quickie gp/gpv aadl - w133 · 2020-03-20 · quickie gp/gpv eigp70 - october 2018 pv: pc: ( ) fax:...
TRANSCRIPT
��������������������������������������������������������������������������������������������������������������������������������1BHF������
Quickie GP/GPV
EIGP70 - October 2018
PV: PC:( ) Fax: ( )
PV: PC:( ) Fax: ( )
See Appendix 11 for height chart. Short frame NA w/Xtender
AADL - W133
Definition Price
024FA7
See Order Form
Address:Ship To City:
Ship To Phone:
NC
Frame Angle
Option # Definition Price Option #
NC
NC
Attitude Bike (Optional)
024IN04
Fax
Dealer Phone:Confirmation Email:
ADDITIONAL SHIPPING INFORMATION
Address:
Ship To:Attention:
Dealer Acct #:
Dealer City:
Dealer Contact:Dealer Address:
Dealer:
Mark For: Submitting for: Quote OrderDate: PO#:
Base Model
Confirm Via:
1. FRAME
024FA1$2,533.00
NC
21"
12"
$276.00$276.00
024W5024W6
NCNC
024W10024W11
024W4
024W8
13" 14" 15"
024W9
024W3
024W7
024W12
16" NC024SD8 15"
NC
Seat Depth
18" NC024SD10024SD11
17" NC
024SD5 12" 024SD6
NC024SD9
024SD713" 14"
NC
NC024FL36
$276.00NC
024FL38024FL39024FL40
16" 17" 18"
$276.00
NC
024W13
NC
Seat Width
024SD33
20"
NC
Short (front 9.25"-rear 8.25")NA with Xtender Power Assist
NC
25-1/4" (Avail. on 19" Sling Depth)
024FL35NC
26-1/4" (Avail. on 20" Sling Depth) NC
21-1/4" (Avail. on 14",15",16" Sling Depth)
22-1/4" (Avail. on 16",17" Sling Depth)
23-1/4" (Avail. on 17",18" Sling Depth)
24-1/4" (Avail. on 18" Sling Depth)
27-1/4" (Avail. on 21" Sling Depth)
Frame Height
024FL37
NCNC
28-1/4" (Avail. on 22" Sling Depth)
$276.00Omit Cushion NC
NC
024FA6 60° (NA 18 and 19 frame length)
70°75° (NA with rigid footrest)
22"
$48.00
-$20.00
$276.00024SD14 21" $276.00024SD13
Cushion
024CU1 2" Cushion $168.00024CU9
19" $276.00Omit Cushion and Seat Sling
Cushion Name or Part #:
Reinforced Seat Sling
024CU2024CU4
024WM23NC
Attitude Bike bundle NA w/ GPV
024WM23 Quickie GP-70° $2,533.00
2. SIZE / SEATING
NC
Quickie GPV-70° (NA 12"-13")
20-1/4" (Avail. on 14",15" Sling Depth) NC
024FA8 80° (NA with rigid footrest) NC
024FL31
Standard (front 10" - rear 9") 024FH5
19-1/4" (Avail. on 13" Sling Depth) NC024FL32024FL33
Seat Width 1/2" Narrower
22"
19" 20"
NC
21 & 22" seat depths only available with 16" or wider chairs
024SD72
024FL34
Frame Length024FL30 18-1/4" (Avail. on 12" Sling Depth) NC
NCNC
024FH2
024FH7 Tall (front 11" - rear 10")
JAY Bundled Cushions - OptionalTo order any JAY cushions on-chair, please see JAY Price List. Cushion name or part number must be filled out with desired width & depth.
JAY Bundled Cushion024JC20 Price List
Width: Depth:
�������������������������������������������������������������������������������������������������������1BHF������
!
!
!
!
!
!
! !
!
RSH 15"-19" with 22" wheels, RSH 16"-20" with 24" wheels.Spare batteriesmust match set up. Anti-Tips included. Dual Drive mode available w/B4ME
Please select one of the following handrim options !
! !
! !
!
! !
Spinergy NA w/ Xtender, spoke guards. Contact Built 4 Me for Spinergy Color Options !
! !
!
!
!
! !
! !
Intended Size for Set Up :
! !
!
!
!
Spare Li-ion Power Pack - LITHIUM $2,220.00
024XT4
Plastic Coated NC024XH6
Caster Wheels
24" Xtender Power Assist JWX-2NICKEL $8,956.00
! 024XT5 24" Xtender Power Assist JWX-2LITHIUM $10,398.00
!
