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Account No: ___________________________________________________________________________________
Drop Ship/Ship To: ________________________________________________________________________________
Date: ________________________________________________________________________
Name: ________________________________________________________________________________________
P.O. #: ________________________________________________________________________
Address: ___________________________________________________________________________
Buyer: _________________________________________________________________ City: _________________________________________________________
State:__________________________
Marked For: _________________________________________________________________________
Zip Code:_____________________________
Phone Number:__________________________________________________________
Base Package
RHYTHM
TM
M3 Classic Specifications
166NB29
RHYTHM
TM
M3 Classic Standard Chair
$5,550.00 Quickie 70A Drive Control
166NB33
RHYTHM
TM
M3 Classic for Power Seating
$5,310.00 300 lb 6.5 mph 4-pole Motor Package
166NB32
RHYTHM
TM
M3 Classic Base Only
$5,310.00 Traditional Rehab Seat Frame w/Seat Pan
Performance Packages 14" Drive Wheels
166PF16 300 lb 6.5 mph 4-pole Motor Package Std. 8A Dual Mode (Off-Board)
166PF72 300 lb 8.5 mph 4-pole Motor Package
1,3
$1,040.00
166PF18 400 lb 5.0 mph 4-pole Motor Package
1
$1,200.00
Expandable Control Assistive Driving Package
166PF17
Quickie IntelliDrive
TM
1
$995.00
Base Package
RHYTHM
TM
M5 Classic Specifications
166NB26
RHYTHM
TM
M5 Classic Standard Chair
$7,795.00 Quickie 100A Drive Control
166NB35
RHYTHM
TM
M5 Classic for Power Seating
$7,545.00 300 lb 8.5 mph 4-pole Motor Package
166NB34
RHYTHM
TM
M5 Classic Base Only
$7,545.00 Traditional Rehab Seat Frame w/Seat Pan (Not Included with Base Only)
Performance Packages 14" Drive Wheels
166PF23
300 lb 8.5 mph 4-pole Motor Package
3
Std. 8A Dual Mode (Off-Board)
166PF30 400 lb 5.0 mph 4-pole Motor Package
10
NC
Assistive Driving Package
166PF17
Quickie IntelliDrive
TM
1
$995.00
Base Package
RHYTHM
TM
M7HD Classic Specifications
166NB24
RHYTHM
TM
M7HD Classic Standard Chair
$9,975.00 Quickie 100A Drive Control
166NB37
RHYTHM
TM
M7HD Classic for Power Seating
$9,725.00
400 lb 5.0 mph 4-pole Motor Package w/ Quickie IntelliDrive
TM
166NB36
RHYTHM
TM
M7HD Classic Base Only
$9,725.00 Traditional Rehab Seat Frame w/Seat Pan (Not Included with Base Only)
Performance Packages 14" Drive Wheels
166PF74
400 lb 5.0 mph 4-pole Motor Package
10
Std. 8A Dual Mode (Off-Board)
Assistive Driving Package
166PF17
Quickie IntelliDrive
Std.
FOOTNOTES:
Transit
1
Requires upgrade to Quickie Expandable Controller
166TO25 4-Point Transit Package
2,7
$300.00
2
Transit Option adds .5" to STFH
Accent Color
3
Ventilator options will accommodate a U1 battery
166C77 Burgundy NC
4
Not available with Power Lift , Transit Option, Perfect Fit Push Handles or 12" & 13" Wide.
166C78 Blue NC
5
Decreases the Power CG Tilt to 300 lbs.
166C79 Black NC
6
Not available with Transit Option, Perfect Fit Push Handles or 12" & 13" Wide.
Drive Wheel
7
The 4-point transit package has been crash tested in accordance with ANSI/RESNA WC Vol. 1
166DW36 14" Cast Wheel Pneumatic Tire NC
Section 19 Frontal Impact Test requirements for wheelchairs with an appropriate weight Crash dummy.
166DW37 14" Cast Wheel Pneumatic w/Ins. $330.00
8
Not Availble with Power Recline
166DW38 14" Chrome/Black Wheel Pneumatic Tire $140.00
9
Not Avaible with Transit
166DW39 14" Chrome/Black Wheel Pneumatic w/Ins. $470.00
10
Not available with the J3 Back
Drive Wheel Tire
166DT1 Knobby NC
166DT2 V-Groove NC
User Weight (Required for proper suspension set-up) NC
Less than 150 Lbs (166WG06) 251 - 300 lbs (166WG09)
151 - 200 lbs (166WG07) 301 - 350 lbs (166WG10)
8,9,10
201 - 250 lbs (166WG08) 351 - 400 lbs (166WG11)
8,9,10
Ventilator Options
3,9
166VT5 E1030 Articulating Vent Tray
4,5
$1,395.00
166VT4 E1029 Fixed Vent Tray (Pulmonetic LTV Models)
6
$440.00
Quickie Rhythm
TM
Classic’s
ORDERING INFORMATION PHONE: (800) 333-4000, FAX: (800) 300-7502, WEBSITE: www.sunrisemedical.com
ACCOUNT INFORMATION
EIPW10, Effective November 15, 2007
QUICKIE RHYTHM
TM
M7HD CLASSIC
RHYTHM BASE PACKAGE OPTIONS
QUICKIE RHYTHM
TM
M3 CLASSIC
QUICKIE RHYTHM
TM
M5 CLASSIC
Specifications are subject to change without notice. Copyright @ 2007, Sunrise Medical. (11.07) Quickie Rhythm Classic’s 931172 - Rev O
Page 1 of 5
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Podsumowanie treści

Strona 1 - Classic’s

Account No: ___________________________________________________________________________________ Drop Ship/Ship To: __________________________________

Strona 2 - Page 2 of 5

Quickie Rhythm Classic, November 2007QUICKIE Standard Controller166J34 Quickie 70A Drive Control (Includes QC-4) 1,2NCTraditional Rehab Seat Frame Onl

Strona 3

Quickie Rhythm Classic, November 2007166CU1 2" Cushion $95.00JAY Cushions HangerTo order any of the following JAY cushions on-chair, please see t

Strona 4 - SEATING - Perfect Fit

Quickie Rhythm Classic, November 2007Please note: The J3 Back is not available with the Perfect Fit Seating System. Posterior Lateral Positioning Back

Strona 5

Quickie Rhythm Classic, November 2007OptionsHanger 166A454 Hand Held Programmer Pad $625.00166H9565° Swing Away (A,B,C) (pr)NC 166A459 Toggle Swit

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