q Standard Seat Sling Std q Omit Seat N/C

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1 This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Canada Phone (800) Fax (715) Company: Account Number: Date: q Quote q PO Number: RTS: Marked For: Liberty FT $ lb weight capacity. Tilt range: 0º - 20º. ADP Code: WM (WANA Code) Ship To: Address: City: State: Zip: Phone: /Fax: Effective 09/14/2018 Frame Seat Width Range / Seat Width Select Seat Width within desired Seat Width Range Seat Width Seat Width Range Small q 14 q 15 q 16 q 17 q 18 N/C N/C N/C N/C N/C Seat Depth Range / Seat Depth Select Seat Depth within desired Seat Depth Range Seat Depth Range Short Seat Depth q 14 q 15 q 16 N/C N/C N/C Medium q 16 q 17 q 18 q 19 q 20 N/C N/C N/C N/C N/C Medium q 16 q 17 q 18 N/C N/C N/C Large q 18 q 19 q 20 q 21 q 22 N/C N/C N/C N/C N/C Long q 18 q 19 q 20 N/C N/C N/C Assistive Gas Strut Set-Up Client Weight Setting Spring Type (Newtons) q > 200 lbs N q lbs N q lbs N q lbs N q lbs N q < 125 lbs N 1 Standard on chairs less than 16 deep 2 Standard on chairs 16 deep or larger Seat Option q Standard Seat Sling Std q Omit Seat N/C Transit Option q Transit System $320 Available only with Fold Down Back DCN Pricing and specifications subject to change without notice Page 1 of 11

2 Backrest Back Post / Height Range / Back Height Select Back Height in row corresponding to desired Back Post and Height Range Back Post Price Height Range Back Height Short q 20 Stroller Handle Back Post 1 Std Tall q 24 Height Adjustable Straight with Push Handle $36 Short q 14 q 15 q 16 q 17 q 18 Medium q 16 q 17 q 18 q 19 q 20 Tall q 18 q 19 q 20 q 21 q 22 Height Adjustable 8º Bend with Push Handle 2 $36 1 Not available with Back Upholstery 2 Not available with IV Pole Short q 14 q 15 q 16 q 17 q 18 Medium q 16 q 17 q 18 q 19 q 20 Tall q 18 q 19 q 20 q 21 q 22 Stroller Handle Back Post Option Available only with Stroller Handle Back Post q Removable Stroller Handle Extension $140 Backrest Options q Fold Down Back $95 Footrest Hanger q 60º Std Available only with Extension Tube Hangers q 70º N/C q 80º N/C q 90º N/C Available only with Front Mount Hangers. Not available with 8 Casters combined with 3 Extension q Elevating Leg Rests (ELR) $369 q Pro Elevating Leg Rests (PRO ELR) $500 q Omit Hangers - $25 Back Upholstery q Standard Std q Tension Adjustable $295 Not available on Seat Widths less than 16 combined with 21 and 22 Backrest Heights q Omit Back Upholstery - $20 Footplate q Composite Std Not available with Front Mount Hangers or PRO ELR q Aluminum Angle Adjustable $165 q One Piece Flip Up Angle Adjustable $238 Not available with Front Mount Hangers, ELR or PRO ELR DCN Pricing and specifications subject to change without notice Page 2 of 11

