Order Form and Price List: All products must be ordered through an Invacare provider. Our provider locator is available at www.topendwheelchair.com

Invacare® Top End® Pro™ Tennis Wheelchair

Invacare Corporation Top End Division All rights reserved. Trademarks are identified by the symbols ™ and ®. All trademarks are owned by or licensed to Invacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification. ©2015 Invacare Corporation 1181426 REV B SWATSON 11/15/2018 Page of

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: State: Zip: Phone #:

Ship to Provider Ship to End User Email:

Base Model: Item #: Description: Price:

10001 Top End Pro Tennis Wheelchair $2,395

Sizing: Item #: Description: Price:Seat Width: (see Diagram 1) see exclusions

1500515007150091501115013150151501715019150211502315025

10" Seat Width $011" Seat Width $012" Seat Width $013" Seat Width $014" Seat Width $015" Seat Width $016" Seat Width $017" Seat Width $018" Seat Width $019" Seat Width $020" Seat Width $0

Seat Depth: (see Diagram 2) see exclusions150341503615038150401504215044150461504815050

10" Seat Depth $011" Seat Depth $012" Seat Depth $013" Seat Depth $014" Seat Depth $015" Seat Depth $016" Seat Depth $017" Seat Depth $018" Seat Depth $0

Back Height: (see Diagram 2)151261512715128

Adjustable 9" to 11" $0Adjustable 10" to 14" $0Adjustable 14" to 18" $0

Seat Height: (see product guide)

15099

15100

Adjustable Front: 19" to 21" (Tall)Adjustable Rear: 15" to 21" $0Adjustable Front: 17" to 19" (Short)Adjustable Rear: 13" to 17" $0

Back Type: Item #: Description: Price:

1515915165

Non-Fold-Down, Angle Adjustable back $0Fold-Down back $250

Removable Seat Extension Handle: Item #: Description: Price:

200402004120042

Right Side Only $0Left Side Only $0Both Left and Right Side $0

Wheebase: (Front to Rear Axle) (see Diagram 2) Item #: Description: Price:

750667506875070

15" Wheelbase $017" Wheelbase $019" Wheelbase $0

Camber Angle: (see Diagram 1) Item #: Description: Price:

450084500945010

15 Degree Camber $018 Degree Camber $020 Degree Camber $0

Center of Gravity: Item #: Description: Price:

45072 Adjustable 3.5" to 5.5" $0

Side Guards: Item #: Description: Price:

200162000420003

Omit Side Guards $0Fixed, Aluminum, Clamp-on $125Fold-In, Aluminum $125

Anti-Tip: Item #: Description: Price:

2003020032

Single, Adjustable Height $0Telescoping $200

Footrest: Item #: Description: Price:

60001 Platform, Height Adjustable $060030 Click Strap, Single Pad $75

Axles: Item #: Description: Price:

50400 Quick Release Axles $0

Order Form and Price List: All products must be ordered through an Invacare provider. Our provider locator is available at www.topendwheelchair.com

Invacare® Top End® Pro™ Tennis Wheelchair

Invacare Corporation Top End Division All rights reserved. Trademarks are identified by the symbols ™ and ®. All trademarks are owned by or licensed to Invacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification. ©2015 Invacare Corporation 1181426 REV B SWATSON 11/15/2018 Page of

Wheel Options: Item #: Description: Price:Size and Style:SUN HIGH PERFORMANCE

500015000250003

50005500095001350017500215002550029504145046650454

50006500105001450018500225002650030504155046750455

50007500115001550019500235002750031504165046850456

50418504225042650430504345043850442504465046950450

50419504235042750431504355043950443504475047050451

24" Sun High Performance $025" Sun High Performance $026" Sun High Performance $0

SPINERGY SLX WHEELS24" Spinergy SLX:

