Front. STFH Short/Single Short Wide Tall Wide Frog Legs 3" 16"-20" 16"-20.5" 16.5"-21" 17.5"-21" CASTER WHEEL (Figure 5 & 6) Caster
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1 Quickie GT EIR3 MASS MASS PLAQUE NO. P ACCOUNT #: SHIP TO: DATE: ME: P.O. #: ADDRESS: BUYER: CITY/ STATE: MARKED FOR: POST CODE: PHONE NUMBER: GT - BASE MODEL (265 lbs. /117 kg Weight Capacity) Quickie GT (EIR3) Aluminum frame 145WM13 174WM13 Quickie GT Titanium frame upgrade option $3, $1, FRAME ANGLE (See Figure 1) 145FA1 75o 145FA8 80o 145FA2 85o FRAME INSET PER SIDE (See Figure 2) Quickie GT with optional 145FF1 0" 145FF2 145FF3 1" ( on 12" wide ) 2" ( on 12", 13", or 14" wide ) Figure - 1 seat depth Jay Lite Cushion shown Figure 3 Figure 2 - Seat width FRAME STYLE (See Figure 3) 145FS34 Classic Frame 145FS35 Performance Frame Std 145FS36 XTR Suspension Frame $ Only available in Performance Frame Set Up 145SK1 Light Shock (up to 180 lbs.) 145SK3 Heavy Shock (up to 265 lbs.) DEPTH ADJUSTABLE BACKREST (OPTIOL) Depth Adjustable Backrest extends the frame rear of the seat sling, select a factory setting: 145DP02 0 Setting 145DP03-1" Setting Classic Frame - Traditional GT seat sling to front frame bend angle dimensions. Performance Frame - Seat Sling to front frame bend angle is 1.5" shorter than the classic position. Front of back cane post to front edge of seat sling will remain the same for both Classic and Performance. $ Backrest at standard position, field adjustable to -1" or -2" $ Backrest -1" offset, field adjustable to flush or -2". 145DP04-2" Setting $ Backrest -2" offset, field adjustable to flush or -1". Back height Seat height SEAT WIDTH (See Figure 2) SEAT DEPTH (See Figure 1) Measure from outside of seat tube to outside of opposite seat tube. Measures from front of back post to front edge of seat sling. Seat sling will be 1" shorter XTR Suspension only available 14" to 20" Wide. Jay 3 Back with 12" and 13" than depth ordered, but actual depth will remain the same from back canes to edge of uph. 145S3 12" 145SD5 12" 145S4 13" 145SD6 13" 145S5 145S6 14" 15" 145SD7 145SD8 14" 15" 145S7 16" 145SD9 16" 145S8 17" 145SD10 17" 145S9 18" 145SD11 18" 145S10 19" 145SD12 19" 145S11 20" $ SD13 20" $ Depth Adjsutable Backrest not available on 19" and 20" Seat Depths 1 of 7
2 FRONT SEAT HEIGHT (See Figure 4 & 5) CASTER OPTIONS Measure from the front of the seat sling to the floor 145OC1 Caster Pin Locks $ SH14 16" with 14" or 15" W with 2" Inset or SS Fork or Frog Legs. 145SH " 145SH16 17" FOOTREST 145SH " 145F228 Aluminum Tubular 145SH18 18" 145F229 Aluminum Tubular Long 145SH " 145F230 Aluminum Tubular w/flat Cover Std 145SH21 19" 145F231 Aluminum Tubular Long w/flat Cover 145SH " 145F232 Aluminum Tubular w/flared Cover $ SH24 20" 145F233 Aluminum Tubular Long w/flared Cover $ SH " 145F234 Aluminum Platform (Ang. Adj.) $ SH27 21" 145F235 Aluminum Platform Long(Ang. Adj.) $ F39 High Mount Platform $70.00 FRONT TO REAR SEAT HEIGHT DIFFEREES with 12",13" W with 1" or 2" Inset or 14" or 15" W with 2" insets. 12"/13" Depth Max Difference is 3" 14"/15" Depth Max Difference is 3.5" ADAPTIVE PLATFORM SPACER 16"/17" Depth Max Difference is 4" Only available with Aluminum Platform Footrest. 