3 Footrest continued Footrest / Extension / Seat to Footrest Length Select Seat to Footrest Length in row corresponding to desired Footrest and Extension. Footrest Length of at least 2.5 shorter than Seat Height recommended. Extension Tube Hanger measurements based on 70º Hanger Bend. Footrest Extension Seat to Footrest Length Extension Tube Hangers (60º, 70º, 80º) Short q 10 q 10.5 q 11 q 11.5 q 12 q 12.5 q 13 q 13.5 Medium q 11.5 q 12 q 12.5 q 13 q 13.5 q 14 q 14.5 q 15 q 15.5 Long q 14 q 14.5 q 15 q 15.5 q 16 q 16.5 q 17 q 17.5 q 18 Front Mount Hangers 1 Elevating Leg Rests (ELR) Extended Length ELR Pro ELR Low Pivot Setting Short (70º, 80º, 90º) Medium (70º, 80º, 90º) Long (70º, 80º) Standard Selections Requires 3 Extension q 5 q 5.5 q 6 q 6.5 q 8.5 q 9 q 9.5 q 7 q 7.5 q 8 q 10 q 10.5 q 11 q 5 q 5.5 q 6 q 6.5 q 7 q 7.5 q 10.5 q 11 q 11.5 q 8 q 8.5 q 9 q 9.5 q 10 q 12 q 12.5 q 13 q 5 q 5.5 q 6 q 6.5 q 7 q 7.5 q 8 q 8.5 q 12.5 q 13 q 13.5 q 9 q 9.5 q 10 q 10.5 q 11 q 11.5 q 12 q 14 q 14.5 q 15 Short q 10.5 q 11.5 q 12.5 q 13.5 q 14.5 Long q 11.5 q 12.5 q 13.5 q 14.5 q 15.5 q 16.5 Short q 16.5 q 17.5 q 18.5 q 19.5 q 20.5 Long q 16.5 q 17.5 q 18.5 q 19.5 q 20.5 q 21.5 q 22.5 Short q Long q Pro ELR High Pivot Setting Short q Long q See Minimum Seat Height chart below Minimum Seat Height with Front Mount Hangers Hanger Length Short Medium Long Hanger Bend 70º 80/90º 70º 80/90º 70º 80º Minimum Seat Height with Standard Selection Minimum Seat Height with Extension Heel Loop Not available with One Piece Flip Up Angle Adjustable Footplate q Heel Loops $45 q Omit Heel Loops N/C Calf Strap q Velcro Adjustable $44 q Padded Velcro Adjustable $85 q Bodypoint Padded AeroMesh $123 3 Extension Available only with Front Mount Hangers. Provided as parts. q 3 Extension for Front Mount Hanger N/C Residual Limb Support Residual Limb Support q Left $450 q Right $450 q Omit Left Hanger -$12 q Omit Right Hanger -$12 Cover q Smooth q Air Mesh q Smooth q Air Mesh Pad Size q 5 x 8 q 9 x 14 q 5 x 8 q 9 x 14 q 7 x 10 q 11 x 10 q 7 x 10 q 11 x 10 q 9 x 10 q 11 x 14 q 9 x 10 q 11 x 14 DCN Pricing and specifications subject to change without notice Page 3 of 11

4 Footrest continued Hanger Release q 4-Way - In line Std See reference A to the right. Not available with ELR or PRO ELR. q 4-Way - Out N/C See reference B to the right A B Seat Height, Casters and Rear Wheels Seat Height / Caster Size / Rear Wheel Size Select Seat Height corresponding to desired Rear Wheel and Caster Size Rear Caster Size Wheel Size Seat Height q 13 q 14 q 15 q 17 q 13.5 q 14.5 q 15.5 q 17.5 q 14 q 15 q 16 q 18 q 14.5 q 15.5 q 16.5 q 18.5 q 15 q 16 q 17 q 19 q 15.5 q 16.5 q 17.5 q 16 q 17 q 18 q 17.5 q 18.5 q 18 q 19 q 18.5 q q 14 1 q 15 q 17 q 14 1 q 14.5 q 15.5 q 17.5 q 14.5 q 15 q 16 q 18 q 15 q 15.5 q 16.5 q 18.5 q 15.5 q 16 q 17 q 19 q 16 q 16.5 q 17.5 q 19.5 q 17 q 18 q 20 q 17.5 q 18.5 q 18 q 19 q 18.5 q 13 q 14 q 15 q 17 q 13.5 q 14.5 q 15.5 q 17.5 q 14 q 15 q 16 q 18 q 14.5 q 15.5 q 16.5 q 18.5 q 15 q 16 q 17 q 19 q 15.5 q 16.5 q 17.5 q 19.5 q 16 q 17 q 18 q 20 q 17.5 q 18.5 q 18 q 19 q Available only with Low Profile tires Rear Wheel Size Caster Size Seat Height q q 14 q 15 q 17 q 14 q 14.5 q 15.5 q 17.5 q 14.5 q 15 q 16 q 18 q 15 q 15.5 q 16.5 q 18.5 q 15.5 q 16 q 17 q 19 q 16 q 16.5 q 17.5 q 19.5 q 17 q 18 q 20 q 17.5 q 18.5 q 18 q 19 q 18.5 q q q 15 q 17 q 15 q 15 q 15.5 q 17.5 q 15.5 q 15.5 q 16 q 18 q 16 q 16 q 16.5 q 18.5 q 16.5 q 17 q 19 q 17 q 17.5 q 19.5 q 17.5 q 18 q 20 q 18 q 18.5 q 18.5 q 19 DCN Pricing and specifications subject to change without notice Page 4 of 11