24" Spinergy SLX - Black $89524" Spinergy SLX - Yellow $89524" Spinergy SLX - White $89524" Spinergy SLX - Red $89524" Spinergy SLX - Blue $89524" Spinergy SLX - Green $89524" Spinergy SLX - Pink $89524" Spinergy SLX - Orange $89524" Spinergy SLX - Purple $89524" Spinergy SLX - Custom (see wheel note) $1000

25" Spinergy SLX: 25" Spinergy SLX - Black $89525" Spinergy SLX - Yellow $89525" Spinergy SLX - White $89525" Spinergy SLX - Red $89525" Spinergy SLX - Blue $89525" Spinergy SLX - Green $89525" Spinergy SLX - Pink $89525" Spinergy SLX - Orange $89525" Spinergy SLX - Purple $89525" Spinergy SLX - Custom (see wheel note) $1000

26" Spinergy SLX:26" Spinergy SLX - Black $89526" Spinergy SLX - Yellow $89526" Spinergy SLX - White $89526" Spinergy SLX - Red $89526" Spinergy SLX - Blue $89526" Spinergy SLX - Green $89526" Spinergy SLX - Pink $89526" Spinergy SLX - Orange $89526" Spinergy SLX - Purple $89526" Spinergy SLX - Custom (see wheel note) $1000

SPINERGY XSLX WHEELS24" Spinergy XSLX:

24" Spinergy XSLX - Black $95024" Spinergy XSLX - Yellow $95024" Spinergy XSLX - White $95024" Spinergy XSLX - Red $95024" Spinergy XSLX - Blue $95024" Spinergy XSLX - Green $95024" Spinergy XSLX - Pink $95024" Spinergy XSLX - Orange $95024" Spinergy XSLX - Purple $95024" Spinergy XSLX - Custom (see wheel note) $1050

25" Spinergy XSLX:25" Spinergy XSLX - Black $95025" Spinergy XSLX - Yellow $95025" Spinergy XSLX - White $95025" Spinergy XSLX - Red $95025" Spinergy XSLX - Blue $95025" Spinergy XSLX - Green $95025" Spinergy XSLX - Pink $95025" Spinergy XSLX - Orange $95025" Spinergy XSLX - Purple $95025" Spinergy XSLX - Custom (see wheel note) $1050

Wheel Options (Continued): Item #: Description: Price:Size and Style:SPINERGY XSLX WHEELS (CONTINUED)26" Spinergy XSLX:

50420504245042850432504365044050444504485047150452

26" Spinergy XSLX - Black $95026" Spinergy XSLX - Yellow $95026" Spinergy XSLX - White $95026" Spinergy XSLX - Red $95026" Spinergy XSLX - Blue $95026" Spinergy XSLX - Green $95026" Spinergy XSLX - Pink $95026" Spinergy XSLX - Orange $95026" Spinergy XSLX - Purple $95026" Spinergy XSLX - Custom (see wheel note) $1050

Tire Options: Item #: Description: Price:24" Tires:

502005020450208

502015020550209

502025020650210

24" Primo, Grey Tires $024" Kenda, Red Tires $7524" Kenda, Yellow Tires $75

25" Tires:25" Primo, Grey Tires $025" Kenda, Red Tires $7525" Kenda, Yellow Tires $75

26" Tires:26" Primo, Grey Tires $026" Kenda, Red Tires $7526" Kenda, Yellow Tires $75

Handrim Options: Item #: Description: Price:Handrim (HR) Size/Material:

5030050301503025031250313

24" (6 tab) Aluminum Anodized HR $025" (6 tab) Aluminum Anodized HR $026" (6 tab) Aluminum Anodized HR $025" (12 tab) Aluminum Anodized HR $15026" (12 tab) Aluminum Anodized HR $150

Handrim Style/Mounting:503085030950310

Standard Mount Handrim $0Close Mount Handrim $0Close Mount HR, Cut-Tabs - Aluminum $40

Order Form and Price List: All products must be ordered through an Invacare provider. Our provider locator is available at www.topendwheelchair.com

