discovery tmax Base price: EUR x,xxx q Provide estimate only q Order q Order no.: Attachment for custom fabrication enclosed

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BITTE DETACH HIER HERE ABTRENNEN AND SEND UND BY ZU FAX OTTO TO OTTO BOCK BOCK FAXEN Base price: EUR x,xxx All prices in EUR, valid from 01/01/2012 to 31/12/2012 Order no.: discovery tmax Article number: 470G22=00000_K q Provide estimate only q Order q Attachment for custom fabrication enclosed Billing address/customer number Technische Änderungen und Druckfehler vorbehalten Technical modifications and printing errors reserved. Delivery address Sales person Name... Date Signature Standard equipment -5 tilt +50 tilt in space cable free foot release rear wheels 12", 16", 22" or 24" solid caster wheels 6", 7" or 8 single push canes push to lock, wheel lock" Ottobock 647F400DisTmax=EN-04-1207 adjustable push bar transport brackets side plates discovery tmax 1/7

tmax Kids [ ] tmax Kids Seat width (between armrests) 30 40 cm / 12" 16" (seat width at outside seat rails -2,5 cm/1") Seat depth from back canes to front of the seat rails 30 40 cm / 12" 16" (without back canes +2,5 cm/1") Basic Price Please choose the pre setup: tmax Kids 300 mm (12") Seat depth 325 mm (13") 350 mm (14") 375 mm (15") 400 mm (16") Seat width (between armrests) / seat width at outside seat rails -2,5 cm/1" 300 mm (12") 325 mm (13") 350 mm (14") 375 mm (15") 400 mm (16") tmax Adult [ ] tmax Adult Seat width (between armrests) (seat width at outside seat rails -2,5 cm/1") [ ] 35 45 cm / 14" 18" [ ] 40 50 cm / 16" 20" [ ] 45 55 cm / 18" 22" Seat depth from back canes to front of the seat rails (without back canes +2,5 cm/1") [ ] 30 40 cm / 12" 16" [ ] 37,5 47,5 cm / 15" 19" [ ] 45 55 cm / 18" 22" Please choose the pre setup: Seat depth Seat type tmax Adult Seat Pan sizes 300 mm (12") 325 mm (13") 350 mm (14") 350 mm (14") Seat width (between armrests) / seat width at outside seat rails -2,5 cm/1" 375 mm (15") 400 mm (16") 425 mm (17") 450 mm (18") 475 mm (19") 500 mm (20") 525 mm (21") 375 mm (15") 400 mm (16") 425 mm (17") 450 mm (18") 475 mm (19") 500 mm (20") 525 mm (21") 550 mm (22") SA 10 [ ] Without Seat Pan 550 mm (22") SA 11 [ ] Seat Pan with adjustable drop hooks and countersink holes add. charge MC 41 [ ] Trapazoid interface (only in combination with seat pan SA 11) add. charge Seat cushions, see order form 647F264 (Seat pan recommended!) Seat depth Seat width (between armrests) 300 mm 400 mm (12" 16") 350 mm 450 mm (14" 18") 400 mm 500 mm (16" 20") 450 mm 550 mm (18" 22") 300 mm 400 mm (12" 16") 471C22=SS026 471C22=SS027 375 mm 475 mm (15" 19") 471C22=SS028 471C22=SS029 471C22=SS036 471C22=SS037 450 mm 550 mm (18" 22") 471C22=SS038 471C22=SS039 discovery tmax 2/7

