair 90050

Kids Quickie 2 SE November 2012

Zippie 2 January 2018 EIZ2

Quickie QRi January 2019

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

ORDER FORM Ver.9.0 Rev DEALER COLOURS INFORMATION For Office Use Only Dealer: Order Date: S/N: Account: P.O.#: RTS Ordered By: RTS: Phone:

UNMATCHED PERFORMANCE. THE PROFESSIONALS BEST CHOICE IN FOLDING ULTRA- LIGHTWEIGHT ABILITY.

Condor Script Form Folding Frame Day Wheelchair 90050

YOU RE YOUNG. YOU RE ACTIVE. YOU RE YOU. GROWTH WITH AN EDGE. ROGUE XP.

4.2. Ship to: Vendor: Name: Date: Address: Ordered by: City: Province:

4.1 MOVE. ORDER FORM - CANADA Ship to: Name: Address: Account: Vendor: Date: Ordered by: Marked for: User manual: PO: Postal Code: Phone:

APEX 4.7. FRONT Seat-to-floor height ORDER FORM - USA. Height available +- 1/4" Caster sizes. 3" Caster 14" to 21" Specify desired height:

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

VELOCE 4.7. FRONT Seat-to-floor height ORDER FORM - USA. Caster sizes Height available +- 1/4" 3" Caster 14" to 21" Specify desired height:

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

September 2017 EIQ2X. Mark For: Submitting for: o Quote

NOT JUST A WHEELCHAIR. A MEMBER OF THE TEAM.

3 A7WC10 E-Motion adaptor Kit (2 adaptors)

Product. QUICKIE QRi PAGE 1

Kids Quickie 2 SE (Without Seating) NOVEMBER 2012

Kids Quickie 2 SE (Without Seating) NOVEMBER 2012

QUICKIE S646 SE BD/SD/MPD No Power, Single Power & Multi Power Seating Option AADL - W579

Quickie 2 EIQ2 MASS MASS PLAQUE NO. P

4.8. A6MA085 Italian Manual. 3" caster 4" caster. 8" caster Stem bolt Length. + 2,54 cm 1" + 5,08cm 2" STD. 36,8cm 14,5" 34,3cm 13,5" 39,4cm 15,5"

APEX 4.6. FRONT Seat-to-floor height Caster sizes Height available +- 1/4" ORDER FORM - International. 3" Caster. Specify desired height:

Stallion Script Form Fixed Frame Adjustable Wheelchair 90100

ORDER FORM Ver.9.0 Rev DEALER COLOURS INFORMATION For Office Use Only Dealer: Order Date: S/N: Account: P.O.#: RTS Ordered By: RTS: Phone:

C2 FRONT Seat-to-floor Height - Please select your choice. Custom Technologies Limited. 40 Raywood Crescent TAUPO. New Zealand

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

BENTLEY. 15" Seat Width 18" Seat Width. Requires Heavy Duty Base and Seat Frame. Extended delivery lead times may apply.

4.8. Clinician/ATP/RTS: City: State/Prov: Marked for: Phone: * Required MVMA053 MVMA056. MVMA058 English Manual (STD) Dutch Manual

Zippie GS. Growth System

ORDER FORM Ver.9.0 Rev DEALER COLOURS INFORMATION For Office Use Only Dealer: Order Date: S/N: Account: P.O.#: RTS Ordered By: RTS: Phone:

STELLAR. 15" Seat Width 18" Seat Width. Requires Heavy Duty Base and Seat Frame. Extended delivery lead times may apply.

Helio A6 ORDER FORM - CANADA

Serial Number: Manufacturing Date: /20

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

NXT Pediatric. Manual Wheelchair. Transport Optional Base

4.2. Ship to: Vendor: Name: Date: Address: Ordered by: Phone:

RETAIL Max user weight: 100kg - seat widths 12" & 13" Max user weight: 130kg -seat widths 14" -16"

Quickie 2 Lite. January 2018 EIQ2X

Quickie 2 Lite. January 2019 EIQ2X

ORDER FORM Ver.6 Rev DEALER COLOURS INFORMATION For Office Use Only Dealer: Order Date: S/N: Account: P.O.#: RTS Ordered By: RTS: Phone:

4.6. A7 FRONT Seat-to-floor Height - Please select your choice. Stem bolt Length /2 15 1/2 16 1/2

4.8. Clinician/ATP/RTS: City: State/Prov: Marked for: Phone: * Required KDMA063 English Manual (STD) Manuel Français

Helio A6 ORDER FORM - CANADA

MOVE ORDER FORM - CANADA

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

STELLAR GL. 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.