Invacare® Top End® Pro™ Tennis Wheelchair

Invacare Corporation Top End Division All rights reserved. Trademarks are identified by the symbols ™ and ®. All trademarks are owned by or licensed to Invacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification. ©2015 Invacare Corporation 1181426 REV B SWATSON 11/15/2018 Page of

Upholstery: Item #: Description: Price:Material/Color:

300013000230003

Nylon, Black $0Nylon, Woodland Camo $100Nylon, Digital Camo $100

Seat Style:30019 Screw-On Seat Upholstery $0

Back Style Upholstery:30012

30004

Adjustable Tension Back Upholstery $0Adjustable Tension Back Upholstery with Leather Flaps and Aluminum Dome Plugs (see definitions)

$100

Cushion Options:30005 2" Soft Cushion $7530006 3" Soft Cushion $7530008 2" Hard Cushion $12530009 3" Hard Cushion $12530010 4" Hard Cushion $125

Standard Options and Accessories: Item #: Description: Price:

25066 Calf Strap $0

Upgradable Options and Accessories: Item #: Description: Price:Safety:

25004 Rear Frame Protector $20Positioning:

25013 Hook and Loop Positioning Strap $4025022 Wheel Alignment Gauge $7525001 Click Strap, 8" Small $7525002 Click Strap, 10" Medium $8025003 Click Strap, 12" Large $86

Accessories: 25094 Tennis Ball Carrying Bag $75

Apparel: 250842508525086

Lemon Yellow T-Shirt $20Army Green T-Shirt $20Army Green Racer Back Tank Top $20

Please select a size for your shirt selection:25087 25088 25089 25090 25091 25092 25093

Extra SmallSmallMediumLargeExtra LargeXXLargeXXXLarge

Color Options:Frame Color:

55018550195501755010550115501255023550535500855054550065500555051550155505755055550015500255003550505502055016550075505255070

Black Wet Black $0Black Black Prism $0Black Stealth Black $0Blue Midnight Blue $0Blue Royal Blue $0Blue Electric Blueberry $0Gray Stealth Grey $0Green Agriculture Green $0Green Grasshopper Green $0Green Neon Green $0Orange Sunkissed Orange $0Orange Simple Orange $0Orange Neon Orange $0Pink Bubblegum Pink $0Pink Neon Pink $0Purple Lilac Purple $0Red Simple Red $0Red Tangerine Red $0Red Raspberry Red $0Red Neon Red $0Silver Silver Metallic $0White White Snow $0Yellow Safety Yellow $0Yellow Neon Yellow $0Raw Buffed Aluminum $0

Order Form and Price List: All products must be ordered through an Invacare provider. Our provider locator is available at www.topendwheelchair.com

Invacare® Top End® Pro™ Tennis Wheelchair

Invacare Corporation Top End Division All rights reserved. Trademarks are identified by the symbols ™ and ®. All trademarks are owned by or licensed to Invacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification. ©2015 Invacare Corporation 1181426 REV B SWATSON 11/15/2018 Page of

Product Illustration:

Definitions:Adjustable

Tension Back Upholstery w/

Leather Flaps and Aluminum

Dome Plugs

The leather flap upgrade includes a 3" leather flap for reinforced heavy duty upholstery and an aluminum back frame plug to help prevent tearing.

Wheel Note: For Custom Spoke ArrangementsPlease call customer service for the Custom Spinergy SLX and XSLX Wheel options form. Please fill out the form and return to customer service with your Order Form.

Product Guides:Wheelbase Guide:

Seat Depth: 10" to 14" 15"' to 16" 17" to 18"Recommeded Wheelbase: 15" 17" or 19" 19"

Wheel Size Guide: Rear Seat

Height: Short Short or Tall Tall

Player Specifications:

Juniors/Short arms

Adult/Limited trunk control

Adult/Good trunk control

Recommended Wheel Size: 24" 25" 26"

Product Diagrams:Diagram 1:

Diagram 2:

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)

Exclusions:Wheels,

Handrims, & Tires:

Must choose the same size tires and handrims as wheels.

Seat Width and Seat

Depth: