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 Living Standard Features: Tilt-in-Space Adjustable Seat Depth Height and Angle Adjustable Foot Support Back Recline and Prone Angle Adjustable Back Height Without Cushions CAD Price Wombat Living, size 1 $3,897 1 Wombat Living, size 2 $3,897 2 Wombat Living, size 3 $3,897 3 95 X X X X - Frame Color: White $0 1 Frame Color: Anthracite Grey $0 2 4" Front/Rear Wheels $0 2 4" Front/Rear Wheels w/ Central Brake (Upcharge) $293 3 w/gas Spring: Height Pedal on Frame, Tilt Lever Under Seat $0 1 w/gas Spring: Height Pedal on Frame, Tilt Lever on Push Brace (Upcharge) $330 2 w/power Actuator: Power Height Setting, Tilt Lever Under Seat (Upcharge) $1,771 5 w/power Actuator: Power Height Setting, Tilt Lever on Push Brace (Upcharge) $1,771 6 n Important! Not recommended for users with a lot of involuntary movements Page 1 of 5
Back Cushion Options (A) (B) Back Rest Cushion, Standard w/ Cover (A) 1 $175 955031-2XX Back Rest Cushion, Standard w/ Cover (A) 2 $175 955032-2XX Back Rest Cushion, Standard w/ Cover (A) 3 $175 955033-2XX Back Rest Cushion, Contoured, w/ Cover, Grey (B) 1 $299 955031-238 Back Rest Cushion, Contoured, w/ Cover, Grey (B) 2 $299 955032-238 Back Rest Cushion, Contoured, w/ Cover, Grey (B) 3 $299 955033-238 (C) (D) Lumbar Foam Wedge (C) 1 $31 955030-1 Lumbar Foam Wedge (C) 2 $31 955030-2 Lumbar Foam Wedge (C) 3 $31 955030-3 Lower Back Extension, Black (D) 3 $121 95140-60 Seat Cushion Options (A) (B) Contoured Seat Cushion w/ Cover, Grey (A) 1 $337 955021-238 Contoured Seat Cushion w/ Cover, Grey (A) 2 $337 955022-238 Contoured Seat Cushion w/ Cover, Grey (A) 3 $337 955023-238 Contoured Seat Cushion w/ Incontinence Cover, Grey (B 1 $362 955021-237 Contoured Seat Cushion w/ Incontinence Cover, Grey (B 2 $362 955022-237 Contoured Seat Cushion w/ Incontinence Cover, Grey (B 3 $362 955023-237 Pelvic Positioning (A) (B) Hip Support, Set (A) 1 $249 95110 Covers for Hip Supports (Required) 1 $0 95110-60 Hip Support, Set (A) 2, 3 $249 95111 Covers for Hip Supports (Required) 2, 3 $0 95111-60 Plate for Narrow Seat Width for Hip Supports 1 $81 95110-SM (C) (D) Y-Hip Strap, Upholstered, 1" End Girth (C) 1 $168 85427-1 Y-Hip Strap, Upholstered, 1" End Girth (C) 2 $168 85427-2 Y-Hip Strap, Upholstered, 1" End Girth (C) 3 $168 85427-3 Y-Hip Strap, Upholstered, 1.6" End Girth (C) 3 $168 85427-340 Protective Cushion for Swing-Away Side Supports One Size $115 89150 (E) Pelvis Support without Sides (D) 1, 2 $249 95140-61 Pelvis Support without Sides (D) 3 $249 95140-63 Pelvis Support with Sides (E) 1 $468 95140-64 Pelvis Support with Sides (E) 2 $468 95140-65 Pelvis Support with Sides (E) 3 $468 95140-66 Foot & Leg Positioning (A) (B) Pommel (A) 1 $181 95130-1 Pommel (A) 2 $181 95130-2 Pommel (A) 3 $181 95130-3 Pommel (A) 4 $181 95130-4 Knee Abduction Pommel (B) One Size $212 95230-10 Padding for Knee Abduction Pommel (C) One Size $81 95430-10260 (C) Swing-Away Knee Supports 1, 2 $667 95116 Swing-Away Knee Supports 3 $667 95117 Page 2 of 5