STELLAR. 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.

Serial Number: Manufacturing Date: /20

TiLite. Please Fax to the TiLite Customer Service Team at or

Zippie Family. Album

RESIST CONFORMITY. GO ROGUE.

Standard Base Price: 539

BC MEDEQUIP HOME HEALTH CARE LTD SPRINGER AVE, BURNABY, BC

Transcription:

Quickie 2 AADL - W137 EIQ2X, October 2018 Mark For: Submitting for: Quote Order Date: PO#: Dealer Acct #: Dealer: ADDITIONAL SHIPPING INFORMATION Dealer Contact: Ship To: Dealer Address: Attention: Dealer City: PV: PC: Address: Dealer Phone: ( ) Fax: ( ) Address: Confirmation Email: Ship To City: PV: PC: Confirm Via: Fax Email Ship To Phone: ( ) Fax: ( ) Option # Definition Price Option # Definition Price 1. FRAME Base model E1236 coding still applies for EIQ2X with certain sizes 002WM32 Quickie 2 $2,930.00 002RS1 002RS2 Rear Frame Type (300 lbs. Weight Capacity) Rear Side Frame Straight Rear Side Frame Rounded Transit Option NA on Stroller Handles (Removable Push Handles) or Xtender 002TO46 Transit System WC19 $363.00 002RS3 Depth Adjustable Back (DAB) NA w/ swing-away, flip-back armrests. Backrest set 2" rear of seat tube w/ 1" adjustable forward. $330.00 002FS31 002FS30 Frame Style Standard Swing Away Hemi Swing Away 002HV1 Heavy Duty Package (350 lbs. weight capacity) Heavy Duty (18"-22" Wide only) NA w/ Xtender. Includes Reinforced Back Upholstery & Stabilizer Bar. $1,131.00 2. SIZE / SEATING Frame Width Frame Depth 002W3 002W4 002W5 12" 14" If growth is desired Seat Depth (*) may be ordered up to 3" smaller frame. Std & HD frame available with -20" frame Depth. Hemi available 16-18 & 20 frame depth. Please refer to matrix in page 8 of Appendix regarding frame Depth Vs seat Depth 002W6 002FD4 002W7 16" 002FD5 14" 002W8 17" 002FD6 002W9 18" 002FD7 16" 002W10 19" 002FD8 17" 002W11 20" 002FD9 18" 002W12 21" (Only Avail. w/ Heavy Duty) 002FD10 19" Steel reinforced 002W13 22" (Only Avail. w/ Heavy Duty) 002FD36 20" Steel reinforced Seat Depth 12" seat depth not available with Hemi frame 002SD5 12" 002SD6 002SD7 14" 002SD8 002SD9 16" 002SD10 17" 002SD11 18" 002SD72 19" 002SD13 20" Seat Sling 002SL1 Standard Seat Sling 002SL6 Omit Seat Sling JAY Cushions (Optional) To order any JAY cushions on-chair, please see the JAY price list. Cushion name or part number must be filled out with desired width and depth JAY Bundled Cushion 002JC20 Cushion Name or Part # Width: Depth: Cushion 002CU1 2" Cushion -$20.00 Price List $168.00 Page 1