18"/19" Depth Max Difference is 4.5" 145AD1 Adaptive Platform 2" Spacer $ " Depth Max Difference is 5" 145AD2 Adaptive Platform 4" Spacer $ Figure 4 145AD3 Adaptive Platform 6" Spacer $ FOOTREST OPTIONS 145DI01 Removable Snap On Cover(tubular no cover) $ DI02 Wear Pads $ A179 Positioning Plates for Platform Footrest $ A54 Extra Leg Strap $40.00 Figure 5 Front Fork STFH Short/Single Short Wide Tall Wide Frog Legs 3" 16"-20" 16"-20.5" 16.5"-21" 17.5"-21" CASTER WHEEL (Figure 5 & 6) 4" 16"-20.5" 16.5"-21" 16.5"-21" 17.5"-21" 5" 17",18",19",20",21" 17"-21" 17"-21" 18.5"-21" 145CW1 3" Micro $ " 18"-21" 19",20",21" 145CW30 3" Micro Lighted $ CW80 3" x 1.5" Aluminum Soft Roll $75.00 Figure 6 145CW3 4" Low Profile Polyurethane Tubular/Flat Flared Platform 145CW31 4" Micro Lighted $75.00 Caster Inset Inset Inset Fork 145CW72 4" x 1" Aluminum Polyurethane $75.00 Size Short, Short W, Tall W 145CW47 4" x 1.25" Semi Pneumatic $ " Single Sided Froglegs 145CW64 4" x 1.5" Aluminum Soft Roll $75.00 Short, Short W, Tall W 4" 145CW5 5" Low Profile Polyurethane Std Single Sided Froglegs 2" 145CW51 5" Micro Lighted $ Short, Short W, Tall W 5" Single Sided 145CW6 5" Soft Roll (Grey) $ Froglegs.5" Tall Wide 2" Not available with Frog Legs 6" Froglegs 1.5".5" 145CW65 5"x 1" Aluminum Polyurethane $ Short, Short W, Tall W 3" Single Sided 145CW7 5"x 1.5" Semi Pneumatic $ Froglegs All Forks 145CW66 5"x 1.5" Aluminum Soft Roll $ " Single Sided 145CW34 6" Polyurethane Froglegs Short, Short W, Tall W 1" 145CW71 6"x 1" Aluminum Polyurethane $ " Single Sided 1" Froglegs 2" 145CW35 6"x 1.5" Semi Pneumatic $ Wide 1" 1" 6" Froglegs 2" 145CW68 6"x 1.5" Aluminum Soft Roll $ All Forks CASTER FORK (Figure 5 & 6) 145CF46 Short Fork 145CF45 Short Wide Fork (with 1.25" or 1.5" caster) 145CF32 Tall Wide Fork 145CF63 Single Sided Fork Black $ Only available with 3"x1.5", 4"x1.5", 5" x 1.5" Aluminum Soft Roll casters CASTER FORK SUSPENSION 145CF53 Frog Legs 0# weight to 100# $ CF54 Frog Legs 101# weight to 190# $ CF55 Frog Legs 191# weight to 265# $ Frame Angle 80 Frame Angle 85 Frame Angle Caster 3" 4" 5" 6" 0" 1" 2" 0" 1" 2" 0" 1" 2" Single Sided Froglegs Short, Short W, Tall W.5" Single Sided.5" Froglegs.5" Short.5" 2".5" Short Wide/Tall Wide 1" 2".5" Single Sided 1" 2".5" Froglegs 1.5" 1.5" Tall Wide 2" 2" Froglegs 1.5" 1.5" = Go = No Go # = "Soft" Go with limited seat angle Min seat angle listed in cell 2 of 7
3 REAR SEAT HEIGHT (Figure 4. previous page) HANDRIM Measure from top of rear seat sling to the floor. Aluminum and Plastic are available on all wheels in all sizes 14" & 14.5" only available with 20" rear wheel. with Amputee Axle Plate. Natural Fits are available in 22", 24", 25" and 26" sizes 13" & 13.5" only available with 20" or 22" rear wheel. with Amputee Axle Plate. Handrim Selection not applicable with Extender Power Assist 145RH13 13" 145HR1 Aluminum Anodized Std 145RH " 145HR4 Plastic Coated $ RH13 14" 145HR22 Natural Fit Standard Grip $ RH " 145HR23 Natural Fit Super Grip $ RH15 15" 145HR21 Natural Fit - No Thumb Grip $ RH " 145HR30 Natural Fit LT Standard Grip $ RH17 16" 145HR31 Natural Fit LT Super Grip $ RH " 145HR32 Natural Fit LT- No Thumb Grip $ RH19 17" 145HR24 Spinergy Flex Rim $ RH " Available