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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/Email: Province: Postal: Phone #: Ship to Provider Ship to End User Email: Complete chair starts at: $3,495.00 Base Model: Top End Schulte 7000 Series Basketball $3,495 10002 Wheelchair 75003 Heavy Duty Option $745 Seat Width: 15009 15010 15011 15012 15013 15014 15015 15016 15017 15018 15019 15020 15021 15022 15023 15024 15025 15026 15027 12.0" Seat Width $0 12.5" Seat Width $0 13.0" Seat Width $0 13.5" Seat Width $0 14.0" Seat Width $0 14.5" Seat Width $0 15.0" Seat Width $0 15.5" Seat Width $0 16.0" Seat Width $0 16.5" Seat Width $0 17.0" Seat Width $0 17.5" Seat Width $0 18.0" Seat Width $0 18.5" Seat Width $0 19.0" Seat Width $0 19.5" Seat Width $0 20.0" Seat Width (heavy duty required) $0 20.5" Seat Width (heavy duty required) $0 21.0" Seat Width (heavy duty required) $0 Tapered Seat Width: 15181 15183 15185 15187 Tapered Seat Width 1" (rear to front) $177 Tapered Seat Width 2" (rear to front) $177 Tapered Seat Width 3" (rear to front) $177 Tapered Seat Width 4" (rear to front) $177 Seat Depth (Upholstery): 15038 15040 15042 15044 15046 15048 15050 15052 12" Seat Depth $0 13" Seat Depth $0 14" Seat Depth $0 15" Seat Depth $0 16" Seat Depth $0 17" Seat Depth $0 18" Seat Depth $0 19" Seat Depth $0 Extra Frame Depth: 15140 15141 15142 15143 15144 0.0" Extra Frame depth $0 0.5" Extra Frame depth $0 1.0" Extra Frame depth $0 1.5" Extra Frame depth $0 2.0" Extra Frame depth $0 Frame Options: 75007 Solid Seat with Welded Ridgidizer Bars $257 Invacare Canada LP, 570 Matheson Blvd. E., Unit # 8, Mississauga, ON, L4Z 4G4 Phone: (905) 890-8300 (800) 668-5324, Fax: (905) 890-5244 (800) 668-5478, Email: canadaorders@invacare.com are subject to change without notification.

Front Seat to Floor: 15060 15061 15062 15063 15064 15065 15066 15067 15068 15069 15070 15071 15072 15073 Rear Seat to Floor: 15080 15081 15082 15083 15084 15085 15086 15087 15088 15089 15090 15091 15092 15093 14.5" Front Seat to Floor $0 15.0" Front Seat to Floor $0 15.5" Front Seat to Floor $0 16.0" Front Seat to Floor $0 16.5" Front Seat to Floor $0 17.0" Front Seat to Floor $0 17.5" Front Seat to Floor $0 18.0" Front Seat to Floor $0 18.5" Front Seat to Floor $0 19.0" Front Seat to Floor $0 19.5" Front Seat to Floor $0 20.0" Front Seat to Floor $0 20.5" Front Seat to Floor $0 21.0" Front Seat to Floor $0 14.5" Rear Seat to Floor $0 15.0" Rear Seat to Floor $0 15.5" Rear Seat to Floor $0 16.0" Rear Seat to Floor $0 16.5" Rear Seat to Floor $0 17.0" Rear Seat to Floor $0 17.5" Rear Seat to Floor $0 18.0" Rear Seat to Floor $0 18.5" Rear Seat to Floor $0 19.0" Rear Seat to Floor $0 19.5" Rear Seat to Floor $0 20.0" Rear Seat to Floor $0 20.5" Rear Seat to Floor $0 21.0" Rear Seat to Floor $0 Wheel Camber Angle: 45006 12 Degree Camber $0 45008 15 Degree Camber $0 45009 18 Degree Camber $0 45010 20 Degree Camber $0 Center of Gravity: (front of backrest to center of axle) Fixed: 45049 45050 45051 45052 45053 45054 45055 45074 45075 45076 Fixed at 3.0" with Welded Backrest $0 Fixed at 3.5" with Welded Backrest $0 Fixed at 4.0" with Welded Backrest $0 Fixed at 4.5" with Welded Backrest $0 Fixed at 5.0" with Welded Backrest $0 Fixed at 5.5" with Welded Backrest $0 Fixed at 6.0" with Welded Backrest $0 Adjustable: (see exclusions) Adjustable 2" to 4" with adjustable Adjustable 3" to 5" with adjustable Adjustable 4" to 6" with adjustable Wheelbase: (front to rear axle) 75066 15" Wheelbase $0 75067 16" Wheelbase $0 75068 17" Wheelbase $0 75069 18" Wheelbase $0 75070 19" Wheelbase $0 Back Height: Adjustable: 