3. CASTERS / SEAT HEIGHT Please see matrix on Page 9 for additional information. 13.5"-14" Hemi only Please see matrix on Page 9 for additional information. Frog Legs not 21.5"-22" not available in Hemi Frame available with Integral caster housing 002SH40 13.5" 002SH18 18.0" 002CF46 Multi Position Fork-Short 002SH41 14.0" 002SH20 18.5" 002CF47 Multi Position Fork- Tall 002SH42 14.5" 002SH21 19.0" 002CF62 3" Fork 002SH12 15.0" 002SH23 19.5" 002CF12 5 1/4" Fork 002SH13 15.5" 002SH24 20.0" 002CF17 6 " Fork 002SH14 16.0" 002SH26 20.5" 002CF23 7" Fork 002SH15 16.5" 002SH27 21.0" 002CF29 8" x 2" Fork 002SH16 17.0" 002SH29 21.5" Multiple Position 002CF65 002SH17 17.5" 002SH36 22.0" Integral caster housing only All 8" casters NA w/ 90 hangers or -14" frame depth. See matrix on page 9. 002CW1 002CW3 002CW31 002CW72 002CW44 002CW64 002CW5 002CW51 002CW6 002CW65 002CW7 002CW66 002CW34 Front Seat Height Caster Wheels 3" Micro 4" Low Profile Polyurethane NA w/ HD package 4" Micro Lighted 4" x 1" Aluminum Polyurethane 4" x 1.25" Semi Pneumatic 4" x 1.5" Aluminum Soft Roll 5" Low Profile Polyurethane 5" Micro Lighted 5" Soft Roll (Grey) NA w/ Frog Legs 5" x 1" Aluminum Polyurethane 5" x 1.5" Semi-Pneumatic 5" x 1.5" Aluminum Soft Roll 6" Polyurethane $65.00 $88.00 $113.00 002CF69 002CF53 002CF54 002CF55 002OC1 Standard Caster Fork Multiple Position Single Sided Fork Integral caster housing only Frog Legs Suspension (0-100 lbs) Frog Legs Suspension (101-190 lbs) Frog Legs Suspension (191-265 lbs) Caster Options Caster Pin Locks (N/A w/8"x2") NA w/ Xtender, Frog Legs or Transit $157.00 $515.00 $515.00 $515.00 $136.00 002CW33 002CW35 002CW68 002CW16 002CW32 6" Pneumatic 6" x 1.5" Semi Pneumatic 6" x 1.5" Aluminum Soft Roll 7" Polyurethane 8" Polyurethane integral Caster Housing Mul+ Posi+on Mul+ Posi+on Single side Frog Leg 002CW21 8" Pneumatic $130.00 002CW39 8" x 1.5" Semi Pneumatic $130.00 002CW36 8" x 2" Pneumatic $221.00 002CW37 8" x 2" Pneumatic w/airless Insert $352.00 Integral bearing forks only available with Integral caster housing 002CP2 Standard 002CP14 Caster Housing Integral Caster Housing NA with caster Pin locks Page 2

