noir 2.0 Order Form NONO Carbon fibre frame made-to-measure. English Company stamp Date User name Responsible Seat depth (PS)

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NONO Date User name Order Form Company stamp Rigid frame wheelchair Responsible Carbon fibre frame made-to-measure. Front height 35 37,5 Frame Angle 40 42,5 Backrest rake adjustable from -4 to +16 85 90 95 45 47,5 Footplate distance (DP) See note ( 1 ) Seat width (LS) 33 36 39 42 45 Setting C Extremely prudential 7,5 camber Prudential 9 2 0 4 Front height (min 44-max 54) Standard 10,5 Active 12 Rear height (min 37-max 48) Extreme 13,5 calcolated with rear wheels 24" ESSENCE CARBON Essence Polished transparent paining OPAQUE Essence Opaque transparent painting LIME Essence RED Essence Seat depth (PS) Keep attention to all measures. NOIR is a wheelchair without possibilities of adjustments after its manufacturing.. See reference tables Take care to write all the requested measures (in centimetres) Backrest height (TS) Std.Value 33,5 Rear height A 08925 08926 08927 BLUE Essence 08928 ANTHRACITE + OPAQUE Essence 08929 Fork colour Opaque black Pearl white Footplate option Carbon fibre frame with integrated footplate, not adjustable Aluminium footplate adjustable distance +/- 1,5cm (rake and depth adjustable) Minimum footplate distance 35cm. Internal 2/3 Internal External 2/3 External Pag. 1 / 5

Seat Seat cloth with pocket (under seat) Seat with tension straps Carbon rigid seat Pocket (under seat) [25x11x4,5] 08883 08336 08281 Backrestwith rake adjustable from -4 to +16 Backrest with double locking (upright and folded) Backrest with upright locking system ONLY (no locking when folded) Fixed back(non-folding back) Carbon fibre backrest Titanium backrest A I R - Posture backrest - Lateral retaining STANDARD 6,5cm. not available for seat width 48 - Std. Backrest upholstery not provided - Handle tube aluminium with short tubes Carbon shell H25 - Height 29 30,5 32 33,5 35 36,5 Carbon shell H33 - Height 37 38,5 40 41,5 43 44,5 AIR Cover STANDARD AIR Cover SPORT AIR Cover ACTIVE fabric insert: colour silver fabric insert: colour black fabric insert: colour Red Lime Blue Fabric insert stitichings Transpiring fabric stitchings Transpiring fabric stitchings colour grey Fabric insert stitichings Fabric insert stitichings Transpiring fabric stitchings colour grey Silver Lime Orange Red colour black Fuchsia Blue Anthracite Black Handle tube Handle tube with short tubes Handle tube SPORT Without push handles Folding handles aluminium Casters 3" Sport 06815 02958 4" Soft 3" Active Soft (wide) 4" Active Sport (narrow) 4" Active Soft (wide) 5" Active Soft (wide) Rear wheels - See chart N 3 24" ULTRA-LIGHT PROGEO KEY SPORT 24" Ultra-light "Spinergy LX" 24" Ultra-light "Spinergy LXL" Black hub and white blade spokes Hub and blade spokes black 25" Ultra-light "Spinergy LX" 25" Ultra-light "Spinergy LXL" Black hub and white blade spokes 26" Ultra-light "Spinergy LX" 24" Ultra-light "Spinergy Flex rim" 04353 Pag. 2 / 5

Rear wheel tyre High pressure tyre (22"-24"-25"-26") High pressure profile tyre (24") Marathon Plus (24"-25") with anti-puncture protection Kik tyre Mako - Colour Black (24") Kik tyre Mako - Colour Grey (24") 01669 01041 01751 Handrim - Wheel distance 3 cm 4 cm Aluminium (22"-24"-25"-26") Chromed Steel (24"-25") (Not available with Spinergy) Titanium (24"-25") Ultra Grepp (24"-25") Max Grepp (24"-25") Ergo Para (24") SURGE LT (24"-25") Oval countour with a rubber insert Quad (24") (24") Silicon cover for standard aluminium handrim Available for measures (22"-24"-25"-26") Wheel locks Without brake Bent lever push to lock Straight lever Push to lock Straight lever Pull to lock Sport brake OUT-FRONT Brake with extension lever push to lock Brake with extension lever pull to lock Mudguard Carbon fibre mudguard Carbon fibre Straight sideguard Aligned wheel Under wheel. cm Above wheel. cm Removable carbon fibre mudguard Removable Carbon fibre straight sideguard Aligned wheel Under wheel. cm Above wheel. cm 01684 00016 00017 00834 00632 06427 00693 04050 04109 04109 Armrests Swing away armrests (Swing away, removable and height adjustable armrest) Pad STANDARD Ergonomic pad (30x6 cm.) 00694 04104 Optional 1 Pad for front frame protectors 07058 Transit wheels 03290 Anti-tipper with rapid hookup (inside rotation to reduce the encumbrance) Right Left 06821 06822 Pag. 3 / 5

Optional 2 Lumbar support (to insert in the backrest upholstery) 00013 Tetraclip (Quick release axle for quadriplegic) 03947 Additional Kit 24" Off-road rear wheels (only with aluminium handrim) 03378 PHYSIO - Posture backrest Std. Backrest upholstery not provided Aluminum shell Height 25 33 41 Lateral retaining STANDARD 7,5cm Height 52 Aluminum shell Height 25 33 41 Lateral retaining DEEP 15cm H 25 not available for seat width 39-42-45-48 Height 52 Carbon shell Height 25 33 41 Lateral retaining STANDARD 7,5cm SWING AWAY - Lateral support Not available with Physio backrest with lateral retaining DEEP and in carbon backrest adjustable (0-1,5cm) 7,5cm 15cm 7,5cm COVER Cover with fabric-cover of backrest s rear side and high refraction fabric hems adjustable (-4-5,5cm) Large (17,5x11,5) Large (17,5x11,5) Large (17,5x11,5) Left 05646 Left 05646 Left 05646 Right 05647 Right 05647 Right 05647 05308 05309 05310 05311 05312 adjustable (-8,5-10cm) Small (14x9,5) Small (14x9,5) Small (14x9,5) Left 05642 Left 05642 Left 05642 Right 05643 Right 05643 Right 05643 Additional Kit for internal thoracic support to the backrest width, adjustable (-8,5-10cm) (with additional kit) Headrest adjustable - Double ball mounting system Not available for Physio backrest s height 25 and with carbon shell Large (34x14) Small (28x14) 05648 Pag. 4 / 5

REFERENCE TABLES Keep attention to all measures. IMPORTANT NOTICE NOIR is a wheelchair without possibilities of adjustments after its manufacturing. (1) The real seat depth, from the front part of the seat cloth to the backrest tube will be 1,5 cm more than the declared one. 1 A Footplate width 2 Setting C : DP 35 39 40 45 46 50 LS Extremely prudential 7,5 33 21 20 19 Prudential 9 36 24 23 22 Standard 10,5 39 26 25 24 Active 12 42 29 28 27 Extreme 13,5 45 32 31 30 48 35 34 33 3 Maximum width Camber 0 LS + 18 2 LS + 21 4 LS + 24 Maximum width calcolated including 3 cm. distance between tyre and handrim Italia Certified company normative UNI EN ISO 9001 Pag. 5 / 5 Wheelchair : - Printed on 12-2017 Prices in EURO - VAT excluded to be added to the price list Important notice! is page only if any optional have been chosen standard (supplied if no requests are indicated) on request (without extra charge) optional (cost to be added at the basic price)