in 24" & 25" LX Spinergy sizes 145RH20 18" 145HR9 8 Vertical Projections $ RH " Only available with Mag or Lite Spoke wheels 145RH21 19" 145HR8 8 Oblique Projections $ RH " Only available with Mag or Lite Spoke wheels 145RH22 20" REAR WHEEL SIZE (Figure 7) Ultra Lightweight Wheels only available with silver aluminum handrim XTENDER POWER ASSIST 145RW3 20" Mag Wheel Rear seat height is 18.5" to 20" & 0 camber, w/ Amputee Axle, Padded Swing Arms 145RW8 22" Mag Wheel Front To Rear Seat Height Range 0 to 1" difference, 24" wheels only 145RW1 24" Mag Wheel Not available with XTR or standard rear suspesnion 145RW90 20" Lite Spoke Wheel $ XT1 E0986 Xtender Power Assist Pneumatic Tire $7, RW91 22" Lite Spoke Wheel $ RW92 24" Lite Spoke Wheel Std XTENDER POWER ASSIST HANDRIM 145RW93 25" Lite Spoke Wheel 145XH1 3x Torque Multiplier (Plastic Coated) 145RW94 26" Lite Spoke Wheel $ XH2 1.5x Torque Multiplier (Stainless Steel) 145RW77 22" Ultra Lightweight Spoke Wheel $ RW78 24" Ultra Lightweight Spoke Wheel $ XTENDER POWER ASSIST WHEELS 145RW80 26" Ultra Lightweight Spoke Wheel $ XA2 SPARE 24" Spoke Pneu Alum Handrim 145RW28 22" Spinergy SPOX Black $ XA4 SPARE 24" Spoke Pneu Plastic Handrim $ RW42 24" Spinergy SPOX Black $ RW96 25" Spinergy SPOX Black $ XTENDER POWER ASSIST ACCESSORIES 145RW44 26" Spinergy SPOX Black $ XA1 Xtndr Spare NiMH Power Pack $ RW32 22" Spinergy LX Black $1, RW88 24" Spinergy LX Black $1, AXLE 145RW99 25" Spinergy LX Black $1, AX1 Quick Release Steel Std 145RW40 26" Spinergy LX Black $1, AX11 Quad Quick Release $ RW50 24" Mountain $ Only available with Mag wheels 145RW46 26" Mountain $ FIGURE 7 AXLE PLATES Ultra Wheel Lightweight Mag Lite Spoke Spinergy Mountain Axle Plate selection not required for XTR Tire Spoke 145AL40 Standard Short (COG 1" to 4.5") Pneumatic 20,22,24 20,22,24,26 22,24,26 Pneumatic Airless Insert 20,22,24 20,22,24 22,24 Some limitations with STFH. See Figure 8. Kevlar Full Poly Tire 20,22,24 20,22,24 145AL43 Standard Long (COG 1" to 4.5") High-Pressure Clincher 22,24,25,26 22,24,26 22,24,25,26 Schwalbe Marathon Plus Evol 22,24,25,26 22,24,25,26 145AL37 Amputee (COG -1" to 2.5") $95.00 Kik Mako Black 22,24 22,24,25 22,24,25 Knobby V-TRAK AL38 Suspension (COG-.5 to +3) $ Urban Assault 24, 26 Mountain 24,26 Not Available with XTR Suspension Frame Style 24" = " = " = AL39 Xtender (COG 1") REAR WHEEL TIRE (Figure 7) Rear Suspension Rating 145RT1 Pneumatic Std Not required for XTR Suspension. 145RT2 Pneumatic Airless Insert $ SV04 From 0# weight to100# (Yellow) 145RT8 Kevlar $ SV05 From 101# weight to190# (Red) 145RT3 Full Poly 145SV06 From 191# weight to 265# (Blue) 145RT6 High-Pressure Clincher $61.00 FIGURE 8 145RT27 Knobby V- Trak by Kenda $ Short Axle Plate- Wheel Size: 145RT21 Schwalbe Marathon Plus Evolution $ (559) RT22 Kik Mako Black $ " KIK is only available in Pyramid profile RT26 Urban Assault $ RT12 Mountain Tire $ Rear Seat to Floor Height 3 of 7