Trunk Positioning (A) (B) Fixed Side Supports w/ Covers (A) 1, 2 $212 95121 Swing-Away Bracket, 7½" Angle, RH, Ea. (2¼" x 4¾") (B One Size $281 83400-R Swing-Away Bracket, 7½" Angle, LH, Ea. (2¼" x 4¾") (B One Size $281 83400-L Swing-Away Bracket, 7½" Angle, RH, Ea. (2¼" x 5") (B) One Size $281 83600-R Swing-Away Bracket, 7½" Angle, LH, Ea. (2¼" x 5") (B) One Size $281 83600-L (C) (D) Bar, Straight (4.73") (Required w/ (G)) (C) One Size $0 81932 Bar, Straight, Stainless (4.74") (Required w/ (G)) One Size $0 82569 Bar, Offset, 1" (4.73") (Required w/ (G)) (D) One Size $0 81968 Bar, Offset, 1¾" (4.73") (Required w/ (G)) (E) One Size $0 82000 Bar, Offset, 2½" (4.73") (Required w/ (G)) (F) One Size $0 81969 (E) (F) Curved Cushion, Black, Ea. (3½" x 7½") (G) One Size $131 6175406 Curved Cushion, Black, Ea. (2½" x 6.7") (G) One Size $131 6175405 Curved Cushion, Black, Ea. (2½" x 6") (G) One Size $131 6175404 Standard Cushion, Black, Ea. (6.1" x 4.7") (G) One Size $131 6175403 Standard Cushion, Black, Ea. (3.9" x 3.9") (G) One Size $131 6175402 (G) Standard Cushion, Black, Ea. (2.2" x 4½") (G) One Size $131 6175401 Neoprene Vest (W: 7" X D: 5.5" X H: 4") (H) 1 $249 89113-1 Neoprene Vest (W:6.5" X D: 9" X H: 6.75") (H) 2 $249 89113-2 Neoprene Vest (W: 11.5" X D: 7.75" X H: 7") (H) 3 $249 89113-3 Cross Vest (W: 4.5" X D:.5" X H: 11") (I) 0 $237 89625-060 (H) (I) Cross Vest (W: 5" X D:.5" X H: 12") (I) 1 $237 89625-160 Cross Vest (W: 5.2" X D:.5" X H: 12.75") (I) 2 $237 89625-260 Cross Vest (W: 6.25" X D: 4.75" X H: 15.25") (I) 3 $237 89625-360 Cross Vest (W: 7.5" X D: 6.75" X H: 18.25") (I) 4 $237 89625-460 Vest (W: 1.25" X D: 2.5" X H: 5.5") (J) 0 $249 89111-060 Vest (W: 1.5" X D: 2.5" X H: 5.75") (J) ¾" $249 89111-07560 (J) (K) Vest (W: 2.25" X D: 2.5" X H: 7") (J) 1 $249 89111-160 Vest (W: 2.5" X D: 3.5" X H: 9.25") (J) 2 $249 89111-260 Vest (W: 2.75" X D: 4.75" X H: 11") (J) 3 $249 89111-360 Vest (W: 2.75" X D: 6.75" X H: 13.75") (J) 4 $249 89111-460 Sternum Belt (W: 9.25" X D: 6.75" X H: 2.75") (K) 0 $150 85430-0 Sternum Belt (W: 14" X D: 2.25" X H: 2.25") (K) 1 $150 85430-1 (L) Sternum Belt (W: 18" X D: 2.25" X H: 2.5") (K) 2 $150 85430-2 Chest Belt, Upholstered (11.25" x 7.5" x 19.25-12") (L) 1 $337 85428-1 Chest Belt, Upholstered (14"x 10.25" x 10.25-12.75") (L) 2 $337 85428-2 Chest Belt, Upholstered (16.25" x 12.5" x 10.25-12.75") (L) 3 $337 85428-3 Chest Belt, Upholstered (20.25" x 16" x 11.25-14.5") (L) 4 $337 85428-4 Snap-Lock for Swing-Away Side Supports One Size $121 89102-30 Head Support (A) (B) Anatomic Head Support No. 7 (9.8" x 3.9") (A) One Size $256 5031965 Head Support No. 7 Cover (Required) One Size $0 9913-83 Anatomic Head Support No. 8 (6.3" x 3½") (B) One Size $256 5031975 Head Support No. 8 Cover (Required) One Size $0 9920-83 Anatomic Head Support (C) Small $318 