Sunrise Medical Head Office: 237 Romina Drive, Unit 3 Concord, ON L4K 4V3, Canada Telephone: +1.800.263.3390 Fax:+1.800.561.5834 csrcanada@sunmed.com www.sunrise.ca Distributor Name: Dealers Name: Contact Name: Client's Name: Address: Client's Weight: Client's Height: Postcode: Client's Disability: Country: Telephone: Email: Notes/Coents: Purchase Order No: Delivery Address: Postcode: Contact Name: Telephone: Email: Distributor: FOR RGK OFFICE USE ONLY A/C No: Net Value: $ Freight: $ Who Date Invoice Value: OK to Quote: $ Payment Received: OK to Confirm: $ Document No: DOC Page 1
Base Product Mandatory Information Information Required for Option Standard Configuration Option with No extra cost Option with Extra cost FXAXZ010 $ 6,130.00 TIGA FX A7020 XA070 Frame open design Max User Weight 125kg XW010 NC KEY FRAME MEASUREMENTS XY010 Seat width (Inside of sideguards) (Max - 460) (Min - 250) XY020 Seat length (Max - 460) (Min - 250) XY030 XY050 Seat frame additional length (Provides additional leg support & hand grip) Front frame height (Max - 550) (Min - 480) XY060 Rear frame height (Max - 550) (Min - 360) XY070 Frame length (Min XY020 + XY030 + 110) XA020 Frame ergonomic seat $ 93.00 Specify length (Standard = 120) Page 2
XY080 Front seat taper design FRONT FRAME AND FOOTREST Front Frame Options Specify width Optimise measurements (XY010-100) XY100 Footrest round design (Minimum 60) Footrest Design & Measurements (Choose One) XY105 Footrest square design (Square design allows higher position) (Minimum 60) Please indicate front footrest height: Please indicate front footrest height: 60 80 100 120 60 80 100 120 Individual Individual Castor Wheel Max Height Castor Wheel Max Height With XB200 Size Achievable Size Achievable 3" 115 165 3" 135 4" 125 175 4" 145 5" 135 185 5" 155 With XB200 185 195 205 XB200 Footrest with high level riser system (Only with XB200 $ 155.00 FXAXB110) $ 155.00 Footrest Individual Measurements Footrest with high level riser system (Only with FXAXB110) Rear footrest height Optimise measurements (Std = Footrest height - 20) Footrest length Optimise measurements (Std = 100) Footrest Style and Cover (Choose One) FXAXB110 Footrest fixed position welded into frame with carbon plate (Supplied with spacer kit to give 20 upward adjustment) XB160 $ 41.00 Footrest grip tape fitted to any footrest cover FXAXB120 Footrest clamp-on height and angle adjustable aluminium plate Page 3
XC150 $ 180.00 CASTOR WHEELS, FORKS & WHEEL LOCKS Castor Wheels 3" Castor wheel 3x1.4" aluminium centre frog legs (Silver hub and black urethane tyre) 4" XC060 Castor wheel 4x1.3" soft roll black XC110 $ 180.00 Castor wheel 4x1" aluminium centre frog legs (Silver hub & black urethane tyre) Choose one castor option only XC130 Castor wheel 4x1.4" aluminium centre with urethane tyre frog legs $ 180.00 Choose colour below (XC130 Only) : Silver hub & black tyre (Std) Black hub & black tyre Black hub & red tyre Black hub & blue tyre Red hub & black tyre Blue hub & black tyre 5" Purple hub & black tyre Gold hub & black tyre Green hub & black tyre Silver hub & blue tyre Silver hub & red tyre XC070 Castor wheel 5x1.3" soft roll black XC100 $ 191.00 XC120 $ 180.00 XC140 $ 180.00 Castor wheel 5x1.4" aluminium centre frog legs (Silver hub & black urethane tyre) Castor Forks XC190 Castor fork low ride daily use XC210 Castor fork suspension XC220 (Standard when no option selected) $ 489.00 frog legs $ 191.00 Castor wheel 5" pneumatic aluminium centre Castor wheel 5x1" aluminium centre frog legs (Silver hub & black urethane tyre) Castor fork single sided uni tine frog legs Black Silver Black Silver Black Silver XY330 Castor pin width (XY010 plus 70) Castor Pin Width Scissor Wheel Lock Options Other XD020 Wheel locks underseat scissor XD050 Wheel locks push to lock XD040 Wheel locks scissor levers drilled $ 57.00 XD030 Wheel locks compact scissor $ 206.00 XD035 Wheel locks compact scissor with lightweight fixing $ 273.00 (Only with fixed centre of gravity) XD010 Wheel locks omit Page 4
