Invacare Top End Force RX Handcycle Order Request Type:

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1 Order Request Type: Quote CAD/Quote Order PO # Provider / Customer Information: Provider Information: End User Information: Date: Name: Height: IVC Acct #: Ship to Address: Weight: Contact: Address Line 2: Leg Length: Phone #: City: Hip Width: Fax/ Province: Postal: Phone #: Ship to Provider Ship to End User Complete handcycle starts at: $6, Frame: See definitions Force RX frame & fork W/ Carbon back $6,495 Sizing: See diagram " Seat Width $ " Seat Width $ " Seat Width $ " Seat Width $ " Seat Width $ " Seat Width $0 Wheelbase: Measured from front to rear axle Wheelbase for 26" wheel: " Wheebase 62" Wheelbase $0 $0 Wheelbase for 700c wheel: Camber Angle: 61" Wheelbase $0 63" Wheelbase $ Degree Camber $ Degree Camber $0 Footrest Options: See diagram 2 Size: Upgrades: 3-3/4" Footrest Width $0 4-3/4" Footrest Width $0 Connected Footrest W/ Bumper Not reccommended for users under 5'8" or with $ Disc Brake option (65082) Leg Support, Curved Sold as a single item - if two are desired please $ write it in the specials section Leg Guard $97 Crank Options: See diagram 3 Crank Length: Crank Width: mm Long $0 160mm Long $0 165mm Long $0 170mm Long $0 175mm Long $0 180mm Long $0 12" Wide $0 13" Wide $0 14" Wide $0 15" Wide $0 16" Wide $0 17" Wide $0 Handpedal Options: See diagram 4 Size: Angle: Small (1-1/2") Ovalized Ergonomic $250 Medium (1-3/4") Ovalized Ergonomic $156 Large (2-1/4") Ovalized Ergonomic $ Degrees $0 25 Degrees Only Available with Apex (65067) or Di2 (65063) shifting packages $ Upgrades: Power Plates $54 Derailleur Options: Cable Driven derailleur with Friction Shifter Lever $ Manual $0

2 Shifter Options: 10 Speed Speed: Other: SRAM GX Trigger Shifting Package Shifter & brake mounted on right Handpedal only $550 SRAM GX Shifter SRAM GX Derailleur Avid Brake Lever Tektro Brake Caliper Tektro Flip Lever Parking Brake SRAM GS/GX Grip/Twist Shifter Package Shifter & brake mounted on Right Handpedal, Left Handpedal mount available as a special SRAM GS Shifter SRAM GX Derrailuer Avid Brake Lever SRAM Apex Road Shifting Package Shifter & brake mounted on Right side of fork only SRAM Apex Shifter SRAM GX Derailleur Brake Lever Integrated into shifter QuadGrip Wrist Shifting & Elbow Braking Package See definitions and exclusions Mouned on Right Handpedal Only Wide fork (75026) and disc brake (65082) required SRAM Double Tap Shifter (Wrist Activated) SRAM GX derailleur Tektro Brake Lever (Elbow Activated) Tektro Brake Caliper Tektro Flip Lever Parking Brake Shimano Di2 Electronic Shifting Package Mounted on Right handpedal, Fork mount available as a special Shimano Ultegra Shifter XTR Di2 Electronic Derailleur Brake Lever Integrated into shifter SRAM etap Electronic Shifting Package Shifter mounted Left Handpedal, Brake mounted on Right Handpedal etap Clic Shifter SRAM Red etap Derailleur SRAM Time Trial Brake Lever $563 Omit All Shifting Components $0 $1456 $1200 $2,063 $2,125* Alternative Braking: Front disk brake Required with QuadGrips (65068) Shifting package. When this option is chosen the wide fork option (75026) and a disc brake compatible front wheel is required $350 Front Wheel Options: Item #: Description: Tire: Price: " High Performance 26" High Performance 26" Spinergy Carbon Clincher $363 Clincher $506 Clincher $ " Top End Carbon Not available with Di2 shifting package Tubular $ " Corima Aero Carbon Tubular $1,500 26" Corima Aero Carbon Tubular $1, c Zipp 404 Firecrest Carbon Clincher $1,450* 700c Corima Aero Carbon Tubular $1, c Corima Aero Carbon Tubular $1, c High Performance Clincher $ c High Performance Omit Front Wheel - Build for 26" (650c) Omit Front Wheel - Build for 700c Rear Wheel Options: Clincher $288 Item #: Description: Tire: Price: " High Performance Clincher $ " Top End Carbon Tubular $ " Corima Aero Carbon Tubular $2, " Corima Disk Carbon Tubular $ " Spinergy Carbon Clincher $1, c Zipp 404 Firecrest Carbon Clincher $2,375* c Corima Aero Carbon Tubular $ c High Performance Clincher $331 Omit Rear Wheels - Build for " (650c) Omit Rear Wheels - Build for 700c are subject to change without notification.

