R82 Stingray - E1233

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Account #: Purchase Order No.: Contact: R82 Stingray - E1233 USD Retail Price List/ Order Form Date: Mark For: Bill To: Address: City/State/Zip: Phone: Email Ship To: Address: City/State/Zip: Phone: US Configuration Stingray Frame Stingray Seat Cushions Head Support Side Support Hip Support Pommel Vests and Belts Tray Transport Fittings Effective: 3/1/2018 - Rev 5 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 Inches Inches Effective Seat Width (A) 7-11¾" 9-13¾" Seat Width Between Knee Supports 11" 12¾" Seat Width Between Hip Supports (Accessories) 7", 8½", 10¼" 9", 10½", 12" Effective Seat Depth (B) 7-11¾" 9¾ - 15½" Back Height at Shoulders (C) 10½ - 16" 14-19¾" Backrest Height (C1) 16-21½" 19½ - 25¼" Footrest to Seat Distance (D) 5½ - 17½" 5½ - 17½" Seat Surface Height at Front Edge (E) 20¼" 20¼" Back Width, Inside (F) 11¾" 14" Back Width, Outside (F1) 17½" 20¼" Overall Width (G) 23" 23" Length with Turnable Front Wheels (H1) 28¾" 28¾" Length with Large Front Wheels 32¾" 32¾" Overall Height, Push Brace 15 (I) 39", 40", 41¼" 39", 40", 41¼" Foot Plate, Width x Depth 12" x 7¾" 12" x 7¾" Folded Length 35" 35" Folded Height 19" 19" Total Mass, Frame 29½ lbs. 29½ lbs. Total Mass, Seat 12 lbs. 14½ lbs. Max Load 88 lbs. 88 lbs. Back Recline / Seat Plane Angle Back: 170 / Seat: 45 Back: 170 / Seat: 45 Approx. Minimum User Height 29½" 35½" Approx. Maximum User Height 36" 47½"

Stingray Standard Features Tilt-in-Space - 45 Back Recline - 170 Turnable Seat - 180 One-Size Frame Accepts Two Seat Sizes for Maximum Growth Potential Adjustable Seat Depth Adjustable Back Height Suspension Description Part No. USD Price HCPCS Solid Tires, Individual Wheel Locks 8724212 $2,445 E1233 Solid Tires, Individual Wheel Locks & Hand Brakes * 8724211 $2,820 E1233 Solid Tires, Central Wheel Locks 8724222 $2,545 E1233 Solid Tires, Central Wheel Locks & Hand Brakes 8724221 $2,920 E1233 Solid Tires, Individual Wheel Locks & Quick Release Rear Axels 8722212 $2,695 E1233 Seat and Back size 1 1 8711120 Seat size 1 1 X8711000 $410 E2292 Back size 1 1 X8712000 $505 E2291 Seat and Back size 2 2 8712220 Seat size 2 2 X8721000 $410 E2292 Back size 2 2 X8722000 $505 E2291 Fully Reclining Back (Required) One Size X8702000 $405 E1014 Adjustable seat depth and height adjustable back Required, must select a color Blue = 1 Red = 2 Pink = 5 Grey = 4 Seat and Back Cushion (Pr.) 1 875051x N/C Seat and Back Cushion (Pr.) 2 875052x N/C *Colors Green, Orange & Yellow available as a custom order; Approx. lead time: 6-8 weeks. Non-returnable item Footrest Rod, Elevating 8¼" Short X8711100 $110 K0108 Footrest Rod, Elevating 11" Long X8712200 $110 K0108 Angle Adjustable Footplate One Size X8710010 $95 K0040 Transit Option One Size 8720902 $200 2 of 5

High-Low Frames High-Low:v Indoor Frame 1 8911871-20 $1,770 High-Low:v Indoor Frame 1, 2 8911872-20 $2,193 Push Brace One Size 8910545 $160 Push Brace, Angle Adjustable One Size 8910555 $385 Accessories Hip Supports, Black (Pr.) 6½ x 7 1 8740230 $225 E0956 Hip Supports, Black (Pr.) 7 x 8½ 2 8740240 $225 E0956 Hip Supports, Pad, Black (Pr.) 1 8740250 $225 E0956 Multi-Adjustable, Removable Hardware (Pr.) (Required) 1 x8740250 $225 E1028 Hip Supports, Pad, Black (Pr.) 2 8740260 $225 E0956 Multi-Adjustable, Removable Hardware (Pr.) (Required) 2 x8740260 $225 E1028 *Hip Support and Multi-Adjustable Hardware must be ordered together Side Supports, Multi Adjustable (Pr.) 4" x 4" 1 8720301 $195 E0956 Side Supports, Multi Adjustable (Pr.) 5 x 5¾ 2 8720302 $195 E0956 Covers for Knobs on Side Supports (Pr.) * One Size 8720360 $30 Medial Thigh Support (One-Piece) 3½ x 1½ x 2¾ 1 8720501 $135 E0957 Adjustable, Removable Hardware (Required) 1 x8720501 $165 E1028 Medial Thigh Support (One-Piece) 3½ x 3½ x 3½ 2 8720502 $135 E0957 Adjustable, Removable Hardware (Required) 2 x8720502 $165 E1028 Medial Thigh Support (One-Piece) 3½ x 3½ x 4¾ 3 8720503 $135 E0957 Adjustable, Removable Hardware (Required) 3 x8720503 $165 E1028 *Medial Thigh Support and Adjustable, Removable Hardware must be ordered together Anti-Thrust Wedge, Black (Pr.) 4" x 6" 1, 2, 3 8910405-3 $46 K0108 Contoured Headrest, Black 1 8740810 $200 E0955 Contoured Headrest, Black 2 8740820 $200 E0955 Sculpted Head Support 9½ x 4½ Small 8720831 $205 E0955 Sculpted Head Support 11 x 5¾ Large 8720832 $205 E0955 Preferred option for Stingray seating Anatomic Headrest * Small 8720862 $255 E0955 Anatomic Headrest * Large 8720863 $255 E0955 *Requires Turtle Bar System Short or Long Suggested User Shoulder Height of 16" or Greater Swing-away Mounting Bracket - Height, Depth, Angle and Lateral Adjustable Turtle Bar System, Short 5" Short 98619-25 $230 E1028 Turtle Bar System, Long 10" Long 98619-26 $230 E1028 *Required with Anatomic Headrest 2-Part Headrest One Size 8720870 $270 E0955 3 of 5

