JIVE F/R: 5,650 9,193 JIVE M: 5,895 9,591

Invoice to: Deliver to: Name: Name: Street: Street: Town: Postal code: Town: Postal code: Country: Country: Tel: Fax: Tel: Fax: Order date: Marked for: Purchase order: Standard Features Angle adj. footplate or central legrest Lights & indicators JAY Comfort shallow contour backrest VR2 90Ah controller Solid or pneumatic drive wheels JAY Comfort optimum cushion Parallel swing away mount Solid or pneumatic castors Headrest 60Ah batteries Rear view mirror Lap belt (aircraft buckle) 6 or 10kph (4-pole) motors Fax: +44 (0)845 605 66 89 E-mail: orders@sunmed.co.uk Max. user weight: 160KG USER WEIGHT Mandatory information to ensure correct configuration JIVE F/R: 5,650 9,193 JIVE M: 5,895 9,591 JIV010001 / JIV010002 JIV010003 SEAT DIMENSION JAY COMFORT Seat frame width is 41cm. The seat width can be adjusted from 40 to 56cm via the armrests, based on the seat/back cushion configuration. The seat depth can be adjusted from 41 to 55cm via the backrest. Cushion width inches 15.5 17 19 20,5 22 cm 40 44 48 52 56 16 41 JIV020001 JIV020005 JIV020009 JIV020013 JIV020017 18 46 JIV020002 JIV020006 JIV020010 JIV020014 JIV020018 20 51 JIV020003 JIV020007 JIV020011 JIV020015 JIV020019 21.5 55 JIV020004 JIV020008 JIV020012 JIV020016 JIV020020 Seat depth setting SEAT HEIGHT & DRIVE WHEEL POSITION Seat height setting (fixed tilt only) inches 16.5 17 17.5 18 18.5 19 cm 42 43 44.5 46 47 48 (1) not available with powered RWD seating modules or 0 seat JIV010001 JIVH43 JIVH44.5 JIVH46 JIVH47 JIVH48 angle setting with no module FWD (1) JIV010002 JIVH43 JIVH44.5 JIVH46 JIVH47 JIVH48 (2) not available with powered MWD (2) seating modules JIV010003 JIVH42 JIVH43 JIVH44.5 JIVH46 JIVH47 JIVH48 Drive wheel 48 cm depth 55 cm depth seat cushion seat cushion When powered lift/tilt options are selected minimum achievable seat height is as follows: FWD: Tilt, Lift or Lift & Tilt: 44.5cm MWD: Tilt: 43cm, Lift or Lift & Tilt: 46cm RWD: Tilt, Lift or Lift & Tilt: 43cm Please Note: factory setting is always set at minimum. If greater than minimum SH is required select on table above. This will be processed via B-4-M as risk assessment is required. kg

JIV030001 JIV030002 JIV030003 JIV030004 JIV030005 JIV030006 SEAT TO BASE INTERFACE Fixed tilt (filler module) (tool adjustable seat angle) 0 3 6 9 Power seating modules 30 Power COG tilt 545 884 50 Power COG tilt (Jive MWD Only) 595 965-5 to 25 Powered COG tilt (3cm added seat to floor height at 0 ) 655 1062 Power seat lift (30 cm (12") lift) 950 1541 Power seat lift and tilt combined (30 tilt and 30cm lift) 1440 2335 JAY CUSHION SIZE SEAT WIDTH Width Coding JL40 JL42 JL44 JL46 JL48 JL50 JL56 Size Configuration - COMPLETE PRODUCT Depth Coding cm 40 42 44 46 48 50 56 JL 40 40 * * Conversion Table JL 42 42 cm 40.0 42.0 44.0 46.0 48.0 50.0 56.0 JL 44 44 inches 15.6 16.4 17.2 18.0 18.8 19.5 21.9 JL 46 46 JL 50 50 * Not available with Soft JL 56 56 Combi P or Easy Fluid Cushion JAY CUSHION OPTIONS JAY020004 Jay Lite Standard version (Micro climat cover, Wooden seat plate to be selected) 179 290 JAY020005 Jay Easy Fluid with Flat Base (Incontinence cover, Wooden seat plate to be selected) 251 407 JAY020001 Jay Easy Visco with Flat Base (Incontinence