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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

Email

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:

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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 !

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Spinergy NA w/ Xtender, spoke guards. Contact Built 4 Me for Spinergy Color Options !

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Intended Size for Set Up :

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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

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!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

!

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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

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Heel loop or leg strap not included, See Footplate Options Section !

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! NA w/ Xtender Power Assist; Only available w/ Mag and Spoke wheels

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$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

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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

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Reinforced (NA w/ adj. upholstery)

High Mount Only avail. with adult angle adjustable footplates

024SR2 Regular Stroller HandleNA with amputee axle plate

$173.00!

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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