4. REAR WHEELS / SEAT HEIGHT Rear Seat Height 002RH11 13.0" 002RH26 17.5" 002RH12 13.5" 002RH20 18.0" 002RH13 14.0" 002RH27 18.5" 002RH14 14.5" 002RH21 19.0" 002RH15 15.0" 002RH37 19.5" 002RH16 15.5" 002RH22 20.0" 002RH17 16.0" 002RH38 20.5" 002RH18 16.5" 002RH23 21.0" 002RH19 17.0" 002RH39 21.5" Axle Plate 002RH40 22.0" 002AL102 Standard Adjustable (All in-one) Amputee Adjustable 002AL6 $130.00 NA w/ Padded Armrest Axle 002AX1 Quick Release Steel Quad Quick Release 002AX11 $163.00 Mountain Wheel only One Arm Drive NA w/ Xtender, 12", 21" & 22" wide, HD package, amputee axle plates, and small tray table. NA w/ combination of Padded SA arms and Anti tips. Only available w/ 20", 22", 24" mag wheels. Only available in 6 spoke Mags 002AL16 One Arm Drive Adj. Axle Plate $1,239.00 002OA1 Small Handrim (NA w/ 20" wheels) 002OA2 Standard Handrim RH position LH position Select Wheel Size: 20" 22" 24" Not applicable w/ Xtender Power Assist Option. Ultra Lightweight Wheels only available w/ Alum Anodized Handrim. Handrims cannot be omitted on Lite Spoke Wheels.* Omit Rear wheel will default chair configuration set up to a 24" wheel. 002RW103 002RW104 002RW102 002RW90 002RW91 002RW92 002RW93 002RW94 002RW77 002RW78 002RW28 002RW95 002RW96 002RW97 002RW32 002RW98 002RW99 002RW40 002RW50 002RW25 002RW49 002RW111 002RT1 Rear Wheel Type 20" Mag Wheel 5 Spoke 22" Mag Wheel 5 Spoke 24" Mag Wheel 5 Spoke 24" Lite Spoke Wheel 25" Lite Spoke Wheel 26" Lite Spoke Wheel 22" Ultra Lightweight Spoke Wheel 24" Ultra Lightweight Spoke Wheel 22" Spinergy SPOX Black 24" Spinergy SPOX Black 26" Spinergy SPOX Black 24" Spinergy LX Black 25" Spinergy LX Black 26" Spinergy LX Black Omit Rear Wheel (Use w/24" Xtender) Omit Rear Wheel (Use w/22" Xtender) Rear Wheel Tire Pneumatic 20" Lite Spoke Wheel $286.00 22" Lite Spoke Wheel 25" Spinergy SPOX Black 22" Spinergy LX Black 24" Mountain Omit Rear Wheel and Axle * $286.00 $113.00 $319.00 $319.00 $774.00 $774.00 $774.00 $774.00 $995.00 $995.00 $995.00 $995.00 $352.00 -$43.00 Xtender Power Assist RSH of 14.5"-20" for 22" rear wheels and RSH 15.5"-21" for 24" wheels. Front seat height must be greater than rear. NA HD Package or Transit Option..Dual Drive mode available with B4ME. Max weight capacity of 265 lbs 002XT6 002XT7 002XT4 002XT5 Xtender Power Assist 22" Xtender Power Assist JWX-2 NICKEL 22" Xtender Power Assist JWX-2 LITHIUM 24" Xtender Power Assist JWX-2 NICKEL 24" Xtender Power Assist JWX-2 LITHIUM Please select one of the following handrim options 002XH5 002XH6 Plastic Coated Stainless Steel $8,956.00 $10,398.00 $8,956.00 $10,398.00 002RT2 002RT3 002RT39 002RT27 002RT38 High-Pressure Clincher Black 002RT21 Schwalbe Marathon Plus Evolution 002RT12 Pneumatic Airless Insert Full Poly Knobby V-TRAK SHOX Performance Poly Mountain Tire Only available on 24" Mountain Rear Wheel $221.00 $93.00 $108.00 $141.00 $130.00 Xtender - Other Options 002XA10 002XA11 Spare NiMH Power Pack - NICKEL Spare Li-ion Power Pack - LITHIUM Xtender Wheel Options $1,725.00 $2,220.00 002XA8 SPARE 22" Lite Spoke Pneu Alum 002XA9 SPARE 22" Lite Spoke Pneu Plastic $129.00 002XA2 SPARE 24" Lite Spoke Pneu Alum 002XA4 SPARE 24" Lite Spoke Pneu Plastic $129.00 Specifications are subject to change without notice. Copyright 2017 Sunrise Medical Canada Inc. Quickie 2 MK-100405 REV 5 Page 3