5 Seat Height, Casters and Rear Wheels continued Caster Type q 1 Poly Std q 1 Poly Aluminum $138 Not available with 6 and 8 Caster Sizes q 1 Pneumatic $200 Not available with 4 and 5 Caster Sizes q 1.5 Poly $90 Not available with 8 Caster Size q 1.5 Soft Roll Aluminum $175 Not available with 8 Caster Size q 2 Poly $63 Available only with 6 Caster Size q 2 Pneumatic w/ Foam Insert $315 Available only with 8 Caster Size Rear Wheel Type q 24 Spoke N/C q Spoke (20 or 22 ) $180 q Mag Std Rear Tire Type Full Profile q Street Pneumatic Std q Full Poly N/C q Pneumatic with Airless Insert $80 q Euro Trek Knobby $119 Available only on 24 rear wheels Low Profile q Low Poly N/C Available only with 16 rear wheel q Sentinel Solid Tire $120 Not available on 12 wheels, 16 wheels or 20 and 22 Mag wheels q Schwalbe Marathon Plus Evolution $125 Available only on 24 spoke wheels Wheel Locks Wheel Lock q Push to Lock Std q Pull to Lock N/C Not available with 12 or 16 Full Poly tires q Omit Wheel Locks N/C Handrim Handrims not available on 12 or 16 rear wheels Standard Handrims q Aluminum Anodized Std q Plastic Coated $95 q Projection (8 Vertical Projections) $299 Available on 22 and 24 Spoke wheels & 24 Mag wheels w/full tires q Omit Handrims N/C Natural Fit Handrims Not available on 20 rear wheels or 22 Mag wheels. Not recommended with Mag wheels. q Natural Fit LT Regular Grip $445 q Natural Fit Standard Regular Grip $445 q Natural Fit LT Super Grip $495 q Natural Fit Standard Super Grip $495 q Natural Fit LT Omit Grip $345 q Natural Fit Standard Omit Grip $345 Handrim Option Not available on Plastic Coated or Projection Handrims q 3M Micro Grip $81 Axle q Fixed N/C q Quick Release Std Wheel Lock Options q Extension Handles $84 Available only with Push to Lock or Pull to Lock Wheel Locks q Grade Aids $187 Available only with Push to Lock Wheel Locks and Pneumatic or Pneumatic with Airless Insert tires DCN Pricing and specifications subject to change without notice Page 5 of 11

6 Armrests Armrest Please select Arm Pad option q Height Adjustable T-Arm ( ) $285 q Angle Adjustable Locking Extendable Flip Up $295 Available only with Stroller Handle Back Post q Omit Armrests N/C Arm Pad Standard Arm Pad N/C q Desk q Full Waterfall Arm Pad $35 q Desk q Full Not available with Angle Adjustable Locking Extendable Flip Up Armrests Foam Grip N/C q Desk q Full Available only with Angle Adjustable Locking Extendable Flip Up Armrests Accessories Removable Side Guard q Composite Side Guards $175 Not available with T-Arms Anti-Tip q Rear Anti-Tips $125 Positioning Belt q 1 1/2 Auto Buckle $80 q 1 1/2 Padded Auto Buckle $170 q 2 Airline Buckle $150 Bodypoint Evoflex - Pelvic Stabilizer $219 Size: q Small (16-24 ) q Medium (19-29 ) q Large (25-37 ) Belt Mounting Kit q Seat Belt Mounting Hardware $38 q Bodypoint 1 Band Clamp Belt Mounting Kit $126 Frame Color Standard Colors Gloss Finish q Black N/C q Candy Blue N/C q Candy Purple N/C q Candy Red N/C q Copper N/C q Silver N/C Optional Colors Extended lead time Gloss Finish q Blue Skies $90 q Bubblegum Pink $90 q Fuchsia $90 q Granny Smith $90 q Metallic Orange $90 q Teal $90 q Yellow $90 Armrest Continued q Tubular Flip Up Std Available only with Stroller Handle Back Post. Not available with Arm Pads. O 2 Holder q O 2 Holder $365 Mounted to the left side. Not available with Fold Down Back. Other Accessories q Tool Kit $60 q Removable Underseat Pouch $75 q Ki Mobility Backpack $90 q Black Neoprene Impact Guards $95 q Clear Spoke Guards $144 Not available with Mag wheels q Black Spoke Guards $144 Not available with 20 wheels or Mag wheels q Cane and Crutch Holder $195 IV Pole $175 Not available with Transit Option or 8º Bend with Push Handle Back Post. Left side mount not available with O 2 Holder. q Right Side q Left Side Matte Finish q Army Green N/C q Charcoal Gray N/C q Iridescent Burgundy N/C q Iridescent Navy N/C q Shadow Black N/C Matte Finish q Emerald Green $90 q Retro Red $90 q Royal Blue $90 q Smooth White $90 DCN Pricing and specifications subject to change without notice Page 6 of 11

7 Axiom G, S and P Cushions Select size in chart at right. Weight capacity: 350 lbs. Cushions Under 22 Wide q Axiom G $195 q Axiom S $270 q Axiom P $ Wide Cushions q Axiom G $275 q Axiom S $400 q Axiom P $695 Axiom G, S or P Cushion Quantity: q 1 q 2 If no selection is made, quantity 1 will be selected Axiom SP Cushions Select size in chart at right. Weight capacity: 350 lbs. Cushions Under 22 Wide q Axiom SP - Visco $640 q Axiom SP - Fluid $ Wide Cushions q Axiom SP - Visco $775 q Axiom SP - Fluid $830 Axiom SP Cushion Quantity: q 1 q 2 If no selection is made, quantity 1 will be selected Axiom Accessories Outer Covers q Axiom G Extra Outer Cover $95 q Axiom S Extra Outer Cover $95 q Axiom P Extra Outer Cover $95 q Axiom SP Extra Visco Outer Cover $134 q Axiom SP Extra Fluid Outer Cover $134 Outer Cover Quantity: q 1 q 2 If no selection is made, quantity 1 will be selected Inner Covers q Axiom SP Extra Visco Inner Cover $134 q Axiom SP Extra Fluid Inner Cover $134 Inner Cover Quantity: q 1 q 2 If no selection is made, quantity 1 will be selected Depth Depth Width q 15 q q q 16 q q q q q q q 17 q q q q q q 18 q q q q q q q 19 q q q 20 q q q q q Width q q q 15 q q q q q 16 q q q q q q q q 17 q q q q q q q q 18 q q q q q q q q q 19 q q q q q q q q 20 q q q q q q q q Solid Seat Insert Select size in chart below. Weight capacity: 350 lbs. Solid Seat Insert $73 Depth Width q 15 q q q 16 q q q q q q q 17 q q q q q q 18 q q q q q q q 19 q q q 20 q q q q q Solid Seat Insert Quantity: q 1 q 2 If no selection is made, quantity 1 will be selected DCN Pricing and specifications subject to change without notice Page 7 of 11