4 CAMBER PUSH HANDLES XTR Suspension Frame only available with 0, 4 and 8 degree 6 & 9 degree not available with Mag Wheels. Xtender only available with PH6 Integral Push Handles 145CI1 0 o 145PH5 Fold-Down Push Handles $ CI2 3 o with 10-14" Back Height or Standard Upholstery. 145CI3 4 o 145PH2 Omit Push Handles 145CI4 6 o 145CI5 8 o PADDED SWING AWAY ARMREST 145CI6 9 o Includes angle adjustable receiver hardware. with Xtender 145AA18 Padded S/A Standard (Set at 10") CENTER OF GRAVITY PRESET (Figure 9) 145AA23 Padded S/A Low ( Set at 7") Measure from font of back post to center of rear axle Low version not available with 24", 25" and 26" wheels XTR Suspension Frame will be factory set at 1.5", Xtender 1" Omit Armrest 145CC11-1" HEIGHT ADJUSTABLE ARMREST 145CC10 -.5" 145AA11 Height Adjustable Standard (8.5"-13.5") $ CC12 0" 145AA29 Height Adjustable Low (7"-11") $ CC1.5" 145CC2 1" HEIGHT ADJUSTABLE ARM PAD 145CC3 1.5" Suggest using Classic model for Tray Tables 145CC4 2" 145AM23 Desk Length - Classic (10") 145CC5 2.5" 145AM21 Desk Length - Contour (10") 145CC6 3" 145AM24 Full Length - Classic (14") 145CC7 3.5" 145AM22 Full Length - Contour (14") 145CC8 4" 145CC9 4.5" WHEEL LOCK FIGURE 9 XTR Suspension Frame only available with High Mount Push 145WL1 High Mount Push Std 145WL2 High Mount Pull 145WL27 Ergo Scissor 145WL30 Compact $ WL23 Unilateral Push to Lock Right Mount $ WL24 Unilateral Push to Lock Left Mount $ WL10 Omit Wheel Lock 145WL12 Do Not Mount BACK TYPE EXTENSION HANDLE 145BT3 Non-Folding Backrest Only available with High Mount Push or Pull Wheel Locks 145BT82 Folding Lock Down Angle Adjustable 145EH1 6" Pair $ EH2 6" Right $22.00 HEIGHT ADJUSTABLE BACKREST 145EH3 6" Left $ B110 10" - 14" Back Height 145B127 12" - 16" Back Height GRADE AID 145B111 14" - 18" Back Height Only available w/high Push,Pull Wheel Locks. with clincher, poly, KIK or Schwalbe 145B137 16" - 20" Back Height 145GA1 E0974 Grade Aid $ BACKREST UPHOLSTERY REAR ANTI-TIP 145BU1 Standard Std Swing Away Anti Tip not available with XTR Suspension or Xtender 145BU8 Adjustable $ AT1 Rear Anti-tip $ AT52 Rear Anti Tip Swing Away (Pair) $ BU57 Vented Adjustable $ AT64 Rear Anti Tip Swing Away - Left $ AT68 Rear Anti Tip Swing Away - Right $ BU14 Omit Upholstery (Use with Jay backs) 145AT3 Omit Rear Anti-Tip JAY BACK (OPTIOL) 145JB01 Jay J3 Back (See J3 Back Order Form) See OF FOLDING STABILIZER BAR (OPTIOL) 145SZ2 Folding Stabilizer Bar $ with12" & 13" Wide. Requires intergral push handles. 4 of 7
5 SEAT SLING MISCELLANEOUS 145SL1 Standard Seat Sling Std 145A803 Combat Crutch Holder $ SL6 Omit Seat Sling -$15.00 Only available with Integral or Fold Down push handles 145A85 Bolt-On Push Handles $90.00 CUSHION 145A96 Presta Valve Adapter $ CU1 2" Cushion $ A83 Tool Kit JAY CUSHION See SUNPARTS Online "ACCESSORIES" Section for more choices! To order any of the following JAY cushions on-chair, please see the on-chair order form. 145JC01 Jay Basic See OF FRAME COLOR 145JC02 Jay Easy See OF 145C2 Black 145JC03 Jay Soft Combi P See OF 145C10 Black Opal 145JC04 Jay J2 See OF 145C1 Blue 145JC05 Jay J2 DC See OF 145C38 Blue Opal 145JC06 Jay LITE Cushion See OF 145C12 Blue Velvet 145C36 Candy Blue SIDE GUARD 145C35 Candy Red All side guards w/height Adj. Arms 145C39 Candy Turquoise Side guards not recommended w/padded SA arms due to interference at some heights 145C6 Forest Green 145SG33 Plastic Standard $ C4 Midnight Purple 145SG29 Plastic Low $ C37 Orange 145SG22 Folding Plastic Standard $ C5 Pearl