cover, Wooden seat plate to be selected) 109 178 JAY020003 Jay Soft Combi P (Incontinence cover, Wooden seat plate to be selected) 64 104 JAY020301 Wooden Seat Plate (supplied in the size of the cushion chosen) JIV020101 JIV020102 JIV020201 JIV020202 JIV020209 JAY COMFORT SEAT CUSHION OPTIONS Comfort seat pan, without threshold (thickness 2 cm) Comfort seat pan, with 5cm (2") threshold (thickness 2 cm) Standard cushion -stretched rubber upholstery (thickness 8 cm) Optimum comfort-stretched rubber upholstery (anatomic formed) (thickness 9 cm) Omit cushion -100-154 JAY COMFORT BACK CUSHION OPTION JIV040001 Shallow contour (standard velour) (hard back) (57 cm back height - Adj. up to 70cm) JIV040002 Shallow contour (standard velour) (vertical elastic straps) 95 154 JIV040003 Shallow contour (standard velour) (horizontal tension adjustable straps) 95 154 JIV040004 Deep contour - active (horizontal tension adjustable straps) 125 203 JIV040005 Deep contour - passive (horizontal tension adjustable straps) 125 203 JIV040009 Omit back upholstery -50-81 COMFORT BACK CUSHION WIDTH JIV040101 40 cm (15.5") JIV040104 52 cm (20.5") JIV040102 44 cm (17") JIV040105 56 cm (22") JIV040103 48 cm (19") 3rd PARTY BACKRESTS & INTERFACES JIV010302 Jay J3 two point fixation kit 95 152 See Pages 8 and 9 to select J3 Backrest and options. Additional options can be found on the J3 prescription form JIV020901 JIV020902 JIV020101 JIV020102 Shallow Contour JIV040001 / JIV040002 / JIV040003 JAY J3 BACKRESTS AND OPTIONS JIV020201 Deep Contour Active JIV040004 See Pages 8 and 9 to select J3 Backrest and options. Additional options can be found on the J3 prescription form JIV020202 Deep Contour Passive JIV040005 Positioning straps 5 cm (2") aircraft buckle 5 cm (2") padded aircraft buckle 45 73

HEADRESTS JIV040501 Curved headrest 20 cm x 11 cm (8" x 4.5") JIV040502 Curved headrest 23 cm x 11 cm (9" x 4.5") JIV040503 Contoured (winged) headrest 75 122 JIV040504 Jay Comfort: standard comfort seating headrest 85 138 JIV040505 Jay Comfort: flexible comfort seating headrest (winged style) 105 170 Curved Headrest JIV040501 / JIV040502 Contoured Headrest JIV040503 JAY Comfort: Std Comfort headrest JIV040504 JAY Comfort: Winged headrest JIV040505 BACKREST RECLINE OPTIONS JIV040601 Manual adjustable backrest (-5 to 12, preset angle at 5 ) JIV040602 Manual recline gas spring system (-10 to 30, require push handle option) 195 316 JIV040603 Power recline (-10 to 40 ) 350 568 JIV090503 Height adjustable push handles 85 138 ARMREST TYPE JIV050001 Single post armrest (skirt guard to be selected) JIV050002 Reclining and flip-back armrest (width and height adjustable) 295 478 SKIRT GUARDS (not available with reclining armrest) JIV050102 Long 36 cm (14") (plexi glass) JIV050103 Jay Comfort padded skirt guard 36 cm (14") 45 73 Standard Full Standard Comfort JAY Comfort Padded JAY Comfort P-Shaped Hemi Armpads ARMPADS - LEFT AND RIGHT HAND SIDE Standard armpads Left Right Full length 36 cm (14") JIV050201 JIV050202 Comfort armpads 41 cm (16") JIV050203 JIV050204 JAY COMFORT armpads Padded (vinyl) upholstery full length 35 cm (13.5") JIV050251 JIV050252 45 each 73 each P-Shaped skai upholstery full length 35 cm (13.5") JIV050253 JIV050254 45 each 