quickie m6 aadl - w848 · 115c38 blue opal nc $151.00 115f1 composite positioning belt 9. key...

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PV: PC:( ) Fax: ( )

PV: PC:( ) Fax: ( )

To order any JAY cushions on-chair, please see the JAY price list. Cushion name or part number must be filled out with desired width and depth

4. REAR WHEELS

Mark For:

Dealer City:

Confirmation Email:

$276.00

2. SIZE / SEATING

Quote Order

Attention:

Quickie M6™AADL - W848

EIF1, October 2018

Submitting for:

PO#:

Dealer:

Dealer Phone:

Dealer Contact:

Dealer Acct #:ADDITIONAL SHIPPING INFORMATION

Dealer Address:Address:

Seat Height

115SD33 22" (Long frame only)

Address:

Frame Length

1. FRAME

NCNC

Cushion115CU31 2" Cushion

3. CASTERS

Date:

Option #

115HT11 18.5" Only available w/ 5" casters

Ship To City:

Definition

Ship To:

Email Ship To Phone:

PriceOption #

Confirm Via: Fax

Price Definition

20"

115HT65 17" Includes low adjustable axle plate and shorter fork. Only available with 5" caster

$503.00

115HT14

Axle115AX1 Quick Release NC

NC115AL28 Low (only for 17" Seat Ht.) NC

115HR7

115AL2 Standard (for 18.5", 20" Seat Ht.)

Omit Handrim -$12.00

$221.00

Handrim115HR1 Aluminum Anodized NC115HR4 Plastic Coated

115RT2 Pneumatic Airless Insert Tire

Rear Wheel Tire

115RT1 Pneumatic Tire

Rear Wheel Type115RW2 24" Spoke Wheel NC

Adjustable Axle Plate

$130.00

$4,313.00Base Model

Quickie M6115WM21

Regular (18"-19" depth) NC115FL18

NC

115FL9Long (18"-22" depth)

19"

Seat Depth115SD11 18" NC

$276.00115SD12 $276.00115SD13 20" (Long frame only)

$276.00115SD14 21" (Long frame only)

$168.00

Seat Height Matrix

$352.00115CW37

115CW36 8" x 2" Pneumatic $221.00

8" x 2" Pneumatic w/Airless Insert

115W17

22" 24"

$276.00115W14

Frame Width115W13

28" NC26" NC

30" NC

NC

Depth:

NC115W15

Casters

115W16

115CW6 5" Soft Roll $113.00

JAY Cushions (Optional)

JAY Bundled Cushion115JC20 Price ListCushion Name or Part #

Width:

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5. WHEEL LOCKS

6. HANGERS AND FOOTREST

8. ARMREST

Footplates

115F25 Adult Angle Adj

Extension Handle115EH1

115C38 Blue Opal NC

$151.00115F1 Composite

Positioning Belt9. KEY OPTIONS & ACCESSORIES

NC

$65.00

115WL10 NC

6" Pair

10. COLOR

115F5 Aluminum NC

$935.00

NCNCNC

Medium (15.5"-18")115E5

Lower Leg Length Range Matrix

115E1

! 115H41 ELR - Heavy-Duty ReinforcedOnly available with aluminum footplates

! 115H14670° Heavy-Duty Ft. Mount Lift OffOnly available with 5" caster and ang adj footplates. NA w/ extension tubes

! 115H13280° Heavy-Duty Ft. Mount Lift OffOnly available with 5" caster and ang adj footplates. NA w/ extension tubes

115WL12

$173.00

Long (18"-20.5") NA w/ 5" caster$173.00

Short (13"-15.5")115E2

Front Hangers115H1 60° Swing Away NC

Miscellaneous115A83 Tool Kit $38.00

115A142 Belt 1.5" Auto Buckle $87.00

Do Not Mount Wheel Lock NC

115A13 Belt 2" Aircraft Buckle Padded $183.00115A12 Belt 2" Aircraft Buckle $125.00

Wheel Lock115WL1 High Mount Push Wheel Lock NC

$108.00

Omit Wheel Lock

115AT3 Omit Rear Anti-Tip NC

$341.00

Armrest115AA33 Dual Post Height Adj - Desk 10" $341.00115AA34 Dual Post Height Adj - Full 14"

115B98 20-1/8" NC115B39 19" NC

16-3/4" NC115B96 17-7/8" NC

Back Height Preset

! 115BT34 8° w/ Push Handles Adjustable (16-3/4" to 20-1/8") NC

115B91

115C150 Matte Electric Blue115C149 Matte Evergreen

NC115C151 Matte Black Cherry NC

Matte Frame Colors115C116 Matte Black NC

115C8 Yellow NC115C113 Titanium Color Paint NC115C145 Sunrise Orange NC115C114 Sparkle Silver NC

Rootbeer NC115C148 Mauve Pink NC115C103

115C147 Hot Sparkle Pink NC

115C143 Evergreen NC

115C144

115C36 Candy Blue NC

115C142 Electric Blue NC115C35

Aztec Gold NCBlack (Not avail as base w/Zebra) NCBlack Cherry NC

Standard Frame Colors

$30.00

115AT1 Rear Anti-Tip

115C140115C2

115C141

Heel Loop

Rear Anti-Tip

Extension Tubes

Backrest7. BACKREST

Footplate Options115HL1

115C10

115C14

Green Apple NC115C126 Glow NC

Candy Purple NC

Black Opal NC

Candy Red NC

NC115C152 Matte Purple NC

Custom Frame Color115C112 Desert Camouflage $330.00115C43 Mossy Oak Camouflage $330.00115C42 Stars & Stripes $330.00

! 115C108Zebra (Choose above base color) Std with White unless above base paint is chosen NA w/ Blck, Matte Black, Blck Opal or Titanium)

$330.00