15126 15127 15128 15101 15103 15105 15107 15109 15111 15113 15115 Adjustable 9" to 11" back height $0 Adjustable 10" to 14" back height $0 Adjustable 14" to 18" back height $0 Fixed: Fixed at 8" back height $0 Fixed at 9" back height $0 Fixed at 10" back height $0 Fixed at 11" back height $0 Fixed at 12" back height $0 Fixed at 13" back height $0 Fixed at 14" back height $0 Fixed at 15" back height $0 Side Guards: (see exclusions) 20004 Fixed Aluminum, Clamp-on $134 20005 Fixed Aluminum 6" above seat $257 20007 Fixed Carbon Fiber 6" above seat $450 20006 Welded Aluminum Tube 6" above seat $697 Anti-Tip: 20030 Adjustable Height, Single $0 20031 Adjustable Height, Double $150 Wing Style: (see diagram 3) 75031 Four Bend Wing $0 75032 Bumper $0 75030 Round Wing $156 Footrest: (see definitions) 60007 Platform, Adjustable Height/Angle with Platform Plate $220 60003 Tubular, Adjustable Height $0 60006 Adjustable Angle/Height $172 Options: 60030 Click Strap, Single Pad $112 60028 2" Risers $118 60029 4" Risers $118 60026 Plastic Footrest Cover $97 60027 Carbon Fiber Footrest Cover $216 Front Frame Angle: 75050 80 Degrees $0 75051 85 Degrees $0 75052 90 Degrees $0 $0

Footrest Height from Floor: Adjustable 60060 1" Top of footrest to floor $0 60062 2" Top of footrest to floor $0 60064 3" Top of footrest to floor $0 60066 4" Top of footrest to floor $0 60068 5" Top of footrest to floor $0 Rear Wheel Options: Size and Style: 50001 50005 50009 50013 50017 50021 50025 50029 50116 50002 50006 50010 50014 50018 50022 50026 50030 50117 50003 50007 50011 50015 50019 50023 50027 50031 50118 50004 50008 50012 50016 50020 50024 50028 50032 50119 24" Sun High Performance $0 24" Spinergy SLX - Black $959 24" Spinergy SLX - Yellow $959 24" Spinergy SLX - White $959 24" Spinergy SLX - Red $959 24" Spinergy SLX - Blue $959 24" Spinergy SLX - Green $959 24" Spinergy SLX - Pink $959 24" Sun Equalizer Cross Spoke 25" Sun High Performance $0 25" Spinergy SLX - Black $959 25" Spinergy SLX - Yellow $959 25" Spinergy SLX - White $959 25" Spinergy SLX - Red $959 25" Spinergy SLX - Blue $959 25" Spinergy SLX - Green $959 25" Spinergy SLX - Pink $959 25" Sun Equalizer Cross Spoke 26" Sun High Performance $0 26" Spinergy SLX - Black $959 26" Spinergy SLX - Yellow $959 26" Spinergy SLX - White $959 26" Spinergy SLX - Red $959 26" Spinergy SLX - Blue $959 26" Spinergy SLX - Green $959 26" Spinergy SLX - Pink $959 26" Sun Equalizer Cross Spoke 700C Sun High Performance $0 700C Spinergy SLX - Black $959 700C Spinergy SLX - Yellow $959 700C Spinergy SLX - White $959 700C Spinergy SLX - Red $959 700C Spinergy SLX - Blue $959 700C Spinergy SLX - Green $959 700C Spinergy SLX - Pink $959 700C Sun Equalizer Cross Spoke Rear Wheel Options: (continued) Handrim (HR) Size/Material: 50300 50301 50305 50302 50306 50303 50314 Handrim Style/Mounting: 50308 50309 50310 50311 Tires: 50200 50204 50208 50201 50205 50209 50202 50206 50210 50203 50207 50211 Spoke Guards: 25052 25049 25053 25050 25054 25051 Axles: 24" (6 tab) Aluminum Anodized HR $0 25" (6 tab) Aluminum Anodized HR $0 25" (12 tab) Aluminum HR $200 26" (6 tab) Aluminum Anodized HR $0 26" (12 tab) Aluminum HR $200 700C (6 tab) Aluminum Anodized HR $0 700C (12 tab) Aluminum HR $200 Standard Mount Handrim $0 Close Mount Handrim $0 Close Mount HR, Cut-Tabs - Aluminum $50 Close Mount HR, Cut-Tabs - Titanium $100 24" Primo, Grey tires $0 24" Primo, Red tires $97 24" Primo, Yellow tires $97 25" Primo, Grey tires $0 25" Primo, Red tires $97 25" Primo, Yellow tires $97 26" Primo, Grey tires $0 26" Primo, Red tires $97 26" Primo, Yellow tires $97 700C Primo, Grey tires $0 700C Primo, Red tires $97 700C Primo, Yellow tires $97 24" Black Spoke Guards $102 24" Clear Spoke Guards $102 25" Black Spoke Guards $102 25" Clear Spoke Guards $102 26" Black Spoke Guards $102 26" Clear Spoke Guards $102 50400 Quick Release, 1/2" Steel $0 50403 Quick Release, 1/2" Titanium $252 Tire to Tire distance: 15155 Seat Width plus 2.5" tire to tire $0

