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Jerome Tate
5 years ago
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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: Effective 05/14/2018 Ship To: Address: City: State: Zip: Phone: /Fax: Catalyst 4C $ lb weight capacity ADP Code: WMA2KI010 Frame Seat Width / Seat Depth Select box corresponding to desired Seat Width and Depth Seat Width Price $45 $45 N/C $45 N/C $295 WAMA $250 WAMA $250 WAMA $250 WAMA 14 N/C q q q q q q q q q 15 $70 q q q q q q q q q Heavy Duty Option q 350 lb Weight Capacity WAMF $750 Requires minimum 6 caster height Cross Brace q Standard Cross Braces q Seating System Cross Braces N/C Allows for easy attachment of seating system mounting hardware. Not available with Seat Sling. Seat Depth 16 N/C q q q q q q q q q 17 N/C q q q q q q q q q 18 N/C q q q q q q q q q 19 WAMB $290 q q q q q q q q q 20 WAMB $250 q q q q q q q q q Backrest Back Post / Height Range / Back Height Select Back Height in row corresponding to desired Back Post and Height Range Back Post Standard Angle Adjustable w/ Push Handle Price N/C $285 Height Range Back Height Short q 8.5 q 9.5 q 10.5 q 11.5 Medium q 12.5 q 13.5 q 14.5 q 15.5 Tall q 16.5 q 17.5 q 18.5 q 19.5 Short q 14 q 15 q 16 Medium q 16 q 17 q 18 Tall q 18 q 19 q 20 Standard Back Post Select option below only if a Standard Back Post option is selected on chart at left q Straight with Push Handle q Straight without Push Handle N/C q 8º Bend with Push Handle N/C Not available with Short Back Height Range Back Upholstery q Standard Not available with Short or Medium Back Height Ranges on Seat Widths q Tension Adjustable WAMD, WAME $210 q Omit Back Upholstery -$10 DCN Pricing and specifications subject to change without notice Page 1 of 11

2 Footrest Hanger Bend q 60º N/C Available only with Extension Tube Hangers q 70º N/C q 80º N/C Not available with 7 or 8 Casters q 90º N/C Available only with Front Mount Hangers. Not available with 7 or 8 Casters. q Elevating Leg Rests (ELR) WAMK $369 q Pro Elevating Leg Rests (PRO ELR) WAMK $500 q Omit Hangers - $25 Footplate q Composite N/C Not available with Front Mount Hangers or PRO ELR q Composite Angle Adjustable WAMJ $195 Not available with Front Mount Hangers, ELR or 14 Seat Width q Aluminum Angle Adjustable WAMJ $165 q One Piece Flip Up Angle Adjustable WAMJ $238 Not available with Front Mount Hangers, ELR or PRO ELR 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 Front Seat Height recommended. Extension Tube Hanger measurements are based on 70º Hanger / Front Frame Bend. Footrest Extension Seat to Footrest Length Extension Tube Hangers (60º, 70º, 80º) Short q 11 q 11.5 q 12 q 12.5 q 13 q 13.5 q 14 q 14.5 q 15 Medium q 13 q 13.5 q 14 q 14.5 q 15 q 15.5 q 16 q 16.5 q 17 Long q 15.5 q 16 q 16.5 q 17 q 17.5 q 18 q 18.5 q 19 q 19.5 Front Mount Hangers 1 Elevating Leg Rests (ELR) Extended Length ELR PRO ELR Low Pivot Short (70º, 80º, 90º) Medium (70º, 80º, 90º) Long (70º, 80º) Standard Selections Requires 3 Extension for $69 q 5 q 5.5 q 6 q 6.5 q 7 q 10 q 10.5 q 11 q 7.5 q 8 q 8.5 q 9 q 9.5 q 11.5 q 12 q 12.5 q 5 q 5.5 q 6 q 6.5 q 7 q 7.5 q 8 q 12 q 12.5 q 13 q 8.5 q 9 q 9.5 q 10 q 10.5 q 11 q 11.5 q 13.5 q 14 q 14.5 q 5 q 5.5 q 6 q 6.5 q 7 q 7.5 q 8 q 8.5 q 9 q 14 q 14.5 q 15 q 9.5 q 10 q 10.5 q 11 q 11.5 