8 Elite Back Weight Capacity: 300 lbs. STEP 1: Choose Back Size Quick Ship Quick Ship products are stocked q Matrx Elite Back 14 x 14 - PBE1414 $766 q Matrx Elite Back 14 x 16 - PBE1416 $766 q Matrx Elite Back 14 x 18 - PBE1418 $766 q Matrx Elite Back 15 x 14 - PBE1514 $766 q Matrx Elite Back 15 x 16 - PBE1516 $766 q Matrx Elite Back 15 x 18 - PBE1518 $766 q Matrx Elite Back 16 x 12 - PBE1612 $766 q Matrx Elite Back 16 x 14 - PBE1614 $766 q Matrx Elite Back 16 x 16 - PBE1616 $766 q Matrx Elite Back 16 x 18 - PBE1618 $766 q Matrx Elite Back 16 x 20 - PBE1620 $766 q Matrx Elite Back 17 x 16 - PBE1716 $766 q Matrx Elite Back 17 x 18 - PBE1718 $766 q Matrx Elite Back 17 x 20 - PBE1720 $766 q Matrx Elite Back 18 x 14 - PBE1814 $766 q Matrx Elite Back 18 x 16 - PBE1816 $766 q Matrx Elite Back 18 x 18 - PBE1818 $766 q Matrx Elite Back 18 x 20 - PBE1820 $766 q Matrx Elite Back 19 x 16 - PBE1916 $766 q Matrx Elite Back 19 x 18 - PBE1918 $766 q Matrx Elite Back 20 x 16 - PBE2016 $766 q Matrx Elite Back 20 x 18 - PBE2018 $766 q Matrx Elite Back 20 x 20 - PBE2020 $766 q Matrx Elite Back 12 x 10 - PBE1210 $766 q Matrx Elite Back 12 x 12 - PBE1212 $766 q Matrx Elite Back 12 x 14 - PBE1214 $766 q Matrx Elite Back 12 x 16 - PBE1216 $766 q Matrx Elite Back 12 x 18 - PBE1218 $766 q Matrx Elite Back 13 x 10 - PBE1310 $766 q Matrx Elite Back 13 x 12 - PBE1312 $766 q Matrx Elite Back 13 x 14 - PBE1314 $766 q Matrx Elite Back 13 x 16 - PBE1316 $766 q Matrx Elite Back 13 x 18 - PBE1318 $766 q Matrx Elite Back 14 x 10 - PBE1410 $766 q Matrx Elite Back 14 x 12 - PBE1412 $766 q Matrx Elite Back 14 x 20 - PBE1420 $766 q Matrx Elite Back 15 x 10 - PBE1510 $766 q Matrx Elite Back 15 x 12 - PBE1512 $766 q Matrx Elite Back 15 x 20 - PBE1520 $766 q Matrx Elite Back 16 x 10 - PBE1610 $766 q Matrx Elite Back 17 x 10 - PBE1710 $766 q Matrx Elite Back 17 x 12 - PBE1712 $766 q Matrx Elite Back 17 x 14 - PBE1714 $766 q Matrx Elite Back 18 x 10 - PBE1810 $766 q Matrx Elite Back 18 x 12 - PBE1812 $766 q Matrx Elite Back 19 x 10 - PBE1910 $766 q Matrx Elite Back 19 x 12 - PBE1912 $766 q Matrx Elite Back 19 x 20 - PBE1920 $766 q Matrx Elite Back 20 x 10 - PBE2010 $766 q Matrx Elite Back 20 x 12 - PBE2012 $766 STEP 2: Choose Back Hardware (Selection Required) Back Hardware q Easy Set Hardware - PBMH N/C Not available with Angle Adjustable Locking Flip Up or Tubular Flip Up Armrests, O2 Holder or welded rigidizer bar q Split Mounting Hardware - SMHU N/C DCN Pricing and specifications subject to change without notice Page 8 of 11

9 Elite Deep Back Weight Capacity: 300 lbs. STEP 1: Choose Back Size Quick Ship Quick Ship products are stocked q Matrx Elite Deep Back 14 x 16 - EDB1416 $918 q Matrx Elite Deep Back 14 x 18 - EDB1418 $918 q Matrx Elite Deep Back 15 x 16 - EDB1516 $918 q Matrx Elite Deep Back 15 x 18 - EDB1518 $918 q Matrx Elite Deep Back 16 x 16 - EDB1616 $918 q Matrx Elite Deep Back 16 x 18 - EDB1618 $918 q Matrx Elite Deep Back 16 x 20 - EDB1620 $918 q Matrx Elite Deep Back 17 x 16 - EDB1716 $918 q Matrx Elite Deep Back 17 