3 Tire Options: See exclusions Item #: Description: Tire: Price: " High Performance Clincher $ " Tufo Jet Special Tubular $ " Continental Grand Prix Clincher $ " Continental Sprinter Tubular $ c High Performance Clincher $ c Continental Grand Prix Clincher $ c Continental Sprinter Tubular $ c Tufo Jet Special Tubular $0 Fork Options: See diagram 5 Lower fork style: Fork adjustability options: Fixed fork Options: Fixed Height: Fixed Length: Chainring/Cassette Options: Chainrings: Aerodynamic $0 Wide (Required with disk brake) $0 Adjustable Height " " Fixed Length - 29" $0 Adjustable Height " " Adjustable Length - 27" - 30" $350 Fixed Height - Choose height below Fixed Length - Choose length below $ " Crank Height (26" wheels only) $0 18.5" Crank Height (26" wheels only) $0 19.0" Crank Height $0 19.5" Crank Height $0 20.0" Crank Height $0 20.5" Crank Height $0 21.0" Crank Height $0 21.5" Crank Height $0 22.0" Crank Height $0 22.5" Crank Height (700c wheels only) $0 23.0" Crank Height (700c wheels only) $0 26.0" Fork Length (26" wheels only) $0 26.5" Fork Length (26" wheels only) $0 27.0" Fork Length $0 27.5" Fork Length $0 28.0" Fork Length $0 28.5" Fork Length $0 29.0" Fork Length $0 29.5" Fork Length $0 30.0" Fork Length $0 30.5" Fork Length (700c wheels only) $0 31.0" Fork Length (700c wheels only) $ Chainring Combination $ Chainring Combination $150 Compact Chainring Combination $125 Cassette options: Cassette $0 Options and Accessories: Safety: Drafting Bumper $ Carbon Fiber Chainguard $ Adjustable Headrest $ Safety Flag $ Mirror, Chain Guard Mounted $ Light, Front (White) $ Light, Rear (Red) $ Tool and Tire Repair Kit $ Cable Kit $ Extra Steering Dampener $ Helmet, Small/Medium $ Helmet, Medium/Large $95 Hydration: Backpack Hydration System $ Water Bottle and Cage $50 Positioning: Seat Cushion $ Back Cushion $ Click Strap, 8" Small $ Click Strap, 10" Medium $ Click Strap, 12" Large $112 Performance Enhancement: Wheel Alignment Gauge $ Crank Width Adaptor Set Not installed (Gain +1.5" of crank width per set) $25 Cordless Computer (tracks speed, distance, etc.) $ Transportation: Crutch Holder $ Bike Rack, Hitch 1-1/4" $550* Bike Rack, Hitch 2" $550* Wheel Bag $250* Travel Bag $375* Training: SRM Training System - Triple (see definitions) $4063* SRM Training System - Compact (see definitions) $ Heartrate Monitor $ Indoor Stationary Roller $369* Sportscrafter Mini Roller $438* Apparel: T-Shirt, Large $16* T-Shirt, Extra Large $16* Racing Jersey, Large $100* Racing Jersey, Extra Large $100*