Upholstery: Material/Color: 30001 30002 30003 Nylon, Black upholstery $0 Nylon, Woodland Camuflage upholstery $200 Nylon, Digital Camuflage upholstery $200 Seat Style: 30014 Adjustable Tension Seat Upholstery $0 Back Style: 30012 Adjustable Tension Back Upholstery $0 Options: Leather Flap and aluminum dome plugs $135 30004 30005 2" Soft Foam Cushion $107 30006 3" Soft Foam Cushion $107 30008 2" Hard Foam Cushion $177 30009 3" Hard Foam Cushion $177 30010 4" Hard Foam Cushion $177 Options and Accessories: Safety: 25065 Rear Frame Protector $0 25005 Front Frame Protector $50 25066 Calf Strap $0 Positioning: 25001 Click Strap set, 8" Small $112 25002 Click Strap set, 10" Medium $112 25003 Click Strap set, 12" Large $112 25012 Metal O-Ring Strap $129 25013 Hook and Loop Strap $64 Accessories: 25011 Basketball Carrying Bag $104 Apparel: 25009 T-Shirt, Large $16* 25010 T-Shirt, Extra Large $16* Color Options: Item #: Color: Hue: Price: Frame Color: 55002 55003 55005 55007 55008 55010 55011 55012 55014 55015 55016 55017 55018 55019 55020 55023 Red Tangerine Red $0 Red Raspberry Red $0 Orange Simple Orange $0 Yellow Safety Yellow $0 Green Grasshopper Green $0 Blue Midnight Blue $0 Blue Royal Blue $0 Blue Electric Blueberry $0 Purple Grape Madness $0 Pink Bubble-Gum 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 Note: All Special requests are subject to approval, additional charges and additional lead time Special Request 1) Special Request 2) Special Request 3) Special Request 4) Special Request 5)

Product Guides: Wheelbase Guide: Seat Depth: 12" to 14" 15"' to 16" 17" to 19" Recommended Wheelbase: 15" 16" to 18" 19" Wheel Size Guide: Rear Seat Height: Player Specifications: Recommended Wheel Size: Product Diagrams: 16 or less 16.5" to 19" 19" to 21" Junior's/Short arms Adult/3.0 or lower Adult/3.5 or higher 24" 25" 26" Product Illustration: 1 Definitions: Footrest Width: Heavy Duty Options : Tapered Seat Width : Footrest width will be seat width minus 6" except when the platform footrest (60007) is picked. Brings the weight capacity of the chair up to 350 pounds. Chair is build with 1-1/8"7000 series aluminum. Taper of seat width from back to front, maximum difference of 4". Seat width chosen is rear seat width and seat width tappers to the front of the chair based on tapered selection. 2 3 Extra Frame Depth : 2" or 4" Risers : Sun Equalizer Wheels: Leather flaps: Buffed Aluminum: Allows for an extra 1/2" to 2" of extra frame for transferring and length of frame. Posts installed to raise footrest height to 5.5" or higher. All Sun Equalizer wheels have a crossed spoke lacing pattern. 24" have 36 spokes and come with 6 tab aluminum anodized handrims, 25", 26", and 700C have 48 spokes and come with 12 tab aluminum anodized handrims. The leather flap upgrade includes a 3" leather flaps for reinforced heavy duty upholstery and an aluminum back frame plug to help prevent tearing. Raw looking aluminum finish, no paint. Decals will be applied. Exclusions: Adjustable Center of Gravity : Sideguards: The Fixed, Clamp-on Sideguards (20004) are the only sideguards available with the adjustable center of gravity. Fixed, Clamp-on sideguards (20004) are the only aption available with adjustable center of gravity options.