q 12 q 12.5 q 13 q 13.5 q 15.5 q 16 q 16.5 Short q 12 q 13 q 14 q 15 q 16 Long q 13 q 14 q 15 q 16 q 17 q 18 Short q 18 q 19 q 20 q 21 q 22 Long q 18 q 19 q 20 q 21 q 22 q 23 q 24 Short q Long q PRO ELR Short q High Pivot Long q Available only with Aluminum Angle Adjustable Footplates. See Minimum Front Seat Height chart below. Minimum Front Seat Height with Front Mount Hangers Hanger Length Short Medium Long Hanger Bend 70º 80/90º 70º 80/90º 70º 80º Minimum Front Seat Height with Standard Selection Minimum Front Seat Height with 3 Extension Extension Available only with Front Mount Hangers. Provided as parts. q 3 Extension for Front Mount Hanger $69 DCN Pricing and specifications subject to change without notice Page 2 of 11

3 Footrest continued Hanger Release If no selection is made Classic Hanger Release will be used q Classic q 4-Way - In line N/C 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 Heel Loop q Heel Loops N/C Not available with One Piece Flip Up Angle Adjustable Footplate q Adjustable Heel Loops New! $45 Not available with One Piece Flip Up Angle Adjustable Footplate q Omit Heel Loops N/C Calf Strap q Velcro Adjustable $44 q Padded Velcro Adjustable $85 q Bodypoint Padded AeroMesh $123 Front Seat Height and Casters Residual Limb Support q 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 Caster Size / Front Frame Type / Front Seat Height Select Front Seat Height in row corresponding to desired caster size. Note: Selections in first three Front Seat Height columns use Super Low Front Frame. Caster Front Seat Height Size Uses Super Low Front Frame 4 q q 14 q 14.5 q 15 2 q 15.5 q 16 q 16.5 q 17 q 17.5 q 18 q 18.5 q 19 q 19.5 q 20 5 q 14.5 q 15 q 15.5 q 16 q 16.5 q 17 q 17.5 q 18 q 18.5 q 19 q 19.5 q 20 q q 15.5 q 16 q 16.5 q 17 q 17.5 q 18 q 18.5 q 19 q 19.5 q 20 q 20.5 q 21 7 q 17 q 17.5 q 18 q 18.5 q 19 q 19.5 q 20 q 20.5 q 21 8 q 17.5 q 18 q 18.5 q 19 q 19.5 q 20 q 20.5 q 21 1 Front Seat Height not available with 4 x 1 Poly Caster 2 Super Low Front Frame required when using 4 x 1 Poly Caster Caster Type q 1 Poly N/C q 1 Poly Aluminum $100 Not available with 6, 7 and 8 Caster Sizes q 1 Pneumatic $120 Not available with 4, 5 and 7 Caster Sizes q 1.5 Poly $85 Not available with 7 and 8 Caster Sizes q 1.5 Soft Roll Aluminum $150 Not available with 7 and 8 Caster Sizes q 2 Poly $88 Not available with 4, 5, 7 and 8 Caster Sizes q 2 Pneumatic w/ Foam Insert $285 Not available with 4, 5, 6 and 7 Caster Sizes Maximum Seat Dump Reference (Front Seat Height minus Rear Seat Height) Seat Depth Maximum Dump Fork Stem q Standard Fork Stem q 3/4 Longer Fork Stem $44 q Longer Fork Stem $44 Fork Options q Frog Legs Ultra-Sport Fork - Black $425 Available only with 4, 5 or 6 Casters. Not available with Caster Pin Locks, Heavy Duty Option, 2 Poly caster or 2 Pneumatic w/ Foam Insert caster. End User Weight Required: lbs q Caster Pin Locks WAMS $244 Not available with Longer Fork Stem or Frog Legs Fork DCN Pricing and specifications subject to change without notice Page 3 of 11