!22" Xtender Power Assist JWX-2NICKEL $8,956.00
! 024XT7
024HR8
NC
! 024AL6
Axle
$163.00024AX11
Standard Adjustable NC
Omit Hand Rim024XH5
Spare NiMH Power Pack - NICKEL $1,725.00Projection Hand Rim
$774.00
Stainless Steel NC
024XA11
$286.0024" Mag
NC
Xtender - Other Options024XA10
Aluminum Anodized 024HR4
$136.00
8" Pneumatic Only available on 60° frame option
5" x 1.5" Semi-Pneumatic only avail. For use in bottom fork holes
024CW7
024CW346" x 1.5" Semi-Pneumatic only avail. For use in bottom fork holes
!
22" Xtender Power Assist JWX-2LITHIUM $10,398.00
Rear Wheel Tire
!
024XT6
024RT1
024CW1
!
024CW5
024CW3 4" Low Profile Polyurethane
6" Pneumatic
NC
024CS3$98.00
NC
!
$130.00
Quad Quick Release
!
024EH1
024HR7
$93.00
!Full Poly N/A with 26" wheels
024CS9 NC
NC
024RT6
Hand Rim024HR1
Projections NA w/ plastic coated handrims. NA w/ Spoke guards
NC024GA1
Quick Release Steel
-$12.00
$130.00
$130.00
Caster Pin Locks
024RT2 $221.00
NC
8 Oblique (24"/26")
High-Pressure Clincher
024RT3
024WL12
Wheel Lock
024WL2
!
NC
024WL5 NC
NC024WL1 High Mount Push
Omit NC
High Mount Scissor NA w/ extension handles, grade aides
High Mount Pull
Caster Fork
NC
024AX1
NC
024CW37
Do Not Mount Wheel Locks
3/4" Longer Fork Stem Bolt
024CW36
!
024CS5
024CW32 8" Polyurethane Only available on 60° frame option!
NC
$98.00
024CW31
4. REAR WHEELS
NC
5" Low Profile Polyurethane NC
024CW21
024CW35
024CW33
024WL10
Axle Plate
$65.00
Grade Aid
$130.00
024AL13
Grade Aid NA w/ poly, high-pressure clincher tires, or Xtender
$141.00
Extension Handle
Amputee Adjustable NA with padded swing-away armrests or stroller handles
1-1/2" Longer Fork Stem Bolt
3" Micro
8" x 2" Pneumatic w/Airless Insert Only available on 60° frame option $352.00
4" Micro Lighted
$98.00
! $221.00
NC
NC
5. WHEEL LOCKS
5" Soft Roll Semi-Pneumatic
6" Polyurethane
!
!
024RW42 24" Spinergy (540) SPOX Black
!
024RW9
26" Spoke (NA with Xtender Power Assist)
!
$98.00
Caster Wheels - Continued
Xtender Power Assist
Pneumatic
8" x 2" Pneumatic Only available on 60° frame option
Pneumatic Airless Insert NA with 26" wheels & Xtender
024AL2024RW1124" Spoke
024RW8
Plastic Coated -NA on all rims
024RR25
6" Pair
NC Rear Wheel Size
Omit Rear Wheel and Axle -$43.00
024RW2$81.00
22" Mag
Double Slotted Adjustable
22" Spoke024RW1
024CW6 $88.00
3. CASTERS
��������������������������������������������������������������������������������������������������������������������������������1BHF������
Heel loop or leg strap not included, See Footplate Options Section !
!
!
!
!
! !
!
!
!
! !
! !
!
!
! !
! !
!
!
! !
!
!
!
!
!
!
!
!
! !
!
! !
!
!
! !
!
! NA w/ Xtender Power Assist; Only available w/ Mag and Spoke wheels
!
!
!
!
!
!
!
!
!
!
! !
!
$136.00
Platform NA w/ Ext. Tubes
$157.00
Platform Flip Up $206.00
$141.00
Plastic Kids
Back Upholstery
NCRigid NA w/ Ext. Tubes; NA with 75° or 80° frame angle
NC
024AM1
024AM2
$168.00024SG4
14" - 18" Back Height
024A31 Tray Table $341.00
024A83
Extra Leg Strap Black
Tool Kit $38.00
Tray Table
Miscellaneous
Extra Leg Strap$55.00
024A24 Clear Spoke Guards $141.00
024A52
024A55
Left Side
$125.00
Positioning Belts024A142
!
$183.00Belt 2" Aircraft Buckle w/Clamps
024AM2
024F48
Spoke Guards
024A23 Black Spoke Guards
Right Side $103.00
024F50
1. GP FOOTREST OPTIONS
!