Sideguard Aluminium Options SIDEGUARDS AND ARMRESTS Sideguard with Fender Aluminium Options XE080 Sideguards lift out aluminium XE090 $ 412.00 $ 448.00 FXAXE130 Sideguards fold flat aluminium FXAXE140 $ 380.00 $ 422.00 Carbon Fibre Options Sideguards lift out aluminium with fender Sideguards fold flat aluminium with fender Carbon Fibre Options XE100 Sideguards lift out carbon fibre XE110 Sideguards lift out carbon fibre with fender $ 592.00 $ 876.00 FXAXE150 Sideguards fold flat carbon fibre FXAXE160 Sideguards fold flat carbon fibre with fender $ 633.00 $ 773.00 XE120 $ 376.00 FXAXE170 $ 380.00 ABS Plastic Options Sideguards lift out ABS plastic Sideguards fold flat ABS plastic Sideguard Measurements Optimised measurements Fender sideguard height above tyre (Min = 10) Choose optimised or individual measurements XF010 $ 458.00 Armrest fixed height, lift out with plastic sideguard (Indicate height) XF020 Armrest fixed height, lift out with aluminium sideguard $ 361.00 (Indicate height) Height (Top of seatrail to top of armrest) Sideguard Measurements Optimised measurements Sideguard 25 above tyre (Follow tyre - Std if not indicated) Sideguard individual above tyre (Follow tyre) Sideguard length Armrest Options Sideguard level with tyre (Follow tyre) Individual measurements Choose optimised or individual measurements Optimise (10 above tyre) Individual measurements Fender sideguard to centre of tyre (Standard if no option selected) Fender sideguard to outside of tyre Sideguard height Page 5
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BACKREST Backrest Height - Fixed or Adjustable (Choose One) Backrest height fixed (Maximum 400) Specify height XY245 $ 191.00 Backrest height adjustable (Maximum 400) (Upward range 50) Indicate lowest height Backrest Design - Fixed or Folding (Choose One) FXAXG060 Backrest folding with Q Lock Ergonomics - Rearward Positioning (Choose One) XY360 Backrest angle -5-3 0 +3 +5 XG100 Backrest ergonomic $ 113.00 Vertical height (Min 250) Individual (Max -7/+7 Deg) Deg Rearward position Ergonomics - Lateral Positioning (Choose One) XG110 Backrest inward taper XG120 $ 113.00 (Above sideguards) $ 113.00 Backrest outward flare (Above sideguards) Width Width Push handle Options XG070 $ 175.00 XG080 $ 340.00 XG085 $ 556.00 Backrest with screw in push handles (N/A with XY245) Backrest with flip down push handles (N/A with XY245) Backrest with flip down push handles height adjustable (N/A with XY245) Page 6
Adjustable Centre of Gravity CAMBER BAR Fixed Centre of Gravity Centre of gravity - Choose one XH110 XH120 Camber bar adjustable position square back frame (25-150) (Max seat width 500) Centre of gravity adjustable round back frame (60-150) Centre of gravity - Choose one FXAXH090 $ 474.00 Camber bar fixed position integrated into frame V design (25-125) Specify Camber Angle Specify Camber Angle XY390 Camber angle XY390 Camber angle 0 1 2 3 5 0 1 2 3 5 Camber Bar Options Camber Bar Options XH030 Suspension camber bar XH040 $ 659.00 frog legs $ 309.00 Handbike camber bar fixed welded XH040 $ 309.00 Handbike camber bar fixed welded Camber angle (Handbike camber bar) 0 5 Castor height from floor for handbike fitting (Standard 30 if not indicated) 30 50 Camber angle (Handbike camber bar) 0 5 Castor height from floor for handbike fitting (Standard 30 if not indicated) 30 50 Anti-Tip Options XJ010 Anti tip swingaway left side (Only with square back XJ020 $ 129.00 frame. Not with XH040) $ 129.00 Anti tip swingaway right side (Only with square back frame. Not with XH040) Page 7
XY420 XY460 REAR WHEELS Wheel Size Wheel size 24" XY430 Wheel size 25" Rear wheel gap Wheel Gap XY440 Wheel size 26" 15 20 25 XK010 Spinergy Colour Options Wheel Sun Fusion 16 spoke daily use XK050 Wheel Spinergy LX 12 spoke daily use $ 773.00 (select colour below) XK210 Wheel Topolino carbon core with red accents $ 1,545.00 (24", 25" only) Wheel Options (Choose one) XK320 $ 824.00 XK060 $ 515.00 XK070 $ 824.00 Wheel Spinergy XLX 12 spoke cross spoked daily (select colour below) Black spoke / Silver hub White spoke / Black Hub XK180 Spinergy spoke colour custom $ 165.00 (Specify below) Red spoke / Black hub Blue spoke / Black hub Colour inside Yellow spoke / Black hub Green spoke / Black hub Colour outside Wheel Spinergy SPOX 18 spoke