4 Wheel Locks Wheel Lock q Push to Lock q Push to Lock Flush Mount N/C q Pull to Lock N/C q Omit Wheel Locks N/C Rear Seat Height and Wheels Wheel Size / Tire Profile / Rear Seat Height Select Rear Seat Height in row corresponding to desired Wheel Size and Tire Profile. 14 Seat Depth not available with 24, 25 or 26 Rear Wheels. Wheel Tire Rear Seat Height Size Profile Low q q 13.5 q 14.5 q 15.5 q 16.5 Full q 13 1 q 14 q 15 q 16 q 17 Low q q 14.5 q 15.5 q 16.5 q 17.5 Full q 14 1 q 15 q 16 q 17 q 18 Low q q 15.5 q 16.5 q 17.5 q 18.5 Full q 15 1 q 16 q 17 q 18 q Low q 15 1 q 16 q 17 q 18 q 19 Wheel Lock Options q Extension Handles $84 Available only with Push to Lock or Pull to Lock Wheel Locks q Grade Aids WAMR $187 Available only with Push to Lock Wheel Locks and Pneumatic or Pneumatic with Airless Insert Rear Tire Types Rear Wheel Type q Assembled 24 Six-Spoke Mag with Treaded Tire and Composite Handrim - $25 No substitutions available. Do not select Rear Tire Type or Handrim. Measures as Full Tire. q 24 Spoke N/C q Spoke (20, 22, 25 or 26 ) $225 q Mag N/C Not available in 25 or 26 rear wheels q Superlight Spoke $369 Available only in 24 and 25 rear wheels. Not available with Heavy Duty Option. q Spinergy Spox $795 Not available in 20 rear wheel Color: q Black q Red q White q Blue q Yellow Handrim: q Short Tab q Long Tab Available only with Aluminum Anodized and Plastic Coated Handrims 26 Low q q 16.5 q 17.5 q 18.5 q 19.5 Full q 16 1 q 17 q 18 q 19 q 20 1 Not available with Flip Back Armrests Rear Tire Type Full Profile q Street Pneumatic 1 3/8 Not available on 25 rear wheel q Full Poly 1 3/8 N/C Not available on Superlight or 25 rear wheel q Pneumatic with Airless Insert 1 3/8 $200 Not available on Superlight or 25 rear wheel q Schwalbe HS /8 $119 Available only on 24 rear wheel. Not available on Mag wheels. q Euro Trek Knobby 1 3/8 $119 Available only on 24 rear wheel Low Profile q Low Poly 1 N/C Not available on Superlight, 25 or 26 rear wheels q Sentinel Solid Tire 1 $119 Not available on Superlight wheels or 20 and 22 Mag wheels q High Pressure 1 $119 Not available on Mag wheels Handrim Standard Handrims q Aluminum Anodized q Superlight Aluminum Anodized $50 Available only on 24 and 25 Superlight and Spinergy wheels. Not available with Heavy Duty Option. q Plastic Coated WAMO $119 q Projection (8 Vertical Projections) WAMQ $299 Available on 22, 24, 25 and 26 Spoke wheels & 24 Mag wheels w/full tires q Omit Handrim N/C Handrim Option q 3M Micro Grip $81 Not available on Plastic Coated or Projection Handrims Natural Fit Handrims Not available on 20 rear wheel 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 DCN Pricing and specifications subject to change without notice Page 4 of 11

5 Axles Axle Bracket q Offset Axle Bracket q Reverse Mount Offset Axle Bracket N/C Not available with Swing Away Armrests Armrests Armrest Please select Arm Pad option q Height Adjustable T-Arm ( ) $285 q Height Adjustable T-Arm Low ( ) $285 q Height Adjustable Flip Back T-Arm ( ) New! $295 q Flip Back (10.5 ) N/C Not available with Seat Depths less than 16 or Angle Adjustable Back Posts Arm Pad Not available with Swing Away Armrests Standard Arm Pad N/C q Desk q Full Waterfall Arm Pad $35 q Desk q Full Available only with Height Adjustable T-Arms Accessories Removable Side Guard q Composite Side Guards WAMV $175 Not available with T-Arm or Flip Back Armrests Anti-Tip q Rear Anti-Tips $110 Positioning Belt q Auto Buckle $80 q Padded Auto Buckle $170 q 2 Airline Buckle $150 q Bodypoint Evoflex - Pelvic Stabilizer $219 Size: q Small (16-24 ) q Medium (19-29 ) q Large (25-37 ) q Bodypoint Belt Mounting Kit $126 Style: q Bracket q Band Clamp 1 Frame Color Axle q Fixed Axle q Quick Release WAMU $50 q Quad Quick Release WAMU $219 Not available with Mag wheels Armrest continued q Swing Away ( ) $175 Not available with Angle Adjustable Back Posts or Arm Pads q Omit Armrests N/C Seat Pan q Removable Aluminum Seat Pan $245 Pan depth 1/2 shorter than Seat Depth 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 WAMP $144 Not available with Mag wheels q Black Spoke Guards WAMP $144 Not available with 20 rear wheel or Mag wheels q Cane and Crutch Holder $110 q IV Pole $175 Available only with Standard Straight Back Posts O 2 Holder q O 2 Holder WAMX $365 q Right Side q Left Side Gloss Finish q Black N/C q Blue Skies N/C q Bubblegum Pink N/C q Candy Blue N/C q Candy Purple N/C q Candy Red N/C q Copper N/C q Fuchsia N/C q Granny Smith N/C q Metallic Orange New! N/C q Yellow N/C Matte Finish q Army Green N/C q Charcoal Gray N/C q Emerald Green N/C q Iridescent Burgundy N/C q Iridescent Navy N/C q Retro Red N/C q Royal Blue N/C q Shadow Black N/C q Smooth White N/C Graphic Image Transfer Visit for current graphic image transfer options Note selection below q $595 DCN Pricing and specifications subject to change without notice Page 5 of 11

6 Catalyst Front Seat Height Matrix 4 Caster 5 Caster 6 Caster 7 Caster 8 Caster FSH Super Low Stem Fork FSH Super Low Stem Fork FSH Super Low Stem Fork FSH Super Low Stem Fork FSH Super Low Stem Fork / / / n/a 3/4 4 3/ / / /4 5 3/ n/a n/a / n/a / n/a 8 x 2 caster not available with 6 fork 3/ / n/a / / n/a x 2 caster not available with 5 fork Front Seat Height not available with 4 x 1 Poly Caster 2 Not available with 4 x 1 Poly, 4 x 1.5 Poly or 4 x 1.5 Soft Roll Aluminum Seat heights with FSH heading available with Standard Front Frame. Seat heights with Super Low heading available with Super Low Front Frame. Actual seat height may vary depending upon configuration. 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 SE $195 q Axiom S SE $270 q Axiom P SE $ Wide Cushions q Axiom G SE $275 q Axiom S SE $400 q Axiom P SE $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 21 Wide q Axiom SP - Visco SE $640 q Axiom SP - Fluid SE $ and 22 Wide Cushions q Axiom SP - Visco SE $775 q Axiom SP - Fluid SE $830 Axiom SP Cushion 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 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 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 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 products are ordered with an extended lead time 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 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 products are ordered with an extended lead time 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 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 9 of 11