x 18 - EDB1718 $918 q Matrx Elite Deep Back 17 x 20 - EDB1720 $918 q Matrx Elite Deep Back 18 x 16 - EDB1816 $918 q Matrx Elite Deep Back 18 x 18 - EDB1818 $918 q Matrx Elite Deep Back 18 x 20 - EDB1820 $918 q Matrx Elite Deep Back 19 x 18 - EDB1918 $918 q Matrx Elite Deep Back 19 x 20 - EDB1920 $918 q Matrx Elite Deep Back 20 x 16 - EDB2016 $918 q Matrx Elite Deep Back 20 x 18 - EDB2018 $918 q Matrx Elite Deep Back 20 x 20 - EDB2020 $918 STEP 2: Choose Back Hardware (Selection Required) Back Hardware q Easy Set Hardware - PBMH N/C Not available with Angle Adjustable Locking Flip Up or Tubular Flip Up Armrests, O2 Holder or welded rigidizer bar q Split Mounting Hardware - SMHU N/C q Matrx Elite Deep Back 14 x 12 - EDB1412 $918 q Matrx Elite Deep Back 14 x 20 - EDB1420 $918 q Matrx Elite Deep Back 15 x 10 - EDB1510 $918 q Matrx Elite Deep Back 15 x 12 - EDB1512 $918 q Matrx Elite Deep Back 15 x 20 - EDB1520 $918 q Matrx Elite Deep Back 16 x 10 - EDB1610 $918 q Matrx Elite Deep Back 16 x 12 - EDB1612 $918 q Matrx Elite Deep Back 17 x 10 - EDB1710 $918 q Matrx Elite Deep Back 17 x 12 - EDB1712 $918 q Matrx Elite Deep Back 18 x 10 - EDB1810 $918 q Matrx Elite Deep Back 18 x 12 - EDB1812 $918 q Matrx Elite Deep Back 19 x 10 - EDB1910 $918 q Matrx Elite Deep Back 19 x 12 - EDB1912 $918 q Matrx Elite Deep Back 19 x 16 - EDB1916 $918 q Matrx Elite Deep Back 20 x 10 - EDB2010 $918 q Matrx Elite Deep Back 20 x 12 - EDB2012 $918 DCN Pricing and specifications subject to change without notice Page 9 of 11

10 Elite TR Back Weight Capacity: 300 lbs. STEP 1: Choose Back Size Quick Ship Quick Ship products are stocked q Matrx Elite Tilt / Recline Back 15 x 18 - PBE1518-TR $866 q Matrx Elite Tilt / Recline Back 16 x 18 - PBE1618-TR $866 q Matrx Elite Tilt / Recline Back 16 x 20 - PBE1620-TR $866 q Matrx Elite Tilt / Recline Back 17 x 18 - PBE1718-TR $866 q Matrx Elite Tilt / Recline Back 17 x 20 - PBE1720-TR $866 q Matrx Elite Tilt / Recline Back 18 x 18 - PBE1818-TR $866 q Matrx Elite Tilt / Recline Back 18 x 20 - PBE1820-TR $866 q Matrx Elite Tilt / Recline Back 19 x 18 - PBE1918-TR $866 q Matrx Elite Tilt / Recline Back 19 x 20 - PBE1920-TR $866 q Matrx Elite Tilt / Recline Back 20 x 18 - PBE2018-TR $866 q Matrx Elite Tilt / Recline Back 20 x 20 - PBE2020-TR $866 STEP 2: Choose Back Hardware (Selection Required) Back Hardware q Easy Set Hardware - PBMH N/C Not available with Angle Adjustable Locking Flip Up or Tubular Flip Up Armrests, O2 Holder or welded rigidizer bar q Split Mounting Hardware - SMHU N/C q Matrx Elite Tilt / Recline Back 15 x 16 - PBE1516-TR $866 q Matrx Elite Tilt / Recline Back 15 x 20 - PBE1520-TR $866 q Matrx Elite Tilt / Recline Back 16 x 16 - PBE1616-TR $866 q Matrx Elite Tilt / Recline Back 17 x 16 - PBE1716-TR $866 q Matrx Elite Tilt / Recline Back 18 x 16 - PBE1816-TR $866 q Matrx Elite Tilt / Recline Back 19 x 16 - PBE1916-TR $866 q Matrx Elite Tilt / Recline Back 20 x 16 - PBE2016-TR $866 DCN Pricing and specifications subject to change without notice Page 10 of 11

