q Icon TM Backs (Low, Mid, Tall, Deep ) $ q Evolution TM Backs (Regular, Tall, Deep ) $
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1 Distributed in Canada by 49 Bespoke, Inc. 51 Caldari Road, Units 6-7B Concord, ON L4K 4G3 Phone: (866) Fax: (877) Company: Account Number: Date: q Quote q PO Number: RTS: Marked For: q Catalyst 4 $ Lowest Front Seat Height 250 lb weight capacity q Catalyst 4 Super Low $ Lowest Front Seat Height 250 lb weight capacity Effective 05/07/2014 Ship To: Address: City: State: Zip: Phone: /Fax: Check with your funding agency for coding or download a copy from our website at Frame Seat Width / Seat Depth Select box corresponding to desired Seat Width and Depth Seat Width Heavy Duty Option q 350 lb Weight Capacity $500 Requires minimum 6 caster height Price $100 N/C N/C $420 $495 Seat Depth 16 N/C q q q q q 18 N/C q q q q q 20 $450 q q q q q Backrest Back Post / Height Range / Back Height Select Back Height in row corresponding to desired Back Post. Angle Adjustable Back Post not available with Flip Back or Swing Away Armrests. Back Post Price Back Height Standard N/C q q.5 q q 19.5 Angle Adjustable $231 q 16 q q 18 Back Upholstery q Standard Not available with Short or Medium Back Height Ranges on Seat Widths q Tension Adjustable $245 q Omit Back Upholstery N/C Varilite Icon, Evolution TM Backs Icon TM Backs have 2 point hardware and the Evolution TM have 4 point hardware. Please See Price List at 49Bespoke.com. q Icon TM Backs (Low, Mid, Tall, Deep ) $ q Evolution TM Backs (Regular, Tall, Deep ) $ DCN Pricing and specifications subject to change without notice Page 1 of 7
2 Footrest Hanger Bend q 60º N/C q 70º N/C q Elevating Leg Rests $369 Not available with Heel Loops q Omit Hangers N/C Footplate Heel Loops not included q Composite N/C q Aluminum Angle Adjustable $185 Heel Loop q Heel Loops $30 Not available with Elevating Leg Rests q Omit Heel Loops N/C 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 based on 70º Hanger Bend. Footrest Extension Seat to Footrest Length Extension Tube Hangers (60º, 70º) Elevating Leg Rests 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 q Long q 15.5 q 16 q q q.5 q 18 q q 19 q 19.5 Short q 12.5 q 13 q 13.5 q 14 q 14.5 q 15 q 16 q Long q 13.5 q 14 q 14.5 q 15 q 15.5 q 16 q q q.5 q 18 q Front Seat Height and Casters 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 require Catalyst 4 Super Low Caster Size Front Seat Height Requires Catalyst 4 Super Low 1 4 q 13.5 q 14 q 14.5 q 15 q 15.5 q 16 q q q.5 q 18 q q 19 q 19.5 q 20 5 q 14.5 q 15 q 15.5 q 16 q q q.5 q 18 q q 19 q 19.5 q 20 q 6 q 15.5 q 16 q q q.5 q 18 q q 19 q 19.5 q 20 q q q q.5 q 18 q q 19 q 19.5 q 20 q q 21 8 q.5 q 18 q q 19 q 19.5 q 20 q q 21 1 Selection for Catalyst 4 Super Low is part of base frame selection on page 1 Caster Type q 1 Poly N/C q 1 Pneumatic $100 Available only with 6 and 8 Caster Sizes q 1.5 Poly $63 Available only with 5 and 6 Caster Sizes q 2 Poly $88 Available only with 6 Caster Size q 2 Pneumatic w/ Foam Insert $225 Available only with 8 Caster Size Fork Stem q Standard Fork Stem q Longer Fork Stem $44 q Longer Fork Stem $44 DCN Pricing and specifications subject to change without notice Page 2 of 7