Pink 145SG23 Folding Plastic Low $ C40 Razzleberry 145SG24 Carbon Fiber $ C11 Toxic Green with High Push, Pull, or Unilateral Wheel Lock 145C8 Yellow BACKPACK CUSTOM FRAME COLOR 145A1 Quickie Backpack Black $ C43 Catch A Wave $ A2 Quickie Kids Backpack Black $ C42 Desert Camouflage $ C112 Digital Woodland Camouflage $ SEAT POUCH 145C111 Digital Desert Camouflage $ A8 Quickie Seat Pouch Black $ C121 Digital Camouflage $ C120 Mossy Oak Camouflage $ ADDITIOL COVER & PACKACCESSORIES 145C122 Spot Fires $ A500 Gel Cover Hanger/Frame $ C123 Stars & Stripes $ A994 Gel Cover Swing Away Arm $ C124 Stars & Stripes $ A501 Quickie Express Pack Black $ A501 Quickie Cell Phone Pack Orange $30.00 ANODIZED COLOR PACKAGE 145A503 Case Logic Side Pocket $16.00 Only available with titanium frame upgrade 145A504 Case Logic Catch All Organizer $40.00 Camber Tubes are Titanium Grey except for the Black option. Frog Legs and Single 145A505 Case Logic Lap Organizer $32.00 Side forks black only. Black only with Amputee, Xtender, Suspension axle plates. 145A506 Case Logic Ultra Pack $ EB02 Black 145EB06 Blue $ POSITIONING BELT 145EB05 Green $ A12 Belt 2" Aircraft Buckle $ EB04 Purple $ A13 Belt 2" Aircraft Buckle Padded $ EB03 Red $ A142 Belt 1-1/2" Auto Buckle Universal $ EB01 Titanium Grey $ SPOKE GUARD 145A23 Quickie Black Spoke guard $ A302 Quickie "Q" Clear Spoke Guard $90.00 MISCELLANEOUS TOTAL CHAIR PRICE: $ 145A27 Frame Touch Up Paint $ A82 Caddy $ A32 Wheelchair Tray $ A87 Travel Wheels - with Extender $ IG20 Neoprene Impact Guards $ A51 Crutch Holder $81.00 Only available with Integral or Fold Down push handles 5 of 7
6 Quickie GT Weight Matrix Section A - Base Wheelchair Weight DEPTH GT FRAME WEIGHT (LBS) WIDTH Base Wheelchair Includes: Front Caster 4" Low Profile Poly Fork: Short Fork GT Foot Rest: Aluminum Tubular Rear Wheel: 24" Lite Spoke Wheel Tire: High-Pressure Clincher Handrim: Aluminum Anodized Axle: Standard Long Backrest: 12" Back Height Upholstery: Standard Push Handle: No Push Handles Quickie GT Titanium Weight Matrix Section A - Base Wheelchair Weight Quickie GT Titanium Weight Matrix (LBS) Base Wheelchair Includes: Front Caster 4" Low Profile Poly Fork: Short Fork GT Foot Rest: Aluminum Tubular Rear Wheel: 24" Lite Spoke Wheel Tire: High-Pressure Clincher Handrim: Aluminum Anodized Axle: Standard Long Backrest: 12" Back Height Upholstery: Standard Push Handle: No Push Handles 6 of 7
7 Section B - Base Wheelchair Weight To determine wheelchair weight, add or subtract component weights Component Lbs Component (cont.) Lbs Component (cont.) Lbs XTR HARDWARE Rear Wheel (Pair) Backrest UPH XTR HARDWARE " Mag Wheel 0.82 Standard 0.00 DAB 22" Mag Wheel 1.32 Adjustable 1.35 With Padded S/A Armrest " Mag Wheel 1.78 Vented Adjustable 0.41 With Out Padded S/A Armrest " Lite Spoke Wheel Omit Upholstery Caster Wheels (Pair) 22" Lite Spoke Wheel Folding Stabalizer Bar 3" Micro " Lite Spoke Wheel 0.00 Folding Stabalizer Bar " Micro Lighted " Lite Spoke Wheel 0.07 Armrests (Pair) 3" x 1.5 Aluminum Soft Roll " Lite Spoke Wheel 0.27 Padded S/A Standard " Low Profile Poly " Ultra Lightweight Spoke Wheel Padded S/A Low " Micro Lighted " Ultra Lightweight Spoke Wheel Height Adjustable Standard " x 1" Aluminum Poly " Ultra Lightweight Spoke Wheel Height Adjustable Low " x 1.25" Semi Pneu " Spinergy SPOX Black Armrest Pads (Pair) 4 x 1.5" Aluminum Soft Roll " Spinergy SPOX Black Desk Length - Classic " Low Profile Poly " Spinergy SPOX Black 0.15 Desk Length - Contour " Micro Lighted " Spinergy SPOX Black 0.43 Full Length - Classic " Soft Roll (Grey) " Spinergy LX Black Full Length - Contour " x 1" Aluminum Poly " Spinergy LX Black Wheel Lock (Pair) 5" x 1.5" Semi Pneu " Spinergy LX Black High Mount Push " x 1.5" Aluminum Soft roll " Spinergy LX Black High Mount Pull " Poly " Mountain 2.97 Ergo Scissor " x 1" Aluminum Poly " Mountain 3.32 Compact " x 1.5" Semi Pneu 0.88 Rear Tires (Pair) Unilateral Push Lock Right Mount "x 1.5" Aluminum Soft Roll 1.35 Pneumatic 1.30 Unilateral Push Lock Left Mount 0.95 Caster Forks (Pair) Pneumatic Airless Insert 3.30 Omit Wheel Lock 0.00 Short Fork 0.00 Kevlar 0.60 Wheel Lock Clamps (Pair) Short Wide Fork 0.15 Full Poly 2.00 Short Clamp 0.42 Tall Wide Fork 0.18 High-Pressure Clincher 0.00 Long Clamp 0.52 Single Sided Fork 0.09 Knobby V-Trak by Kenda 2.19 Wheel Lock Extension Handle Frog Legs 0.01 Schwalbe Marathon Plus Evolution " Pair 0.10 Caster Stems (Pair) Kik Mako Black " Right 0.05 Caster Bolt Short 0.00 Urban Assault " Left 0.05 Caster Bolt Medium 0.11 Mountain Tire 2.84 Grade Aide Caster Bolt Long 0.22 Handrims (Pair) Grade Aide 0.52 Caser Pin Locks (Pair) Aluminum Anodized 0.00 Rear Anti-tip Caster Pin Locks 1.24 Plastic Coated 1.60 Quick Release Anti-Tip 1.15 Aluminum Foot Rest Natural Fit Standard Grip 1.95 Rear Anti Tip Swing Away Pair 2.70 Aluminum Tubular 0.11 Natural Fit Super Grip 1.95 Rear Anti Tip Swing Away - Left 1.35 Aluminum Tubular Long 0.18 Natural Fit - No Thumb Grip 1.27 Rear Anti Tip Swing Away - Right 1.35 Aluminum Tubular w/flat Cover 0.34 Natural Fit LT Standard Grip 1.57 Omit Anti Tip 0.00 Aluminum Tubular Long w/flat Cover 0.41 Natrual Fit LT Super Grip 1.57 Seat Sling Aluminum Tubular w/flared Cover 0.45 Natural Fit LT - No Thumb Grip 0.89 Standard Seat Sling 0.00 Aluminum Tubular Long w/flared Cover 0.52 Spinergy Flex Rim 3.91 Omit Seat Sling Aluminum Platform Vertical Projections 1.90 Seat Cushion Aluminum Platform Long Oblique Projections " Cushion 1.26 High Mount Platform 1.19 Omit Handrim Omit Cushion 0.00 High Mount Platform Long 1.27 Axles (Pair) Side Guard Footrest Options Quick Release (Light Spoke Wheel) (MBL) 0.00 Plastic Standard 1.81 Removable Snap On Cover (16" Wide) 0.24 Quick Release (Spinergy, Ultra-Light) 0.03 Plastic Low 1.42 Wear Pads (ea) Need 2 per chair 0.02 Quick Release (Mag Wheels) 0.00 Folding Plastic Standard 2.08 Adaptive Platform 2" Spacer 0.16 Quad Quick Release 0.13 Folding Plastic Low 1.74 Adaptive Platform 4" Spacer 0.34 Axle Plates (Pair) Carbon Fiber 0.92 Adaptive Platform 6" Spacer 0.52 Standard Long 0.00 No Side Guard 0.00 No Foot Rest Options 0.00 Standard Short Accessories Leg Strap Amputee 0.48 Quickie Backpack 0.45 No Leg Strap Xtender 2.88 Quickie Backpack Kids 0.25 Leg Strap (10-14") 0.00 Suspension 0.87 Quickie Seat Pouch 0.20 Leg Strap (15-17") 0.00 Back Type Belt 2" Aircraft Buckle 0.44 Leg Strap (18-20") 0.01 Non-Folding Backrest Belt 2" Aircraft