Carbonbike-USAChris Petersonchris@carbonbike‐usa.com

Customer name: STEPHANE MASSARDstreet: steph@carbonbike‐usa.comCity:State: Carbonbike.USAZip: Country: 6585 HAINES ROADemail: ST PETERSBURG, FL. 33702phone #: ph (440) 315‐8503

K1 / K2 Price in USD

Quantity Price Total

FRAME AND FORK ONLYK1 CARBON FIBER KNEELER (DOUBLE AMPUTEE) 11,000K2 CARBON FIBER KNEELER (SINGLE LEG AMPUTEE OR AMBULATORY) 11,000INCLUDES CRANK BOTTOM BRACKET BEARING ADAPTORS AND 1 SET OF 1/2" THREADED AXLE INSERTS

ALUMINUM CRANKSCRANK LENGTH CRANK WIDTH 500INCLUDES BOTTOM BRACKET, 110 BCD SPIDER , 53/38 CHAIN RINGS

GRIPSGRIP SIZE MEDIUM LARGE 240GRIP ANGLE 30 DEGREEBRAKE HANDLE RIGHT LEFT

DRIVE TRAINETAP 22 SPEEP, 53/38, cassette 11‐32 1700ETAP 22 SPEED, 53/38, cassette 11‐36 1700

DRIVE WHEELCARBONBIKE 700c 50 mm CARBON FIBER DRIVE WHEEL (CLINCHER) N/CCARBONBIKE 700c 50 mm CARBON FIBER DRIVE WHEEL (TUBULAR) 250

REAR WHEEL CAMBER INSERT13 DEGREE N/C11 DEGREE 5015 DEGREE 50

REAR WHEELSCARBONBIKE 700c 50 mm CARBON FIBER WHEEL (CLINCHER) N/CCARBONBIKE 700c 50 mm CARBON FIBER WHEEL (TUBULAR) 500CORIMA REAR DISC WHEELS 2500no wheels ‐400

OPTIONSSRM ONLY 2100SRM TRAINING SYSTEM (BUNDLE) 2500

Name: Date

K1 / K2 Order Form

Sending costs to be quotedWarranty 3 years on all carbon partsOrder commenced with 50% down payment. Delivery time 4-6 weeks depending on demand

Total price

A) Seat width

B) Center of crank to back of seat

C) Center of Crank to floor

D) Length of seat

E) Fork length

F) Rear axle length

1 inch = 2.54 cm

Special Instructions:

CM Inches

46 cm or 48