Interfaces for seating systems MC 37 [ ] Interface for Leckey Mygo (seating system see orderform Mygo 647F287) and Kimba Neo Size 2 (seating system see orderform Kimba Neo 647F411) Only in combination with tmax Kids SW 425 mm/17" (not adjustable) and seat height 425 mm/17"! Footrests have to be used from the seating system, footrests from tmax can not be used! MC 38 [ ] Interface for Leckey Kit Seat (seating system see orderform Kit Seat 647F380) Only in combination with tmax Adult SW 475 mm/19" (not adjustable) and seat height 450 mm/18"! Footrests have to be used from the seating system, footrests from tmax can not be used! Armrest and tray from tmax should be used. Not in combination with transit option! Back type SD 01 [ ] Single push handles short Height (from seat to bend handle) 530 mm / 21,2" SD 02 [ ] Single push handles long Height (from seat to bend handle) 630 mm / 24,2" SD 03 [ ] Angle adjustable push bar, short 90, Height (from seat to bend handle) 530 mm / 21,2" SD 04 [ ] Angle adjustable push bar long 90, Height (from seat to bend handle) 630 mm / 24,2" SD 05 [ ] Single push handles, height adjustable 53 63 cm / 21,2" 24,2" SD 06 [ ] Push bar, height and angle andjustable 75 53 63 cm / 21,2" 24,2" Seat to back angle (please choose pre setup) [ ] 85 [ ] 90 [ ] 95 [ ] 100 [ ] 105 [ ] 110 [ ] 115 [ ] 120 Back options MD 30 [ ] Cross bar with back guide for seat shell backs (Only in combination with single pushhandel and push bar height adjustable SD 05 / SD 06) MD 31 [ ] Angle adjustable and foldable back (Only in combination with push bar height adjustable SD 06) SD 10 [ ] Pin back adjustment, foldable (Not in combination with with MD 31) Back Systems MD 32 [ ] Backster (only for seat width 15" / 375 mm till 20" / 500 mm) MD 37 [ ] The Back 2 (only for seat width 16" / 400 mm till 22" / 550 mm) MD 38 [ ] The Back 3 (only for seat width 16" / 400 mm till 22" / 550 mm) MD 39 [ ] The Back 4 (only for seat width 16" / 400 mm till 22" / 550 mm) Accessories Back Systems MD 33 [ ] Fixed lateral support large, left side MD 37 [ ] Fixed lateral support large, right side MD 34 [ ] Fixed lateral support small,left side MD 38 [ ] Fixed lateral support small, right side MD 35 [ ] Swing-away lateral support, left MD 39 [ ] Swing-away lateral support, right MD 36 [ ] Lateral/lumbar pad set Front rigging SB 01 [ ] Without front rigging SB 02 [ ] Pair (is needed for footrests SB 10, SB 11, SB 14, MB 25 and MB 15) SB 03 [ ] Center mounted footplate 75 (front rigging is not needed) SB 12 [ ] One piece footplate 90, folding upwards (front rigging is not needed) discovery tmax 3/7

Footrests SB 10 [ ] Single footplates, pair (composite) SB 11 [ ] Single footplates, pair (aluminum) SB 14 [ ] Single footplates for lower leg length (only tmax kids) MB 25 [ ] Elevating legrest plastic, pair (not in combination with tmax Kids) MB 15 [ ] Elevating legrest metal, pair (not in combination with tmax Kids) Footrest options SB 20 [ ] Leg strap SB 21 [ ] Heel loop pair Frame options SA 01 [ ] Rear anti-tip right SA 02 [ ] Rear anti-tip left SA 03 [ ] Tip assist right SA 04 [ ] Tip assist left Armrest SE 01 [ ] Without armrest SE 02 [ ] Armrest fixed height (pair) SE 03 [ ] Armrest height adjustable (pair) Armpad SE 20 [ ] Armpad short (pair) SE 21 [ ] Armpad long (pair) SE 22 [ ] Without armpad More arm positioning systems see order form wheelchair accessories I 647F346 Accessories Armrest add charge ME 60 [ ] Tray (only in combination with armpads) Side guard SE 10 [ ] Without side guard SE 11 [ ] Side guard for armrest (pair) Transit Option SK 01 [ ] Without transit option SK 02 [ ] 4 transport brackets and wheelchair anchor for pelvic belt (tested according ISO 7176-19 and ANSII RESNA WC 19) Frame colours 010 [ ] Dormant marine blue 021 [ ] Sparkle granny smith/metallic green 013 [ ] Deep black 038 [ ] Sparkle red 016 [ ] Silver metallic 019 [ ] White pearl (only for tmax adult) 036 [ ] Purple (only for tmax kids) 037 [ ] Pink (only for tmax kids) Front casters SF 01 [ ] 6" pneumatic SF 02 [ ] 6" solid PU SF 03 [ ] 7" pneumatic SF 04 [ ] 7" solid PU discovery tmax 4/7