73 each Hemi Armpads (Hemi Armpad & hand pad must be chosen together) Hemi forearm pad small 23 cm ( 9") JIV050205 JIV050206 75 each 122 each Hemi forearm pad medium 28 cm (11") JIV050207 JIV050208 75 each 122 each Hemi forearm pad large 33 cm (13") JIV050209 JIV050210 75 each 122 each Flat hand pads small 11 x 18 cm (4.5" x 7") JIV050281 JIV050282 75 each 122 each Flat hand pads large 14 x 23 cm (5.5" x 9") JIV050283 JIV050284 75 each 122 each CENTRE MOUNT LEGRESTS (Inc footboard) JIV060001 Fixed centre mount legrest Short 20.4 cm -31.6 cm ( 8" - 12.5") JIV060002 Fixed centre mount legrest Medium 37 cm - 47 cm (13.5" - 18.5") JIV060003 Fixed centre mount legrest Long 42 cm - 55 cm (16.5" - 22") JIV060004 Powered centre mount legrest (37-49cm fixed mechanical adjustment + 11cm articulation) 925 1338 SWING AWAY LEGRESTS JIV060101 70 s/a legrest (width adjustable legrest mount; 8 cm (3") each side) JIV060102 75 s/a legrest tapered (Only with footboard, reduces inner legrest width by 2") 95 154 JIV060104 Manual elevating adult (c/w standard foam calf pads) 225 365 JIV060105 Powered elevating (c/w standard foam calf pads) 425 689 JIV060106 Powered articulating (c/w standard foam calf pads) 585 949 JIV060107 Auto connectors for powered s/a legrests 95 154 JIV060109 Skai-vinyl calf pads 95 154 Extension tubes for s/a legrests: JIV060201 Short 33 cm - 41 cm (13" - 16") JIV060202 Medium 39 cm - 46 cm (15" - 18") JIV060203 Long 43 cm - 53 cm (17" - 21") (per pair) FOOTPLATES FOR SWING-AWAY LEGRESTS JIV060302 Aluminium angle adjustable JIV060303 Foot board (angle adjustable) (not available on 90 legrest) 100 162 JIV060401 Extra legrest strap 20 32 (per pair)

VR2 CONTROLS JIV100002 VR2 Joystick: with actuator and light control (lights & indicators plus max. 2 actuators) Dual/Attendant control options JIV100201 VR2 Dual control 375 608 JIV100202 VR2 JSM attendant only 95 154 VR2 User Joystick JIV010002 VR2 Dual Control Joystick JIV010201 R-NET CONTROLS JIV100102 R-net Control System 495 892 (Required for over 2 actuators / recommended for 13kph & users requiring max torque & performance) JIV100152 R-net LED Joystick (Incl. L&I and actuator control option) JIV100153 R-net LCD Colour Joystick (Integrated colour display with 2 jack inputs for buddy buttons) 55 89 JIV100154 Omit Joystick (When joystick is not required for clients using special controls) Dual/Attendant control options JIV100201 Dual control (Separate dual control module mounted at rear - Always RH) 375 608 JIV100202 R-net attendant only joystick 95 154 R-net LED User Joystick JIV100152 R-net LCD User Joystick JIV100153 R_net Dual Control Joystick JIV100201 R-net Attendant Only Joystick JIV100202 JOYSTICK MOUNTINGS Front control mountings JIV100251 Swing away (for single Joystick selection mount) JIV100252 Centre bar control mount 145 235 JIV100253 Swing away tray mounted centre control (not avail. on 22" width; LED JSM only) 495 803 Joystick mounting side JIV100271 Left Right JIV100272 LIGHTS & INDICATORS JIV090401 Approved for road use (StVZO) JIV090402 LED R-NET OMNI DISPLAY & SPECIAL CONTROL INPUT MODULE (with IR functionality) JIV100401 R-net OMNI colour display input module (includes Special Control Interface) 750 1216 JIV100550 OMNI