Buckle Padded 0.60 Angle Adj. Folding Lock Down Back 0.00 Belt 1-1/2" Auto Buckle Universal 0.38 Push Handles (Pair) Quickie Black Spoke Guard 1.12 Alum Standard 16" Wide 0.27 Quickie "Q" Clear Spoke Guard 1.70 Alum Tall 16" Wide 0.40 Caddy 0.50 Integral Push Handles Short 0.49 Travel Wheels 2.00 Integral Push Handles Medium 0.56 Neoprene Impact Guards 0.11 Integral Push Handles Tall 0.63 Crutch Holder 0.57 Fold-Down PH 12"-16" & 14"-18" 1.00 Wheelchair Tray 6.50 Fold-Down Push Handles 16"-20" 1.08 Position Plate for Aluminum Footrest 1.04 Omit Push Handle 10"-14" 0.33 Xtra Leg Strap 0.15 Omit Push Handle 12"-16" 0.39 Omit Push Handle 14"-18" 0.46 Omit Push Handle 16"-20" 0.53 No Push Handles of 7
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DEALER INFORMATION Dealer: Account #: PO: Email: Mark For: Sales Rep: Information: Ordered By: Promo Code: RTS INFORMATION Ship Date: Order #: Phone: Fax: Please Email or Fax to the Customer Service Team
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Effective August 12, 2016 (New Items in Red) Page 1 of 6 DEALER INFORMATION RTS INFORMATION Dealer: Account #: RTS: Phone: PO: Ordered By: Email: Email: SHIP TO INFORMATION Mark For: Name: Ship Via: Sales
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Ultra Lightweight Family Live without limits You want cutting-edge wheelchair technology to keep pace with the demands of your active life. For over 30 years, Quickie has listened, researched, tested and
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Ultra Lightweight Family Live without limits Living an active life means putting your heart and soul into it, being part of something, taking a deep breath of nature, freeing your mind, and going beyond
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More informationRev D. Feb2012 Page 1 of 6
Rev D. Feb2012 Page 1 of 6 www.topendwheelchair.com (800) 532-8677 (727) 522-8677 fax: (727) 522-1007 Force: Fork Assembly PART PER NUMBER BIKE 1 1145998 1 Fork, Force (incl: fork, 4 bolts) -Serial# Required-
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a Mark Fr: Date: Dealer Acct #: Dealer: Dealer Cntact: Dealer Address: Dealer City: ST: Dealer Phne: ( ) Fax: ( ) Cnfirmatin Email: Cnfirm Via: Optin # ZIP: Submitting fr: Qute Order Fax Email Ship T Phne:
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Invacare ProSPIN X4 Ultralightweight Active Performance Folder Suggested Canadian Price List Effective July 31st, 2018 NAME PHONE NO ACCOUNT # P.O. DATE ADDRESS FRAME FRAME TYPE PROX4S X4 Folding Frame
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1181378 Rev C.2016.03.14 Force 2 Parts Book Page 1 of 7 Force 2: Fork Assembly Date: Customer: Ship to: PER BIKE DESCRIPTION 1 1166391 1 Fork, Force 2 (incl: fork, 4 bolts) -Serial# Required- Red Blue
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Rev B. Mar 23, 2011 Page 1 of 5 www.topendwheelchair.com Invacare Top End Sports and Recreation Products (800) 532-8677 (727) 522-8677 fax: (727) 522-1007 Force G: Fork Assembly 1 1166257 1 Fork, Force
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a Mark Fr: ST: Dealer Phne: ( ) Fax: ( ) Optin # Date: Dealer Acct #: Dealer: Dealer Cntact: Dealer Address: Dealer City: Cnfirmatin Email: Cnfirm Via: HCPCS ZIP: Submitting fr: Qute Order Fax Email Ship