Headrest Fittings One Size 8720850 $51 K0108 Universal Headrest Mount * One Size 87590 $61 E1399 *Required when using other manufactures Head Support Other types of headrest available, please see Head Supports Order Form Cross Vest 4½" x ½" x 11" 0 89625-060 $190 K0108 Cross Vest 5" x ½" x 12" 1 89625-160 $190 K0108 Cross Vest 5.2" x ½" x 12¾" 2 89625-260 $190 K0108 Cross Vest 6¼" x 4¾" x 15¼" 3 89625-360 $190 K0108 Cross Vest 7½" x 6¾" x 7" 4 89625-460 $190 K0108 Vest 1¼" x 2½" x 5½" x 3½" x 11" 0 89111-060 $200 K0108 Vest 1¼" x 2½" x 5¾" x 4¼" x 12" ¾ 89111-07560 $200 K0108 Vest 2¼" x 2½" x 7" x 5" x 13¼" 1 89111-160 $200 K0108 Vest 2½" x 3½" x 9¼" x 5½" x 15¼" 2 89111-260 $200 K0108 Vest 2¾" x 4¾" x 11 x 5¾" x 18¼" 3 89111-360 $200 K0108 Vest 2¾" x 6¾"x 13¾" x 7½" x 19" 4 89111-460 $200 K0108 Neoprene Vest 7" x 5½" x 4" x 4¾" 1 89113-1 $200 K0108 Neoprene Vest 6½" x 9" x 6¾" x 5¾" 2 89113-2 $200 K0108 Neoprene Vest 11½" x 7¾" x 7" x 6¾" 3 89113-3 $200 K0108 4-Point Pelvic Positioner, Black 10¼"-11¼" x 18" x 19½" 1 85427-1 $135 E0978 4-Point Pelvic Positioner, Black 12"-13½" x 25" x 19½" 2 85427-2 $135 E0978 2-Point Pelvic Belt, Black 10¼"-11¼" x 2½" x 18" 1 85424-1 $97 E0978 Foot Straps, Plastic Lock (Pr.) 23" One Size 85096 $56 K0040 Foot Straps, Velcro (Pr.) 21" One Size 85102 $51 K0040 Other types of vests and belts available, please see Vest and Belts Order Form Folding Top (Canopy), Black 1 8740110 $330 Folding Top (Canopy), Black 2 8740120 $330 Foam Back Plate * 5 x 12 1 8776325 $23 Foam Back Plate * 5½ x 13¾ 2 8776326 $23 Future Growth - Fills out the gap between seat and the back Tray with Edge, Grey * 17.3" x 13.3" One Size 8776350 $100 E0950 Adjustable Removable Tray Hardware * One Size x8776350 $165 E1028 *Tray and Adjustable Removable Hardware must be ordered together Rain Cover * 1 8720141 $56 Rain Cover * 2 8720142 $56 *Requires Folding Top (Canopy) Handle Grip 14" 1 8720401 $200 Handle Grip 16" 2 8720402 $200 4 of 5

Backpack, Black Small 87043183-1 $56 Medical Essential Carrier One Size 8720600 $97 Vent Tray * 13 x 17 One Size 8776290 $460 E1029 *Requires Central Wheel Locks *44 lbs. weight capacity O2 Tank Holder * 99999 $350 E2208 *Cannot be used during transit and manufacturer installation is required *Custom order; Approx. lead time: 6-8 weeks IV Pole, Height Adjustable and Collapsible One Size 99999 $200 K0105 *Custom order; Approx. lead time: 6-8 weeks Spare Parts Required, must select a color x = Color Blue = 1 Red = 2 Pink = 5 Grey = 4 Seat and Back Cushion (Pr.) 1 875051x $443 Seat and Back Cushion (Pr.) 2 875052x $443 *Colors Green, Orange & Yellow available as a custom order; Approx. lead time: 6-8 weeks. Non-returnable item Adductor Covers, Black (Pr.) 1 8750410 $56 Adductor Covers, Black (Pr.) 2 8750420 $56 Hardware Kit for Hip Supports, Fixed One Size 872023-KIT $35 Release Strap for Back Angling 1 87102250 $46 Release Strap for Back Angling 2 87102255 $46 Footrest Rod, Elevating 8¼" Short 8775317 $110 Footrest Rod, Elevating 11" Long 8775318 $110 Angle Adjustable Footplate One Size 8775010 $260 When being transported in a vehicle, it is R82's position that the wheelchair user transfer from the wheelchair into appropriate vehicle seating during transportation. Please note that at this time, the Department of Transportation has not officially approved any tie-down system for a user while in a wheelchair; therefore R82 cannot recommend a transit system. The R82 Stingray mobility base was tested with a footrest and R82 transit anchors. The performance and safety of accessories and/or other seating options not tested by R82 is unknown, and no warranty or claim about their performance is or can be made. For shipping rates, please call 1-844-876-6245 12801 E Independence Blvd, Matthews, NC 28105 1-844-876-6245 Web: www.r82.com Prices in USD & is subject to change without notice 5 of 5