5099001 Anatomic Head Support Cover (Required) (C) Small $0 9923-83 (C) (D) Anatomic Head Support (C) Medium $318 5099002 Anatomic Head Support Cover (Required) (C) Medium $0 9945-83 Anatomic Head Support (C) Large $318 5099003 Anatomic Head Support Cover (Required) (C) Large $0 9967-83 Adj. Head Support, Non-Dynamic, Large Laterals (D) One Size $380 9973792-85 (E) (F) Adj. Head Support, Non-Dynamic, Four Laterals (D) One Size $380 9975792-85 Adj. Head Support, Non-Dynamic, Two Laterals (D) One Size $380 9977792-85 Adj. Head Support, Dynamic, Large Laterals (E) One Size $380 9973692-85 Adj. Head Support, Dynamic, Four Laterals (E) One Size $380 9975692-85 Adj. Head Support, Dynamic, Two Laterals (E) One Size $380 9977692-85 Turtle Bar System (5.1") (F) Short $287 98619-25 Page 3 of 5
Frame Options (A) (B) Armrest, Set (A) 1, 2 $436 95112 Armrest, Set (A) 3 $436 95114 Armrest, Extra Long Bar, Set (B) 1, 2 $436 95113 Armrest, Extra Long Bar, Set (B) 3 $436 95115 (C) (D) Push Brace, Seat Mounted (C) 1, 2 $287 95148-1 Push Brace, Seat Mounted (C) 3 $287 95148-3 Angle Adjustable Push Brace (D) 3 $262 95147 Helper's Handle's, Fold Down, Set (E) One Size $100 95145 (E) Helper's Handle's, Fixed, Set (E) One Size $100 95146 Accessories (A) (B) Tray (A) 1, 2 $374 95125 Tray (A) 3 $374 95126 Tray Plast, Grey (17.3" x 13.4") (B) 1, 2 $281 8976350 Anti-Tip Device (C) One Size $200 95953 (C) For shipping rates, please call 1-844-876-6245 12801 E Independence Blvd, Matthews, NC 28105 1-844-876-6245 Fax: 704-882-0751 Prices in USD & is subject to change without notice www.r82.com Effective: 1/15/2018 Rev 5 Page 4 of 5
Configuration Wombat Head Support Side Support Armrest Hip Support Pommel Vests and Belts Tray Helper's Handle A (Back Height) B (Arm Height) C (Lower Leg Length) D (Seat Depth) E (Chest Width) F (Seat Width) G (Height-Seat to Top of Head) H (Shoulder Width) Age Weight Measurements Size 1 Size 2 Size 3 Inches Inches Inches Effective Seat Width (A) 11¾" 14½" 16½" Seat Width Between Hip Supports 4¼ - 11¾" 6¾ - 14½" 8½ - 16½" Seat Width, Pelvis Support w/sides 6¾ - 9½" 9-11¾" 11½ - 14¼" Width, Pelvis Support without Sides 9½" 9½" 11½ Effective Seat Depth (B) 7-12¼" 9¾ - 15" 12½ - 19¾" Backrest Height (C) 11-13½" 12¼ - 15" 15¼ - 19¾" Backrest Height (C) (High Back) 14¼ - 17" 15½ - 18" 18-22¾" Lower Leg Length (D) 6-10" 6-13¾" 6-17¼" Seat Height Above Floor, 4" Castors 15¼ - 26¾" 15¼ - 26¾" 16½ - 27½" Back Width, Flat Cushion (F) 9¾" 11¾" 13¾" Back Width, Contoured Cushion, Between Side Supports (F) 6¾" 9" 10½" Armrest Height Above Seat Cushion 2¼ - 6¾" 2¼ - 6¾" 2¼ - 6¾" Backrest Angle (a1) 90 to 130 90 to 130 90 to 133 Seat Plane Angle (a2) -15 to 20-15 to 20-10 to 22 Angle, Foot Support Bar (a3) -30 to 30-30 to 30-30 to 30 Overall Frame Width (G) 21½" 21½" 24" Overall Frame Length (H) 23½" 23½" 28¼" Max. User Weight/Load 99 lbs. 99 lbs. 154 lbs. Weight 34 lbs. 34 lbs. 48½" lbs. Page 5 of 5