4 Color Options: Item #: Color: Hue: Price: Frame Color: Red Tangerine Red $0 Red Raspberry Red $0 Red Simple Red $0 Red Neon Red $0 Orange Simple Orange $0 Orange Sunkissed Orange $0 Orange Neon Orange $0 Yellow Neon Yellow $0 Yellow Safety Yellow $0 Green Agriculture Green $0 Green Neon Green $0 Green Grasshopper Green $0 Blue Midnight Blue $0 Blue Royal Blue $0 Blue Electric Blueberry $0 Purple Lilac Purple $0 Purple Purple Death $0 Pink Bubble-Gum Pink $0 Pink Neon Pink $0 White White Snow $0 Black Stealth Black $0 Black Wet Black $0 Black Black Prism $0 Silver Silver Metallic $0 Grey Stealth Grey $0 Raw Buffed Aluminum $375 Optional Alternative Fork Color: If no alternative fork color is selected; fork color will be the same color as the frame color selected Item #: Color: Hue: Price: Fork Color: Red Tangerine Red $200* Red Raspberry Red $200* Red Simple Red $200* Red Neon Red $200* Orange Simple Orange $200* Orange Sunkissed Orange $200* Orange Neon Orange $200* Yellow Neon Yellow $200* Yellow Safety Yellow $200* Green Agriculture Green $200* Green Neon Green $200* Green Grasshopper Green $200* Blue Midnight Blue $200* Blue Royal Blue $200* Blue Electric Blueberry $200* Purple Lilac Purple $200* Purple Purple Death $200* Pink Bubble-Gum Pink $200* Pink Neon Pink $200* White White Snow $200* Black Stealth Black $200* Black Wet Black $200* Black Black Prism $200* Silver Silver Metallic $200* Grey Stealth Grey $200* Special Request 1) Special Request 2) Special Request 3) Special Request 4) Special Request 5) Note: All Special requests are subject to approval, additional charges, and additional lead time

5 Handcycle Configuration: Weight: 28 pounds Turning Radius: Transfer Height: Frame Style: Fork: Propulsion / Shifting: Crank assembly: Back: Footrest: Hand Pedals: Brake: Wheelbase: Camber: Wheels: Axles: Tires / Tubes: Positioning Straps: Cushions: Safety / Visibility: 18 feet for 360 degree circle, 12 feet on a 3-point turn 5" from ground with 2" cushion Ovalized 7005 aluminum tubing which is heat treated for increased strength and stiffness Removable, Travel ready, with adjustable cranks 30 or 33 speeds with choice of components Optional fixed or adjustable Carbon Fiber, adjustable angle from 50 to 70 degrees Dual adjustable length, includes straps Ovalized ergonomic with frictionless bearings Caliper brakes standard, optional front disk brake 60" standard, 56",61", 62" and 63" optional, axle to axle. 85.5" overall length 3 or 0 degree available 26" or 700c wheels with optional upgrades Threaded 26" or 700c clincher or tubular options Hook and loop positioning strap included Seat and back cushion included Flag and reflectors included Exclusions: Quad Cuff handpedals: QuadGrip's shifting package: Definitions: Tires: Top End Force RX Frame and Fork: QuadGrip's shifting package: Di2 Electronic shifting package: The Quad Cuff handpedals are only available if the Elbow Shifting package (65069) is ordered, because there is no place to mount the shifter with the other shifting packages. The QuadGrips shifting package requires the wide fork and the disc brake option to be chosen. Disc brake compatible front wheel is required. Must choose the same size tires as wheels. Clincher wheels must have clincher tires and tubular wheels must have tubular tires. The Top End Force RX handcycle is made of 7005 series aluminum. An adjustable carbon fiber backrest and an adjustable bolt-on headrest are included. With a standard configuration the Force RX is 30 speeds, With Di2 shifting the bike is 33 speeds. The QuadGrip's shifting package is designed to help users with limited hand function by locking the hands in place using three adjustable pin-like posts. This package includes a wrist activated shifter, mounted on the right handpedal, which controls the gears located on the front wheel. Also included are wraps to protect the users wrists. Di2 is a family of electronic shifting components manufactured by Shimano. An lectronic shifter are offered on the handpedal and operates the front wheel derailluer only. Electronic shifting at the crank is available as a special request. Chain Guard: Carbon Fiber chain guard included are subject to change without notification.

6 Product Diagrams: Product photo:

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