4. REAR WHEELS / SEAT HEIGHT (CONT) 22" HP Clincher Blk 24" Pneumatic, Poly 24" Knobby Min RSH 13.5" 24" HP Clincher Blk 14.5" 24" SHOX Poly 24" Mountain 25" Schwalbe 25" SHOX Poly 26" Pneumatic Rear Seat Height Availability Matrices Rear tire, side frame, and axle plate selections dictate seat height availability. *Not all combinations are possible within acceptable seat height ranges Rear Tire 20" Pneumatic, Poly 22" Pneumatic, Poly 22" Schwalbe 24" Schwalbe 25" HP Clincher Blk 26" HP Clincher Blk 15.0" Max RSH 14.0" 20.0" 13.5" 14.5" 14.5" 15.0" 15.0" 14.5" 16.0" 15.5" 26" Schwalbe 15.5" 19.0" 19.5" 19.5" 21.0" 20.5" 21.0" 20.5" 20.5" 21.0" 21.0" 21.0" 20.5" 22.0" 21.5" 21.5" Rear Side Frame Straight Min RSH DAB 13 Max RSH Curved 21.0" 13 Std Adj 22.0" 22.0" Natural Fits available in 22", 24", and 25". Handrim selection NA w/ Xtender. Ultra lightweight wheels only available w/ alum anodized handrim. Plastic coated limited to certain rims and sizes. Natural Fit w/ 5 spoke MAG only available in 24" 002HR1 002HR4 002HR22 002HR25 002HR23 002HR30 002HR31 002HR32 002HR26 002HR27 002HR28 002HR24 002HR7 002HR8 Handrim Aluminum Anodized Plastic Coated - NA on every rim $130.00 Natural Fit - Standard Grip Natural Fit - No Thumb Grip Natural Fit - Super Grip Natural Fit LT- Standard Grip Natural Fit LT- Super Grip Natural Fit LT - No Thumb Grip The Surge - Oval w/gription Strip The Surge LT - Oval w/gription Strip Q-Grip Neoprene Coated Spinergy Flex Rim Available on 24" & 25" Spinergy LX wheel Omit Handrim Option may not be available on all wheels 8 Oblique NA w/ Xtender. Only available with 24" or 26" 6 spokemag or Lite Spoke rims. $335.00 $335.00 $389.00 $466.00 $530.00 $500.00 $500.00 $530.00 $422.00 $628.00 -$12.00 $130.00 Std Adj (All in one) Amputee Axle Plate Min RSH 14" Max RSH 22.0" 22.0" Camber 002CI1 00217CI 002CI3 0 2 (default) 4 Tire Wheel Pneumatic 20,22,24 20,22,24 20,22,24,26 24,26 Pneumatic w/airless Insert 20,22,24 20,22,24 Full Poly Tire 20,22,24 20,22,24,26 20,22,24 High Pressure Clinch Blk 22,24,25,26 Knobby V-TRAK Schwalbe Marathon SHOX Perform. Poly 5 Spoke Mag 20,22,24 Mag 20,22,24 Lite Spoke 24,25 Ultra Lt wt 22,24 Spinergy 24,26 22,24,26 24 24 24,25,26 22,24 24,25,26 20"= 451 mm 22" = 501 mm 24" = 540 mm 25" = 559 26" = 590 24,25 Center of Gravity Preset Amputee Axle Plate will come preset at 1.0 Center of Gravity (CG), range od adjustment is -3.0 to -1.75 and 1.0 to 3.5 CG. 002CC2 002CC3 002CC4 002CC5 002CC6 002CC7 002CC30 002CC31 002CC32 1.0" (default) 1.5" 2.0" 3.5" 1AD Forward position 1AD Reward position 2.5" 3.0" One Arm Drive CG 1AD Center position 5. WHEEL LOCKS Wheel Lock Ergo & compact NA w/ -14" frame depth or amputee axle plate. Additional No Gos may exist depending on wheel size and position 002WL46 002WL50 High Mount Push High Mount Pull Extension Handle NA w/ ergo scissor or compact wheel locks 002WL75 Ergo Scissor $141.00 002EH7 E0961 Extension Handle (Pair) $65.00 002WL64 002WL24 Compact Unilateral Wheel Lock Right $146.00 $286.00 Grade Aid 002WL23 002WL10 Unilateral Wheel Lock Left Omit $286.00 Only available w/ high mount push or pull to lock wheel locks on pneumatic or pneumatic w/ airless tire options 002GA1 E0974 Grade Aid $141.00 002WL12 Wheel Lock Option Do Not Mount Page 4