in scanning mode 750 1216 JIV100422 OMNI Flexi mount (30 cm (12") long flexible height extension) JIV100431 Left Right JIV100432 R-NET OMNI ACCESSORIES JIV100503 R-net Bluetooth module 295 478 JIV100504 R-net Input/Output module 495 805 JIV090516 Bluetooth wireless mouse receiver 55 89 R-net OMNI + Flexi Mount JIV100401 R-net Bluetooth Module JIV100503 Provides Visual Display, infrared commands (Controls TV, DVD, Stereo, etc) & Special Control interface Allows users to control Windows based PC's, Tablets and Phones from joystick (mounted in base)

R-NET SPECIAL CONTROLS (R-net OMNI required from previous page; 2 buddy buttons recom.) JIV100551 Proportional compact joystick as hand control 1450 2351 JIV100552 HMC mini joystick as hand control 1950 3162 JIV100553 Switch-It 0-way joystick as hand control 2150 3487 JIV100602 Swing-away front mount Left Right JIV100651 JIV100652 R-Net OMNI in Scanning Mode JIV100550 Proportional Compact Joystick JIV100551 HMC Mini Joystick JIV100552 Switch IT 0-Way Joystick JIV100553 R-net head related special input devices (if you have already chosen a standard headrest then Switch- It head array is not possible) JIV100701 Switch-It head array / adult (OMNI required, 2 BB recommended) 2950 4784 JIV100703 Switch-It 0-way joystick as chin control (OMNI required, 2 BB recommended) 2150 3487 JIV100704 Proportional chin control (proportional joystick; OMNI required; 2 BB recommended) 750 1216 JIV100705 Sip & puff control (tube and mouthpiece; OMNI required; 2 BB recommended) 250 405 JIV100706 HMC mini joystick as chin control (OMNI required, 2 BB recommended) 1950 3162 JIV100707 Switch-It proportional head control (OMNI required, 2 BB recommended) 2750 4460 JIV100708 Prop. compact joystick as chin control (OMNI required, HMC flex switch kit incl.) 1550 2540 Switch IT Head Array JIV100701 Proportional Compact Joystick as chin control JIV100708 Head control s/a options JIV100801 Manual s/a option 195 316 Powered s/a option (1) (choose your setting below) JIV100802 Operated with buddy button (operated via one buddy button - select colour below) 950 1541 JIV100803 Operated with ribbon switch 1250 2027 Left Right Swing-away direction JIV100851 JIV100852 Buddy button switches JIV100901 Red x 1 JIV100905 Red x 2 75 each 122 each JIV100902 Green x 1 JIV100906 Green x 2 75 each 122 each JIV100903 Yellow x 1 JIV100907 Yellow x 2 75 each 122 each JIV100904 Blue x 1 JIV100908 Blue x 2 75 each 122 each

= Standard = No cost option = Cost option REAR or FRONT WHEEL DRIVE CASTOR WHEELS (delivered always as a pair) (JIVE R/F only) JIV080001 9" x 2.5" Solid JIV080002 9" x 2.5" Pneumatic JIV080003 10" x 3" Solid (Not available with 13 kph motors and 6 kph FWD / RWD. Not recommended on RWD base) 75 122 JIV080004 10" x 3" Pneumatic (Not recommended on RWD base) 75 122 MID WHEEL DRIVE JIV080101 6" solid castor wheel on front and rear KERB CLIMBER JIV080501 Kerb climber (Jive R only, max. user weight 137 kg) 145 235 DRIVE BASE MOTORS/SPEED (Max kerb climbing is affected by many factors incl user weight, speed selection etc. Contact Tech Serv Ctr for more info) JIV090002 6kph (4-pole) high torque motors for optimal kerb climbing JIV090003 10kph (4-pole) high torque motors for optimal kerb