daily (select colour below) Wheel Spinergy BLXL 18 blade spoke daily, rivnut handrim mounting (select colour below - Note: Black hub only) Pink spoke / Black hub Orange spoke / black hub Note: Supply picture for custom designs XK190 Spinergy black hub with black spokes XK200 Spinergy silver hub with coloured spokes $ 93.00 $ 98.00 XK040 Wheel omit / supply without - $ 206.00 (Specify wheel type / size / tyre) Handrim set narrow (Standard if no option selected) Handrim set wide XL010 Handrim aluminium hard anodised 6 tab XL040 Handrim titanium 6 tab (Standard if No option selected) $ 345.00 XL030 Handrim surge LT 6 tab XL050 Handrim stainless steel 6 tab $ 484.00 $ 191.00 XL020 Handrim tetra grip 6 tab XL090 Handrim remove excess mounting tab $ 309.00 $ 113.00 (Recoended when XY460 is 20 or XL100 Handrim para grip 6 tab less) (Narrow set only) $ 309.00 Tyre Options XM010 Kenda Tyre High Pressure Grey Blue Red (Standard if no option XM130 Kenda black selected) $ 21.00 XM020 Tyre Schwalbe Marathon Plus XM060 Tyre Schwalbe One (24",25" only) $ 77.00 $ 103.00 XM040 Tyre Shox solid airless black only XM050 Tyre Kenda K885 mountain bike tyre $ 124.00 (24",25" only) $ 31.00 (24",25" only) Inner Tube Valve Options XY500 Schraeder inner tube valve (Standard if no option selected) Handrim Position Handrim Options XY490 Presta inner tube valve Wheel Accessories XK220 Wheel titanium quick release axle pin (pair) XK300 $ 124.00 (N/A with XK010 & XK070) $ 721.00 XK240 Wheel quad release axle nut (pair) $ 185.00 XK310 XK250 Wheel transparent polycarbonate spokeguard (pair) $ 721.00 $ 139.00 Offroad wheel set 22" rim with handrim, MTB tyre and axle pins (Replaces 24" wheel with XM010) Offroad wheel set 24" rim with handrim, MTB tyre and axle pins (Replaces 25" wheel with XM010) Page 8
XN010 Specify Code Frame Finish frame powder coated (Includes H-frame) FRAME FINISH OPTIONS XN150 Specify Code Components Finish components powder coated (Camber bar & sideguards) (Standard black if not Indicated) FXAXN030 Finish frame brushed aluminium XN160 Finish components brushed $ 165.00 $ 93.00 (Camber bar & sideguards) FXAXN050 Finish frame polished aluminium XN170 Finish components polished $ 515.00 $ 165.00 (Camber bar & sideguards) Accent Colour (Choose One) Finish accent colour black Finish accent colour red Finish accent colour silver Finish accent colour blue Finish accent colour purple UPHOLSTERY Seat Upholstery XP040 Upholstery seat sling adjustable tension with straps (Standard if not indicated) XR050 $ 371.00 Accessory carbon fibre seat plate in lieu of seat upholstery XP050 XP060 $ 386.00 XP070 $ 93.00 Upholstery backrest Airtech adjustable tension with straps (Standard if not indicated) Upholstery backrest upgrade to full leather Leather colour black Leather colour red Leather colour grey (Standard if not indicated) Upholstery upgrade to leather corners on side wings - (N/A with XG080) Backrest Upholstery Backrest Upholstery Leather Options Leather colour black (Standard if not indicated) Silver (Standard if not indicated) Leather colour red Backrest Upholstery Stitching Options Black Leather colour grey Blue Red Light blue Purple Backrest Upholstery Logo Options Silver (Standard if not Black Blue Red Light blue Purple XP110 Backrest Accessories Upholstery backrest with zip fasten pocket XP170 Upholstery with individual embroidery $ 98.00 $ 155.00 (please provide.jpeg file and positioning) Page 9
CUSHION XP080 $ 93.00 Upholstery cushion foam with nylon cover Cushion foam soft Cushion foam medium Cushion foam hard (CMS040) (CMS050) (9lb recon) Cushion thickness 50 Cushion thickness 75 Cushion thickness 100 XP090 $ 77.00 XP100 $ 196.00 Upholstery cushion cover upgrade to Air Lite Upholstery cushion cover upgrade to leather Leather colour black Leather colour red Leather colour grey FRAME OPTIONS XR080 $ 814.00 Accessory front wheel assembly Frontwheel serial number (Office use only) XR010 $ 46.00 Accessory seat pouch velcro attach (Black standard) ACCESSORIES XR100 $ 258.00 XR090 XS060 Accessory FX carry bag Accessory toolkit Accessory calf strap Page 10
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