10 MX2 Back Weight Capacity: 250 lbs. The MX2 Back is only. products are ordered with an extended lead time. MX2 Back with Fixed Hardware MX2 Back with Quick Release Hardware Hardware included Hardware included q Matrx MX2 Back w/ Fixed Hardware 14 x 06 - IMX21406-CFH $1060 q Matrx MX2 Back w/ QR Hardware 14 x 06 - IMX21406-QRH $1095 q Matrx MX2 Back w/ Fixed Hardware 14 x 09 - IMX21409-CFH $1110 q Matrx MX2 Back w/ QR Hardware 14 x 09 - IMX21409-QRH $1145 q Matrx MX2 Back w/ Fixed Hardware 14 x 12 - IMX21412-CFH $1160 q Matrx MX2 Back w/ QR Hardware 14 x 12 - IMX21412-QRH $1195 q Matrx MX2 Back w/ Fixed Hardware 14 x 16 - IMX21416-CFH $1210 q Matrx MX2 Back w/ QR Hardware 14 x 16 - IMX21416-QRH $1245 q Matrx MX2 Back w/ Fixed Hardware 15 x 06 - IMX21506-CFH $1060 q Matrx MX2 Back w/ QR Hardware 15 x 06 - IMX21506-QRH $1095 q Matrx MX2 Back w/ Fixed Hardware 15 x 09 - IMX21509-CFH $1110 q Matrx MX2 Back w/ QR Hardware 15 x 09 - IMX21509-QRH $1145 q Matrx MX2 Back w/ Fixed Hardware 15 x 12 - IMX21512-CFH $1160 q Matrx MX2 Back w/ QR Hardware 15 x 12 - IMX21512-QRH $1195 q Matrx MX2 Back w/ Fixed Hardware 15 x 16 - IMX21516-CFH $1210 q Matrx MX2 Back w/ QR Hardware 15 x 16 - IMX21516-QRH $1245 q Matrx MX2 Back w/ Fixed Hardware 16 x 06 - IMX21606-CFH $1060 q Matrx MX2 Back w/ QR Hardware 16 x 06 - IMX21606-QRH $1095 q Matrx MX2 Back w/ Fixed Hardware 16 x 09 - IMX21609-CFH $1110 q Matrx MX2 Back w/ QR Hardware 16 x 09 - IMX21609-QRH $1145 q Matrx MX2 Back w/ Fixed Hardware 16 x 12 - IMX21612-CFH $1160 q Matrx MX2 Back w/ QR Hardware 16 x 12 - IMX21612-QRH $1195 q Matrx MX2 Back w/ Fixed Hardware 16 x 16 - IMX21616-CFH $1210 q Matrx MX2 Back w/ QR Hardware 16 x 16 - IMX21616-QRH $1245 q Matrx MX2 Back w/ Fixed Hardware 17 x 06 - IMX21706-CFH $1060 q Matrx MX2 Back w/ QR Hardware 17 x 06 - IMX21706-QRH $1095 q Matrx MX2 Back w/ Fixed Hardware 17 x 09 - IMX21709-CFH $1110 q Matrx MX2 Back w/ QR Hardware 17 x 09 - IMX21709-QRH $1145 q Matrx MX2 Back w/ Fixed Hardware 17 x 12 - IMX21712-CFH $1160 q Matrx MX2 Back w/ QR Hardware 17 x 12 - IMX21712-QRH $1195 q Matrx MX2 Back w/ Fixed Hardware 17 x 16 - IMX21716-CFH $1210 q Matrx MX2 Back w/ QR Hardware 17 x 16 - IMX21716-QRH $1245 q Matrx MX2 Back w/ Fixed Hardware 18 x 06 - IMX21806-CFH $1060 q Matrx MX2 Back w/ QR Hardware 18 x 06 - IMX21806-QRH $1095 q Matrx MX2 Back w/ Fixed Hardware 18 x 09 - IMX21809-CFH $1110 q Matrx MX2 Back w/ QR Hardware 18 x 09 - IMX21809-QRH $1145 q Matrx MX2 Back w/ Fixed Hardware 18 x 12 - IMX21812-CFH $1160 q Matrx MX2 Back w/ QR Hardware 18 x 12 - IMX21812-QRH $1195 q Matrx MX2 Back w/ Fixed Hardware 18 x 16 - IMX21816-CFH $1210 q Matrx MX2 Back w/ QR Hardware 18 x 16 - IMX21816-QRH $1245 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/ Cover - ESP6 $310 q Elan Standard Pad 10 W x 5 H w/ Cover - ESP10 $310 q Elan Standard Pad 14 W x 5 H w/ Cover - ESP14 $310 products are ordered with an extended lead time 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/ 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/ 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/ Cover - E4POINT $448 q Elan 4 Point Pad 11 W x 10 H w/ Infection Control Cover - E4POINT-IC $473 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 products are ordered with an extended lead time 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 products are ordered with an extended lead time 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 products are ordered with an extended lead time 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

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This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Effective 05/14/2018 Company: Account Number: Date: q Quote q PO Number: RTS: Marked For: q Catalyst