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Rev B. Jan, 2014 Page 1 of 6 www.topendwheelchair.com Invacare Top End Sports and Recreation Products (800) 532-8677 (727) 522-8677 fax: (727) 522-1007 Force 2, Fork Assembly Date: 1 1166391 1 Fork, Force
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Effective January 1, 2014 (New Items in Red) Page 1 of 8 DEALER INFORMATION RTS INFORMATION Dealer: Account #: RTS: Phone: PO: Ordered By: Email: Email: SHIP TO INFORMATION Mark For: Name: Ship Via: Sales
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Rev A, 10/2012 Page 1 of 8 www.topendwheelchair.com Rev A, 10/2012 Page 2 of 8 www.topendwheelchair.com (800) 532-8677 (727) 522-8677 fax: (727) 522-1007 Force RX: Fork/Cranks Assembly Date: Phone: Fax:
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Effective February 1, 2018 (New Items in Red) Page 1 of 6 DEALER INFORMATION RTS INFORMATION Dealer: Account #: RTS: Phone: PO: Ordered By: Email: Email: SHIP TO INFORMATION Mark For: Name: Ship Via: TiLite
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1181377 Rev H.2016.03.14 Force G Parts Book Page 1 of 7 Top End INTED: 3/29/2016 1:46:12 PM - THIS DOCUMENTATION IS OBSOLETE AFTER: 3/30/2016 1:46 PM INTED: 3/29/2016 1:46:12 PM - THIS DOCUMENTATION IS
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Rev D. May 12, 2011 Page 1 of 7 www.topendwheelchair.com (800) 532-8677 (727) 522-8677 fax: (727) 522-1007 Force R: Fork/Crank Assy 1 1153309 1 Fork, Force R (incl: fork, 2 clamps, 4 bolts, 4 nuts) -Serial
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Rev B, 03/2012 Page 1 of 8 www.topendwheelchair.com (800) 532-8677 (727) 522-8677 fax: (727) 522-1007 Force X: Fork Assembly 1 (Page 3) 1 Fork Weldment, Force X 2 1166337 1 Brake Caliper Set (Front & Rear)
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DEALER INFORMATION Dealer: Account #: PO: Ordered By: Email: Mark For: TiLite Sales Rep: TiLite Information: Promo Code: Ship Date: Order #: Page 1 of 8 RTS INFORMATION RTS: Phone: Email: SHIP TO INFORMATION
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Rev A. 10/2012 Page 1 of 6 www.topendwheelchair.com (800) 532-8677 (727) 522-8677 fax: (727) 522-1007 Force CC Fork Assy Customer: Top End Sales Order: PART NUMBER 1 1166643 1 Fork, Force CC (incl: fork,
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a Mark Fr: Date: Dealer Acct #: Dealer: Dealer Cntact: Dealer Address: Dealer City: ST: Dealer Phne: ( ) Fax: ( ) Cnfirmatin Email: Cnfirm Via: ZIP: Quickie 2 Lite May 2017 EIQ2X Qute Fax Email Ship T
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a Mark Fr: Date: Dealer Acct #: Dealer: Dealer Cntact: Dealer Address: Dealer City: ST: Dealer Phne: ( ) Fax: ( ) Cnfirmatin Email: Cnfirm Via: ZIP: Quickie 2 Lite March 2017 EIQ2X Submitting fr: Ship
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1181374 Rev K.2016.09.09 Force RX Parts Book Page 1 of 12 Top End 1181374 Rev K.2016.09.09 Force RX Parts Book Page 2 of 12 Top End (800) 532-8677 (727) 522-8677 fax: (727) 522-1007 Force RX: Crank Assembly
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