6. HANGER & FOOTREST Hangers Footplate Options (Ext Tube & Front Mount) 002H145 Heel Loop 002HL1 Front mount hangers only available w/ aluminum angle adj footplates. ALR/ELR Hangers NA w/ Push To Lock wheel locks. Leg Strap* 002HL5 *Leg Strap is only with the Platform Flip Up Footplate Footrest Extension Tubes 002H139 002H141 002H154 002E61 Short Hemi 002H155 002E1 Short 002H140 002E2 Medium 002H142 002E5 Long 002H158 002H159 002H160 002H161 002H32 Articulating Hanger - Ext Mount NA w/ Platform Flip Up and Alum Angle Adj Front Mount footplates, 14"-22" width Elevating Hanger - Ext Mount NA w/ Platform Flip Up and Alum Angle Adj Front Mount footplates, 14"-22" width Elevating Hanger - Front Mount 002E16 Only available w/ front mount alum angle adj footplates and 14"-22" width Omit Hanger & Footplate -$16.00 002F271 $87.00 2" - Front Mount Only NA w/ 6", 7" or 8" casters with 90 hangers, or ELR's $48.00 4" - Front Mount Only NA w/6", 7" or 8" casters w/ 90 hangers or ELR/ALR 002E24 $48.00 Lower Leg Length Setting (Extension Mount Only) Recommend 2" less than FSTFH. (*)denotes frame, 9" & 9.5" Hemi Only Heel loop or leg strap not included, See Footplate Options Section Composite (-22"w) NA w/ one-arm drive option or w/angle adj footplates 002E23 High Mount $471.00 Footplates 002F1 Required w/ extension tube mounted hangers. See leg length matrix Composite Angle Adj (16"-22"w) $157.00 002LO01 9.0"(*) 002LO13 15.0" 002LO02 9.5"(*) 002LO14 15.5" 002LO03 10.0" 002LO15 16.0" 002LO04 10.5" 002LO16 16.5" 002LO05 11.0" 002LO17 17.0" 002LO06 11.5" 002LO18 17.5" 002LO07 12.0" 002LO19 18.0" 002F3 Alum Angle Adj - Ext Mt (12"-22"w) $157.00 002LO08 12.5" 002LO20 18.5" 002F8 Alum Angle Adj - Front Mt(12"-22"w) $157.00 002LO09 13.0" 002LO21 19.0" 002F5 Alum Footplate - Fixed (14"-22"w) Available w/ Ext Mount ELR or ALR $206.00 002LO10 13.5" 002LO22 19.5" 002LO11 14.0" 002LO23 20.0" 002LO12 14.5" 002LO24 20.5"Std. Only* 002F48 002F7 Platform Flip Up Angle Adj (12"-22"w) NA w/ Hemi Hangers,ELR/ALR,Front Mnt Omit Footplate & Ext Tube $206.00 -$16.00 7. BACKREST / SEATING Back Height Back Type 002B1 Low (9"-12") Angle Adjustable Back (3-5" Pivot) $319.00 002B5 Medium (12"-) Angle Adjustable Back (5"-7" Pivot) Depth Adjustable (Required with DAB) $319.00 002B9 Tall (16"-19") 002B66 Depth Adjustable 12" 002B67 Depth Adjustable 14" 002B68 Depth Adjustable 16" 002B69 Depth Adjustable 18" 002B70 Depth Adjustable 20" 002BT10 Standard 002BT20 002BT22 002BT6 Back Post Options (Std or Angle Adjustable) Omit push handles NA w/ stabilizer bar 002BP1 Push Handle Straight 002BP3 Med or Tall only. NA w/ Push Handle 8 Angle Adjustable Backrest 002BP2 Omit Push Handle Straight (NA w/hd) 002BP4 002BP8 Omit Push Handle 8 (NA w/hd) Med or Tall only Omit Back Post & Upholstery Use w/ DAB solid back & Hardware -$12.00 -$46.00 Back Height Setting (Std or Angle Adjustable) EXO upholstery not available with 21" back height 002UX4 9" 002UX18 16" 002UX6 10" 002UX20 17" 002UX8 11" 002UX22 18" 002UX10 12" 002UX24 19" 20" (*) 21" (*) 002BP5 Angle Adj. Straight Push Handles 002UX12 002UX26 002BP6 Angle Adj. Omit Push Handles (NA w/hd) 002UX14 14" 002UX28 002UX16 002PH17 Folding Push Handle with Ht. Adj. Back NA w/angle Adj Back $278.00 (*)20" & 21" only w/ Ang Adj Back Page 5