3 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 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 Available only with Pneumatic or Pneumatic w/airless Insert Rear Tire Types 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. Wheel Size Handrim Tire Profile Handrim Option Rear Seat Height Low q 12.5 q 13.5 q 14.5 q 15.5 q Full q 13 q 14 q 15 q 16 q Low q 13.5 q 14.5 q 15.5 q q.5 Full q 14 q 15 q 16 q q 18 Low q 14.5 q 15.5 q q.5 q Full q 15 q 16 q q 18 q 19 Standard Handrims q Aluminum Anodized q Plastic Coated $119 q Projection (8 Vertical Projections) $295 Available on 22 and 24 Spoke wheels and 24 Mag wheels with full tires q Omit Handrim N/C q 3M Micro Grip $81 Not available on Plastic Coated or Projection Handrims 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 Spoke $63 q Mag N/C Rear Tire Type Low Profile q Low Profile Poly 1 Full Profile q Full Profile Poly 1 3/8 $39 q Street Pneumatic 1 3/8 $99 q Pneumatic with Airless Insert 1 3/8 $250 Natural Fit Handrims Not available on 20 wheels or 22 Mag wheels q Natural Fit LT Regular Grip $425 q Natural Fit Standard Regular Grip $425 q Natural Fit LT Super Grip $475 q Natural Fit Standard Super Grip $475 q Natural Fit LT Omit Grip $325 q Natural Fit Standard Omit Grip $325 Axles Axle Bracket q Offset Axle Bracket q Reverse Mount Offset Axle Bracket N/C Not available with Swing Away Armrests Axle q Fixed Axle q Quick Release Axle $119 DCN Pricing and specifications subject to change without notice Page 3 of 7
4 Armrests Armrest Please select Arm Pad option q Height Adjustable T-Arm ( ) $295 q Height Adjustable Flip Back ( ) $295 Not available with Angle Adjustable Back Posts q Flip Back (10.5 ) N/C Not available with Angle Adjustable Back Posts Armrest continued q Swing Away ( ) $195 Not available with Angle Adjustable Back Posts or Arm Pads q Omit Armrests N/C Arm Pad q Desk q Full Not available with Swing Away Armrests Accessories Removable Side Guard q Composite Side Guards $5 Not available with T-Arm or Flip Back Armrests Anti-Tip q Rear Anti-Tips $140 Positioning Belt q Auto Buckle $70 q Padded Auto Buckle $155 q 2 Airline Buckle $110 q Bodypoint Evoflex - Pelvic Stabilizer $158 Size: q Small (16-24 ) q Medium (19-29 ) q Large (25-3) q Bodypoint Belt Mounting Kit $100 Style: q Bracket q Band Clamp 1 Cushion q 2 Cushion (14 x16 to 20 x20 ) $124 q 2 Cushion (Over 20 x20 ) $313 q Varilite Cushions $ See Price List on at 49Bespoke.com Evolution TM, Reflex TM, Meridian TM, Stratus TM, Solo TM, Zoid TM, Evolution Wave TM, Meridian Wave TM, ProForm NX TM All Sizes Other Accessories q Tool Kit $45 q Underseat Pouch $50 q Ki Mobility Backpack $65 q Black Neoprene Impact Guards $85 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 Frame Color Matte Finish q Army Green N/C q Emerald Green N/C q Graphite Gray 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 Gloss Finish q Black N/C DCN Pricing and specifications subject to change without notice Page 4 of 7
5 Therafin Accessories Vest Not compatible with Back Upholstery q Full Shape, Comfort Strap $188 q Small q Medium q Large q X-Large q 2X-Large q Full Shape, Extended Strap $188 q Small q Medium q Large q X-Large q 2X-Large q Trip Shape, Comfort Strap $190 q Small q Medium q Large q X-Large q 2X-Large q Trim Shape, Extended Strap $190 q Small q Medium q Large q X-Large q 2X-Large Shoulder Harness With metal clips and cam locks. Not compatible with Back Upholstery q Small $6 q Medium $184 q Large 603 $191 q X-Large $199 Hip Belt q 4 Point Y-Style, Metal Buckle $194 q Small q Medium q Large q Dual Rear Pull, Metal Attaching Clips q 1 Straps, 6.25 W x 1.75 H Pads $109 q 1.5 Straps, 7.25 W x 2.25 H Pads 601 $119 q 1.5 Straps, 9.25 W x 2.5 H Pads $119 q Single Pull, Metal Buckle q 1 Straps, 4.25 W x 1.75 H Pads $96 q 1 Straps, 5.25 W x 1.75 H Pads $96 q 1 Straps, 6.25 W x 1.75 H Pads $96 q 1.5 Straps, 5.25 W x 2.25 H Pads $106 q 1.5 Straps, 7.25 W x 2.25 H Pads $106 q 1.5 Straps, 9.25 W x 2.5 H Pads $106 q 2 Straps, 9.25 W x 3 H Pads $114 q 2 Straps, W x 3 H Pads $114 Knee Adductor q Flip Down Hardware $712 Sold in pairs, one right side and one left side. q Short Arm, Fits, 7/8 and 1 Tubing q Short Arm, Fits 1-3/8 Tubing q Long Arm, Fits, 7/8 and 1 Tubing q Long Arm, Fits 1-3/8 Tubing q Knee Adductor Pad with Neoprene Cover $131 Sold single. q Small Pad, 4.25 x Quantity: q Medium Pad, 6.25 x Quantity: Foot / Shoe Holder Compatible only with Angle Adjustable Footplates q FootSure Ankle Support $200 Sold in pairs. q X-Small w/ Buckle Closure, 6-8 Circum q Small w/ Buckle Closure, -8.5 Circum q Medium w/ Buckle Closure, 8-11 Circum q Large w/ Buckle Closure, 9-12 Circum q X-Large w/ Buckle Closure, Circum q X-Small w/ Hook-N-Loop Closure, 5-6 Circum q Small w/ Hook-N-Loop Closure, 6-8 Circum q Med w/ Hook-N-Loop Closure, Circum q Large w/ Hook-N-Loop Closure, 9-12 Circum q X-Lrg w/ Hook-N-Loop Closure, Circum q Padded Footbox q Small, Full Design, Fits 14 Chair $322 q Medium, Full Design, Fits 16 Chair $322 q Large, Full Design, Fits 18 Chair $322 q Small, Split Design, Fits 14 Chair $412 q Medium, Split Design, Fits 16 Chair $419 q Large, Split Design, Fits 18 Chair $425 q Molded Shoe Holders $181 Sold in pairs. q Small with Plain Straps, 3.5 x q Medium with Plain Straps, 4 x q Large with Plain Straps, 4.75 x q X-Large with Plain Straps, 5 x Cane Mounted Swing Away Lateral Thoracic Support Sold as pair. Not compatible with Back Upholstery q Swing Away Kits w/ 4 x6 Gel Pads $537 q Swing Away Kits, No Pads $347 DCN Pricing and specifications subject to change without notice Page 5 of 7
6 Therafin Accessories continued Half Tray Not compatible with Swing Away Armrests q Standard Shape, Clear, Flip-Away $276 q Right Side q Left Side q Standard Shape, Padded, Flip-Away $302 q Right Side q Left Side q Trimline Shape, Padded, Flip-Away $302 q Right Side q Left Side Clear Tray with Border and Pre-Drilled Holes STEP 1: Choose Tray Chair Width Tray Dimension ( W x D ) Body Cutout ( W x D ) Part Number Price 20 x x $248 q 20 x x $248 q 22 x x $286 q 22 x x $286 q 24.5 x x $320 q 24.5 x x $320 q 26.5 x 22 x $348 q 26.5 x x $348 q 28.5 x 23.5 x $348 q 28.5 x x $348 q Communication Mount Hardware Choose Device Holder AND Mount STEP 1: What DEVICE will be used? q Smart Phone $169 q Large Smart Phone $169 q I-Pad $206 q I-Pad Mini $200 q Tablet $194 q 10 Tablet $444 STEP 2: Where does it need to MOUNT? q Frame $575 q Armrest $444 Not compatible with Swing Away Armrests q Tray $238 Cup Holder q Heavy Duty $49 Compatible only with Flip Back Armrests STEP 2: Choose Tray Hardware q E-Z Lock Clamps, Tube Arm $169 Compatible only with Swing Away Armrests. Sold in Pairs. q E-Z Lock Clamps, Standard $159 Not compatible with Swing Away Armrests. Sold in Pairs. DCN Pricing and specifications subject to change without notice Page 6 of 7
7 Catalyst Front Seat Height Matrix 4 Caster 5 Caster 6 Caster Caster 8 Caster FSH Stem Fork FSH Stem Fork FSH Stem Fork FSH Stem FSH Stem Fork x 2 caster not available with 5 fork 6 8 x 2 caster not available with 6 fork Seat heights available with Standard Front Frame. Subtract 1 1/4 when using Super Low Front Frame. Actual seat height may vary up to 1/4. DCN Pricing and specifications subject to change without notice Page 7 of 7
Frame Width. Seating Setup. q 16 q 15 q 14 q 17 q 16 q 15 q 14 Short q 18 q 17 q 16 q 15 q 14 q 19 q 18 q 17 q 16 q 15 q 14
Australian Importer: Paragon Mobility Phone 1300 652 382 Email orders@paragonmobility.com.au www.paragonmobility.com.au Company: Account Number: Date: q Quote q PO Number: RTS: Marked For: Focus CR E1161
Prescription Total. Frame Width. Seating Setup. q 16 q 15 q 14 q 17 q 16 q 15 q 14 Short q 18 q 17 q 16 q 15 q 14 q 19 q 18 q 17 q 16 q 15 q 14
Effective 15/05/2018 Company: Account Number: Date: q Quote q PO Number: RTS: Marked For: Focus CR 2309 300 lb weight capacity. Tilt range: -5º anterior to 50º posterior. Frame Width Address: 19C Ballinderry
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows.