SF 05 [ ] 8" pneumatic SF 06 [ ] 8" solid PU Rear wheel options SG 01 [ ] 12 1/2" composite wheel SG 02 [ ] 16" composite wheel SG 03 [ ] 22" quick release SG 04 [ ] 24" quick release Rear Tire options SG 10 [ ] Pneumatic SG 11 [ ] Solid PU Wheel lock options SH 01 [ ] Push to lock wheel locks (pair) SH 05 [ ] Wheel lock extension SH 07 [ ] Attendant Hublock cane mount (not for 16") discovery tmax 5/7

Seat height, please choose pre setup: Seat height tmax Kids 12 1/2" 16" Rear wheel size 22" 24" Seat height, please choose pre setup: Seat height tmax adult 12 1/2" 16" Rear wheel size 22" 24" Front caster size 6" 7" 8" [ ] 325 mm (13") [ ] 325 mm (13") [ ] 325 (13") [ ] 475 mm (19") [ ] 500 mm (20") Front caster size [ ] 390 mm (15,5") [ ] 420 mm (16,5") [ ] 445 mm (17,5") [ ] 470 mm (18,5") [ ] 495 mm (19,5") [ ] 475 mm (19") [ ] 500 mm (20") [ ] 475 mm (19") [ ] 500 mm (20") 6" 7" 8" [ ] 420 (16,5") [ ] 445 (17,5") [ ] 470 (18,5") [ ] 495 (19,5") discovery tmax 6/7

Technical data Technical data Size 1 (tmax Kids) Size 2 (tmax Adult) Size 3 (tmax Adult) Size 4 (tmax Adult) Frame width (FW) with 12" wheels SW +6" (15 cm) SW +6" (15 cm) SW +6" (15 cm) SW +6" (15 cm) Seat width between armrest (SW) 12-16" (30-40 cm) 14-18" (35-45 cm) 16-20" (40-50 cm) 18-22" (45-55 cm) Seat width at outside seat rails 11-15" (~28-38 cm) 13-17" (~33-43 cm) 15-19" (~38-48 cm) 17-21" (~43-53 cm) Seat depth (SD) 12-16" (30-40 cm) 12-19" (37,5-47,5 cm) 15-22" (37,5-55 cm) 15-22" (37,5-55 cm) Rear wheels 12"/16"/22"/24" 12"/16"/22"/24" 12"/16"/22"/24" 12"/16"/22"/24" Seat height (SH) 13-18" (35-45 cm) 14-20" (ca. 40-50 cm) 14-20" (ca. 40-50 cm) 14-20" (ca. 40-50 cm) Tilt in space -5 +50-5 +50-5 +50-5 +50 Height back canes from seat plate Back rest inclination 85 120 85 120 85 120 85 120 Frame length with 12 1/2" wheels (without footrest and anti tipper) from ca. 21" from ~53 cm from ca. 24" from ~61 cm from ca. 27" from ~68,5 cm from ca. 27" from ~68,5 cm Max. load incl. seat unit 90 kg/200 lbs 136 kg/300 lbs 136 kg/300 lbs 136 kg/300 lbs Frame weight (without seat, footrest, armrest, rear wheels) 15 kg/33 lbs 16 kg/35 lbs 16,5 kg/36 lbs 17 kg/37,5 lbs Front casters 6"/7"/8" 6"/7"/8" 6"/7"/8" 6"/7"/8" discovery tmax 7/7