climbing JIV090004 13kph (4-pole) (Not available on JIVE F) 295 478 DRIVE WHEELS JIV090101 14" Pneumatic "V-type" JIV090102 14" Solid "V-type" JIV090103 14" Pneumatic "knobby" JIV090104 14" Solid "Knobby" BATTERIES JIV090201 60 Ah maintenance free JIV090202 70 Ah maintenance free (Recommended for 13Kph Motors where battery power is drawn faster) 95 154 CHARGER JIV090301 220V/ 8A automatic charger (UK) JIV090303 220V/ 10A automatic charger (UK) (Recommended for 13 kph speed - charges batteries faster) 145 235

JIVE F/ RWD (body panel colour, frame is always black) JIVE MWD (body panel colour, frame is always silver) JIV010101 White RAL 9010 JIV010101 White RAL 9010 JIV010102 Red JIV010102 Red JIV010103 Blue JIV010103 Blue ACCESSORIES JIV090501 Crutch holder 25 41 JIV090502 Rear view mirror (Always required with 10Kph or 13Kph Chairs) JIV090512 Swing-away tray table (available from 36 cm (14") to 51 cm (20") seat width) 145 235 JIV090504 24/12V DC/ DC converter 195 316 JOYSTICK KNOBS JIV090505 Golf ball joystick knob 25 41 JIV090506 T bar B38 joystick knob 25 41 JIV090507 Soft ball joystick knob 25 41 JIV090508 Ball joystick knob 25 41 JIV090509 Chin cup joystick knob 25 41 JIV090510 Stick joystick knob 25 41 JIV090511 Mushroom joystick knob 25 41 For special requirements, please complete Built-4-Me prescription form JIVE - base price Option Price Total Price

J3 Back J3 Backrest Range = 5 days from the EDC Complete backrest package for clients up to 136kg = 15 days from the EDC Universal one point fixation for rapid application = upcharge option Easily adjustable for assessment & changing needs Wide range of positioning and transfer options Backs and options fully transit tested 1 Large & 1 small lumbar included in MT, UT & SH box Max. user weight: 136 Kg 1 small lumbar in LT box 2 year guarantee USER WEIGHT kg Mandatory information to ensure correct configuration Applications; For all clients requiring postural back support from mild lateral stability to extreme lateral and posterior stability. Full range of postural back shapes to cover clinical back support at the appropriate backrest height for the user. Adjustable in depth, height, angle and chair width, ensuring rapid and comprehensive client positioning and spine alignment. CLIENT MEASUREMENT 1. Assess Lateral Stability Requirement (SC, MT or DC) 2. Assess Posterior Stability Requirement (LT; MT; UT or SH) 3. Assess appropriate backrest height (Short, Medium, Tall) 4. Determine client trunk width across the sternum;and cross check with backpost width. 5. Assess for options and 'velcro' positioning inserts 5 cm 8 cm 15 cm Shallow Contour / SC Mid Contour / MC Deep Contour / DC Moderate Lateral Support Medium Lateral Support Full Lateral Support Jay 3 Backrest Width Width 41 46 51 41 46 51 41 46 51 Chair backcane widths (Measured from outside 41-46 46-51 51-56 41-46 46-51 51-56 41-46 46-51 51-56 of backcane to outside of backcane) Back height not available Laterals, headrest & harnesses 419 682 419 682 Client max trunk width (cm) 38 43 48 34,5 39.5 44.5 Mid Thoracic (MT) Short (S) - 30 Med (M) - 34 Tall (T) - 38 Item Nr. construction: J3 SC Headrest LT S 41 (This & harnesses is only an available example) J3: J3 Back SC: Shallow Contour LT: Lower Thoracic S: Short (Height cm) 41: Chair Backrest Width (cm) Laterals, headrest & harnesses available Headrest & harnesses available Client max trunk width (cm) 471 767 471 767 524 852 Upper Thoracic (UT) Short (S) - 42 38 43 48 34,5 39,5 (1) 44.5 33 38 (1) 43 Med (M) - 46 Tall (T) - 50 Laterals, headrest & harnesses available Headrest & harnesses available Client max trunk width (cm) 471 767 471 767 524 852 Shoulder Height (SH) Short (S) - 53 38 43 48 34,5 39,5 (1) 44.5 33 38 (1) 43 Med (M) - 57 Tall (T) - 61 (1) Not available with laterals Conversion Table cm inches 17.0 6.5 20.0 8.0 24.0 9.5 30.0 12.0 34.0 13.5 36.0 14.0 38.0 15.0 41.0 16.0 42.0 16.5 44.0 17.5 46.0 18.0 51.0 20.0 53.0 21.0 56.0 22.0 61.0 24.0

JAY 3 BACK ACCESSORIES ACCESSORIES JAY090001 Backrest depth extension JAY090002 4 Point Hardware kit = upcharge option 35 56 NEW! 140 230 VANITY FLAP Vanity Flap (covers gap between cushion and backrest) 41 cm JAY090003 46 cm JAY090004 51 cm 45 73 JAY090005 HEADREST (only available where headrest is indicated on the first page) Please choose 1 mount and 1 pad to have a complete headrest with pad Mount JAY090006 Jay Standard Headrest (Bracket & Mount only) JAY090007 Jay Flip Back Headrest (Bracket & Mount only) Pad JAY090008 Jay Standard Pad JAY090009 Jay Contour Pad Crash tested 76 123 171 278 35 56 35 56 JAY090010 Universal Headrest Mount (required to use any other headrest not listed in this order form) 35 56 LATERAL SUPPORT (only available where laterals are indicated on the first page) Left Hand lateral Depth cm 10 12 15 10 JAY090011 JAY090012 JAY090013 Fix lateral JAY090017 40 67 15 JAY090014 JAY090015 JAY090016 Fix lateral JAY090018 40 67 JAY090019 Swing Away option 75 125 Right Hand lateral Depth cm 10 12 15 10 JAY090020 JAY090021 JAY090022 Fix lateral JAY090026 40 67 15 JAY090023 JAY090024 JAY090025 Fix lateral JAY090027 40 67 JAY090028 Swing Away option 75 125 When ordering 2 laterals Left and Right, you need to pick the sizes in both matrices above. Total Price for laterals If a swing-away lateral is required, first select the height and the depth, then tick the Swing Away option box below the matrix Height Height POSITIONING KIT Spine Align Mini Fit Kit I Spine Align Mini Fit Kit II JAY090035 Jay 3 Back Positioning Box JAY090036 Jay 3 Back Hardware Box CM width 41 cm JAY090029 JAY090032 46 cm 51 cm JAY090030 JAY090033 JAY090031 JAY090034 27 44 41 67 130 212 410 666 CHEST STRAP (only available where harnesses are indicated on the first page) Padded Anterior Strap Centre open harness Medium Large Extra large JAY090037 JAY090038 JAY090040 JAY090041 JAY090039 JAY090042 136 222 136 222 SPARES (separate to product - separate box or delivery) CM width Small Lumbar (1 unit included as std with product LT, MT, UT & SH) Large Lumbar Support (1 unit included as std with product MT, UT & SH) Wedge JAY090052 Curved Shim JAY090053 Flat Shim JAY090054 Posterior/Lateral Pelvic JAY090055 Lateral Shim JAY090056 Small Bean Bag JAY090057 Large Bean Bag 41 cm 46 cm 51 cm JAY090043 JAY090044 JAY090045 JAY090046 JAY090047 JAY090048 7.50 JAY090049 JAY090050 JAY090051 7.50 7.50 10.50 10.50 10.50 Unit price Quantity Total Price 7.50 10.50 7.50 10.50 10.50 18.00 4.00 6.00 7.50 10.50 7.50 10.50