7. BACKREST / SEATING (cont) Angle Adjustable Backrest Pivot Height Standard push handles only. Some interference w/ Padded SA arms. NA w/ flip-back or flipback height adjustable armrests (classic). 002AH1 002AH2 Angle Adjustable Pivot 3" Angle Adjustable Pivot 4" 002AH3 Angle Adjustable Pivot 5" 002AH4 002AH5 Angle Adjustable Pivot 6" Angle Adjustable Pivot 7" Stroller Handles (Removable Push Handles) Only available w/ omit push handles. NA w/ DAB, amputee axle plate, push handles when angle adjustable back is selected, flip-back or flip-back height adjustable armrests, and JAY backs. 002SR2 Regular Stroller Handles $173.00 002SR3 Tall Stroller Handles $173.00 Back Post Options (Depth Adjustable Back) Diagram of DAB in Appendix on page 9. SA Stroller Handle height range is 21.25"-28.5" 002BP33 002BP27 002BP28 002BP29 DAB - Swing Away Stroller Handles DAB - Post Standard (19") DAB - Post Medium (22") DAB - Post Tall (25") $173.00 Stabilizer Bar N/A with Folding Push Handle with Ht. Adj. Back or DAB Stroller handles 002SZ1 Stabilizer Bar Standard with HeavyDuty Package $151.00 Std EXO upholstery and Tension adjustable binding is always black Ballistic Nylon, 3DX & EXO Tension Adj Uph NA with Heavy Duty. 002BU1 002BU88 Standard Upholstery Standard Upholstery EXO Color Binding: Silver Orange Red Blue Backrest Tension Adjust Ballistic 002BU70 *Reference 186BU70 for billing 002BU89 Backrest Upholstery (Standard or Angle Adjustable) Backrest Tension Adj EXO *Reference XXXBU89 for billing $67.00 $379.00 $402.00 Preset Angle Adjustable Backrest (-15 to +3 ) (Optional) Color Binding: Silver Orange Red Blue 002BD5 Back Angle - 15 Backrest Tension Adjust 3DX Vented 002BU71 *Reference 186BU71 for billing 002BD4 Back Angle - 12 002BD3 Back Angle - 6 Jay GO Backrest 002BU82 002BD2 Back Angle - 0 NA on Heavy Duty $422.00 $536.00 002BD1 Back Angle +3 002BU28 002BU29 002BU23 002BU14 Omit DAB Solid Back and Hardware Omit DAB Solid Back Include Hardware Depth Adjustable Solid Back Omit Back Upholstery $146.00 $168.00 -$20.00 Backrest Option 002OD4 Reinforced Upholstery Only avail w/ Std Back Upholstery. Std w/hd package $48.00 Military Service Patches (Optional) NA with standard Upholstery 002VU2 002VU4 002VU12 002VU1 002VU3 002VU5 002VU9 002VU11 002VU13 002VU8 002VU10 Army Patch Air Force Patch Coast Guard Patch Marines Patch Navy Patch Purple Heart Patch Purple Heart with Army Patch Purple Heart with Air Force Patch Purple Heart with Coast Guard Patch Purple Heart with Marines Patch Purple Heart with Navy Patch 002JB01 JAY Back (Optional) J3 Back (See J3 Order Form) Price List Page 6