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
q Standard Seat Sling Std q Omit Seat N/C
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Canada Phone (800) 981-1540 Fax (715) 254-0996 Company: Account Number: Date: q Quote q PO Number:
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Frame Depth. Range. Short. Medium.
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Phone (800) 981-1540 Fax (715) 254-0996 Company: Account Number: Date: q Quote q PO Number: RTS:
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Frame Depth. Range. Short. Medium.
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Phone (800) 981-1540 Fax (715) 254-0996 Company: Account Number: Date: q Quote q PO Number: RTS:
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Cross Brace
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Phone (800) 981-1540 Fax (715) 254-0996 Company: Account Number: Date: q Quote q PO Number: RTS:
q Solid Seat Pan $265
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Canada Company: Account Number: Date: q Quote q PO Number: RTS: Ship To: Address: City: State:
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Cross Brace $250 WAMA $250 WAMA
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Canada Phone (800) 981-1540 Fax (715) 254-0996 Company: Account Number: Date: q Quote q PO Number:
q Solid Seat Pan E2231 $265
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Company: Account Number: Date: q Quote q PO Number: RTS: Ship To: Address: City: State: Zip: Phone:
q Solid Seat Pan E2231 $265
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Company: Account Number: Date: q Quote q PO Number: RTS: Ship To: Address: City: State: Zip: Phone:
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Transit Option.
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Phone (800) 981-1540 Fax (715) 254-0996 Company: Account Number: Date: q Quote q PO Number: RTS:
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Transit Option E2201 E2201.
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Phone (800) 981-1540 Fax (715) 254-0996 Company: Account Number: Date: q Quote q PO Number: RTS:
Transit Option. Seat Option E2201 E2201. Cross Brace
Company: Account Number: Date: q Quote q PO Number: RTS: Marked For: Catalyst 5Vx K0005 $1895 300 lb weight capacity Ship To: Address: City: State: Zip: Phone: Email/Fax: Effective 08/06/2018 Frame Seat
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Transit Option. Seat Option.
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Company: Account Number: Date: q Quote q PO Number: RTS: Marked For: Catalyst 5Vx K0005 $1895
q Growing Seat Sling N/C q Growing Solid Seat Pan E2231 $245 q Omit Seat N/C q 1 N/C
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Company: Account Number: Date: q Quote q PO Number: RTS: Marked For: Little Wave - Clik XPe K0005,
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows.
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Canada Company: Account Number: Date: q Quote q PO Number: RTS: Marked For: Rogue XP $3705 Rogue
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows.
This form must be opened in Adobe Acrobat. The Submit Form button will not work from most browser windows. Company: Account Number: Date: q Quote q PO Number: RTS: Marked For: Rogue XPe K0005, E1235 $2415
q PG Controller $700 E2377 q Harness for Expandable Controller $350 E2313 q Remote Plus 3-Key $700 q1 Profile q Multiple Profile
Jazzy 1113ATS Discount: Terms: Freight: Taken By: Order Form 300lb Wt Cap Pride Mobility Products Corporation 182 Susquehanna Ave., Exeter, PA 18643 Phone: (866)800-2002 Fax: (866) 707-3422 Account Number:
High Back BH from seat: 29.5 Seat Height from floor: 16-20
Marcella 500lb. Chair No charge on all Felix Chairs for Custom Embroidered Logos Shown with neck roll cushion and lumbar pillow. Standard at no upcharge on high back chair Shown with lumbar pillow standard
Visit any one of our 30 locations or visit us on line at
TYPE IA ALUMINUM 2886509079 2886501870 2886510013 2886510010 2886510014 2886504441 AS3002 2' TYPE IA AS3003 3' TYPE IA AS3004 4' TYPE IA AS3006 6' TYPE IA AS3008 8' TYPE IA AS3010 10' TYPE IA 34.99 57.99
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