Platform Flip Up
Backpack024A1
024AM1
Platform NA w/ Ext. Tubes
024F56
024F3
Quickie Backpack Black
024F50
Quickie Kids Backpack Black
Seat PouchQuickie Seat Pouch Black024A8
024A13
Desk Length - Classic (10")
Belt 2" Aircraft Buckle Pad w/Clamp
024AT1
024A12
-$16.00
Side Guard
$93.00
9. KEY OPTIONS AND ACCESSORIES
$75.00
024A2
Rear Anti-Tip
Plastic Regular $168.00
024IG2 Impact Guard Neoprene $55.00
024BA3
Folding w/ Integral Push Handles
024F7$206.00
NC024BB2
Omit Footplate & Ext Tube
! 024AA8
024BA4 16" - 20" Back Height
8. ARMREST / SIDEGUARDS
Single Post Padded Swing Away Armrest
Leg Strap
Footrest Extension Tubes
6. FOOTREST
Omit Leg Strap
024HL1
Omit Heel Loop024HL5
024HL6
$108.00$108.00
$108.00
Belt 1.5" Auto Buckle w/Clamps $87.00
Crutch Holder
-$20.00
NC024E1 Short (14" to 16-1/2") NC024E2
Footplates
NC
Footplate Options (Ext Tube & Direct Mount)Heel Loop
Padded S-A Adult
024BT33
$136.00
Adult Angle Adj.
! 024E16NCComposite Footplate
2. GPV FOOTREST OPTIONS
$103.00
Rear Anti-Tip
024F1
$281.00
$87.00
024A53
$100.00
024HL4
024SG3
NC 024BU14
024SR3
024BU1
024BB3
8" Back Height
Non-Folding Backrest (Fixed)NA with push handles or adj. upholstery
024BB1
024F48
7. BACKREST
NC
NC
! 024F56
Medium (16-1/2" to 19")
Single Post Ht. Adjust. StdMust be removed to fold back down
$304.00
!
9" Back Height
NC
Full Length - Contour (14") NCNC
10" Back Height
Rigid NA w/ Ext. Tubes; NA with 75° or 80° frame angle
NC
11" Back Height
Long (19" to 21-1/2") NC024E5
NCBack Type
024BU16
024BT3024BU8
Standard
NC
024BB6 13" Back Height NC024BB5 12" Back Height NC024BB4
024BB8 15" Back Height NC024BB7 14" Back Height NC
Folding Backrest (Adjustable)024BB9 16" Back Height NC
NC
12" - 16" Back Height $108.00024BA1
Bolt-On Push Handle (Folding only $125.00
024BT111" - 14" Back Height $108.00
!All Padded Swing-Away NA with amputee axle plate or Xtender Power Assist
024AA19 Padded S-A Medium $281.00
024BA2
024AA9 Single Post Ht. Adjust. LowMust be removed to fold back down
$304.00
Full Length - Contour (14") NCDesk Length - Classic (10") NC 024AA16
JAY Back (Optional)024JB01 J3 Back (See J3 Order Form) Price List
$48.00Adjustable $183.00
Tall Stroller HandleNA with amputee axle plate
$173.00
Omit Back Upholstery
Backrest Options
! 024A85
!
Reinforced (NA w/ adj. upholstery)
High Mount Only avail. with adult angle adjustable footplates
024SR2 Regular Stroller HandleNA with amputee axle plate
$173.00!
�������������������������������������������������������������������������������������������������������1BHF������
! !
! !
! !
! !
! !
!
!
! !
! !
! !
!
!
!
!
!
!
!
!
!
024C42 Stars & Stripes $330.00
Custom Frame Color024C112 Desert Camouflage $330.00024C43 Mossy Oak Camouflage $330.00
024C149 Matte Evergreen NC024C152 Matte Purple NC
024C151 Matte Black Cherry NC024C150 Matte Electric Blue NC
Matte Frame Colors024C116 Matte Black NC
11. APPENDIX
NC
Candy Blue
NC
024C147024C148
024C143 Evergreen
Green AppleHot Sparkle Pink NCMauve Pink
Candy Red NCNC
NC
NC024C35
NC024C14 Candy Purple
024C142 Electric Blue
024C36
Black Opal NC
024C140 Aztec Gold NC
024C141
024C144
Black Cherry NC024C10
Glow
NC
NC
024C103 Rootbeer NC
024C126
NC
024C38
024C8
024C114 Sparkle Silver024C145024C113 Titanium Color Paint
Yellow
NCSunrise Orange NC
NC
Blue Opal NC
024C2 Black (Not avail as base w/Zebra)
Standard Frame Colors
10. COLOR
! 024C108Zebra (Choose above base color) Std with White unless above base paint is chosen NA w/ Blck, Matte Black, Blck Opal or Titanium.
$330.00