8. ARMREST / SIDE GUARDS Padded Swing Away NA w/ DAB, Amputee axle. Some limitations may exist with integral push handles, some RSTFHs and 002AA11 Single Post Hgt. Adj. Std (8.5"-13.5") wheel sizes. **Now available w/transit. 002AA29 Single Post Hgt. Adj. Low (7"-11") 002AA18 Padded Swing-Away STD (9" to ) $249.00 Setting 9" 10" 11" 12" Omit Armrest 002AA14 Omit Armrest Flip Back NA w/ DAB, Xtender, 12" - 14" frame depth, amputee axle, Classic Style armpad in Armpad for Height Adjustable highest/lowest axle RSH on rounded rear frame, or angle adjustable back. Ergo armpad only available with Single post Height adj & Flip back armrest 002AM23 Desk Length - Classic (10") 002AA6 Flip Back Height Adj(Classic 8.5"-13.5") $341.00 002AM24 Full Length - Classic (14") 002AA5 Flip Back (incl. Desk Length Pad) 002AM9 Armpad Foam - Short (Flip Up armrests) 002AA65 Flip Back Height Adj (LITE 8.5"-13.5") $341.00 002AM10 002AM27 Armpad Foam - Long (Flip Up armrests) Ergo Pad (9.5"-13.5") Flip Up (For use with Depth Adjustable Back) Requires an Armpad or Foam from the Arm Pad section below 002AA7 002AA1 Length Adjustable Locking Flip-up Adj. Locking Flip-up (Std. w/ foam) 002SG29 Side Guard Plastic side guards NA w/ height adj. arms. Side guard interference w/ Padded SA arms at some heights may exist. 002SG33 Height Adjustable Plastic Standard (8.5" High) Plastic Low (6.5" High) $168.00 $168.00 9. KEY OPTIONS & ACCESSORIES Anti-Tip 002AT1 Rear Anti-Tip ( w/ Xtender) $108.00 Backpack 002A1 002A2 Quickie Backpack Black Quickie Kids Backpack Black Seat Pouch $100.00 $93.00 0021A01 Seat Pouch Black /Charcoal $75.00 Additional Cover & Pack Accessories 0028A02 Gel Cover Hanger/Frame $146.00 0028A01 Gel Cover Swing Away Arm $146.00 Positioning Belts 002A141 Belt 1.5" Auto Buckle w/clamps $87.00 002A117 Belt 2" Aircraft Buckle w/clamps $125.00 002A118 Belt 2" Aircraft Buckle Pad w/clamp $183.00 002A120 Positioning Belt Slide Clamps $55.00 Tray Tables Spoke Guards 002A30 Small (-14"W) $341.00 Only available w/mountain, and Lite Spoke wheels, 002A31 Medium (-17"W) $341.00 Not available with 5 spoke MAG wheels or Projection handrims 002A32 Large (18"-20"W) $341.00 0024A02 Quickie Clear Spoke Guards 002A33 X-Large (21"-22"W) $341.00 0024A01 Quickie Black Spoke Guards $141.00 $141.00 Miscellaneous O2 holder N/A with Xtender in 12" - frame width. Crutch holder NA with EXO Tension Adj upholstery and Omit push handle 0028A03 Caddy (NA w/ front mount hangers) $81.00 002A2100 Crutch Holder $103.00 002LS14 Extra Leg Strap Black $33.00 002IG2 Impact Guard Neoprene $55.00 002A73 002A145 IV Holder O2 Holder $196.00 $384.00 0028A21 Tool Kit $38.00 Page 7

10. COLOR Standard Frame Colors Matte Frame Colors 002C140 Aztec Gold 002C116 Matte Black 002C2 Black (Not avail as base w/zebra) 002C151 Matte Black Cherry 002C141 Black Cherry 002C150 Matte Electric Blue 002C10 Black Opal 002C149 Matte Evergreen 002C38 Blue Opal 002C152 Matte Purple 002C36 002C14 002C35 Candy Blue Candy Purple Candy Red 002C112 Custom Frame Color Desert Camouflage $330.00 002C142 Electric Blue 002C43 Mossy Oak Camouflage $330.00 002C143 Evergreen 002C42 Stars & Stripes $330.00 002C126 002C144 002C147 002C148 002C103 Glow Green Apple Hot Sparkle Pink Mauve Pink Rootbeer 002C108 Zebra (Choose above base color) Std with White unless above base paint is chosen NA w/ Black Additional Options Through Built for Me $330.00 002C114 002C145 002C113 002C8 Sparkle Silver Sunrise Orange Titanium Color Paint Yellow To inquire about any unique customization for Quickie products, contact: Phone: (800) 263-3390, Fax: (800) 561 5834 Commonly Requested Options Include: " Up to 24" wide " Reclining Back " Custom Anodizing " Dual Mount Wheel Locks - Attendant Foot Lock " Dynamic Back " Hub Wheel Locks on Mag or Spoke Wheels " Colored handrims 11. APPENDIX Frame Depth matrix Depth Adjusable Back Frame Page 8

11. APPENDIX (cont) Lower Leg Length Matrix 2" & 4" extensions for front mount hangers shipped separate, not mounted. Front seat height must be at least 2" taller than lower leg length on all swing in/out hangers. Front seat height must be at least 2" taller than maximum lower leg length on all front mount hangers. All values shown apply to Standard frame style, subtract 1.5" to get Hemi equivalent. Bckrest Height Matrix Page 9

11. APPENDIX (cont) Quickie 2 Seat To Floor Height Matrix - Standard Frame *Hemi options will result in a reduction of approx 2 1/2" * Values Given are Estimates. Actual seat to floor height may vary based on seat depth and front seat to floor height selection. Page 10

11. APPENDIX (cont) Quickie 2 Seat To Floor Height Matrix - Standard Frame *Hemi options will result in a reduction of approx 2 1/2" * Values Given are Estimates. Actual seat to floor height may vary based on seat depth and front seat to floor height selection. Page 11