11 Matrx Elan Headrest Quick Ship Quick Ship products are stocked q Elan Hardware - MEHW $266 q Elan Mini Hardware - MEMH $254 q Elan Standard Pad 6 W x 3.5 H w/ Std Cover - ESP6 $310 q Elan Standard Pad 10 W x 5 H w/ Std Cover - ESP10 $310 q Elan Standard Pad 14 W x 5 H w/ Std Cover - ESP14 $310 Matrx Elite/Mini Laterals Quick Ship Quick Ship products are stocked Elite Swing Away Lateral Hardware Only - SAHEB q Quantity 1 $300 q Quantity 2 $600 q Elite Offset Swing Away Lateral Hardware Only (Left) - OSAH-L $300 q Elite Offset Swing Away Lateral Hardware Only (Right) - OSAH-R $300 Pad for Swing Away Lateral Medium 3.75 H x 5.75 L - EPAD-M q Quantity 1 $147 q Quantity 2 $294 Pad for Swing Away Lateral Large 4.25 H x 6.5 L - EPAD-L q Quantity 1 $147 q Quantity 2 $294 Hardware Options q Easy Set Hardware (Pair) - PBMH $291 q Split Mounting Hardware (Pair) - SMH $291 q Heavy Duty Easy Set Hardware (Pair) - HDMH $413 q Extended Range Mounting Hardware (Pair) - ERMH $225 q Fixed Space Saver Mounting Hardware (Pair) - FSSH $233 q Carbon Fiber Fixed Mount Hardware for MX2 Back - IMX2CFH $325 q Quick Release Hardware for MX2 Back - IMX2QRH $360 q Elan Standard Pad 6 W x 3.5 H w/ Infection Control Cover - ESP6-IC $335 q Elan Standard Pad 10 W x 5 H w/ Infection Control Cover - ESP10-IC $335 q Elan Standard Pad 14 W x 5 H w/ Infection Control Cover - ESP14-IC $335 q Elan Occipital Pad 9 W x 7 H w/ Std Cover - EOP9 $341 q Elan Occipital Pad 9 W x 7 H w/ Infection Control Cover - EOP9-IC $366 q Elan Occiptal Pad 12 W x 8 H w/ Std Cover - EOP12 $341 q Elan Occipital Pad 12 W x 8 H w/ Infection Control Cover - EOP12-IC $366 q Elan 4 Point Pad 11 W x 10 H w/ Std Cover - E4POINT $448 q Elan 4 Point Pad 11 W x 10 H w/ Infection Control Cover - E4POINT-IC $473 q Elite Lateral Fixed Standard Pad 5 H x 7.5 L (Left) - PBLS-L $116 q Elite Lateral Fixed Standard Pad 5 H x 7.5 L (Right) - PBLS-R $116 q Elite Lateral Fixed Small Pad 3 H x 5.5 L (Left) - PBSS-L $113 q Elite Lateral Fixed Small Pad 3 H x 5.5 L (Right) - PBSS-R $113 q Elite Lateral Fixed Offset Pad 5 H x 7.5 L (Left) - PBOL-L $125 q Elite Lateral Fixed Offset Pad 5 H x 7.5 L (Right) - PBOL-R $125 Mini Swing-Away Lateral Hardware Only - SAHMINI q Quantity 1 $300 q Quantity 2 $600 Pad for Swing Away Lateral X Small 3.25 H x 4.25 L - EPAD-XS q Quantity 1 $147 q Quantity 2 $294 Pad for Swing Away Lateral Small 3.5 H x 5.25 L - EPAD-S q Quantity 1 $147 q Quantity 2 $294 Other Matrx Products q Chest Harness Interface Kit for Elite Back - CHIEB $103 q Chest Harness Interface Kit for Mini Back - HIMINI $114 q Extended Mounting Pins for Mounting to Backs 2 Wider - EMP $60 q Privacy Flap X Small (Fits 12 to 14 Backs) - PFLAP-XS $53 q Privacy Flap Small (Fits 15 to 16 Backs) - PFLAP-S $53 q Privacy Flap Medium (Fits 17 to 18 Backs) - PFLAP-M $53 q Privacy Flap Large (Fits 19 to 20 Backs) - PFLAP-L $53 q Privacy Flap X Large (Fits 21 to 22 Backs) - PFLAP-XL $53 DCN Pricing and specifications subject to change without notice Page 11 of 11