Speedy F1 oversized - proactiv-gmbh.com · Speedy F1 basket Speedy F1 dance Speedy F1 tennis Speedy...
Transcript of Speedy F1 oversized - proactiv-gmbh.com · Speedy F1 basket Speedy F1 dance Speedy F1 tennis Speedy...
- 1 - 2017-09-19 / The prices are plus statutory value-added tax and shipping costs = Included in the basic price = Position required Speedy „F1“ Rev. 07
Im Hofstätt 11 D- 72359 Dotternhausen Tel +49 (0)7427 9480-0 Fax +49 (0)7427 9480-7025 e-mail [email protected] www.proactiv-gmbh.de
Quotation date: _____________
Order date: ____________
according to GTC PRO ACTIV GmbH
Medical suppliers / Company address:
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Shipping address:same as company address
other (see below)
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Customer name / commission:
Name:
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Date of birth:
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organisation:
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Invoice address: same as company address
Invoice address: other (see below)
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Speedy F1 basket
Speedy F1 dance
Speedy F1 tennis
Speedy F1 badminton
Speedy F1 oversized rigid frame sports wheelchair Individual customised frame geometry,welded
chassis
Approved up to 120 kg user load capacity
9011100000 € 4,120.00
- 2 - 2017-09-19 / The prices are plus statutory value-added tax and shipping costs = Included in the basic price = Position required Speedy „F1“ Rev. 07
Body size:
Wheel chair dimensions:
A: SB seat width _______cm
I: Frame length to the front frame bend
_______cm
B: ST seat depth _______cm J: KW knee angle
or
_______ °
C: RH back height
_______cm
J1: Angle of the front Frame tube to the vertical position
_______ °
D: USL lower leg length
_______cm M: Lower leg width top _______cm
E: SHh seat height back _______cm N: Lower leg width bottom _______cm
F: SHv seat height front _______cm O: Position of the tip support bearing block
(according to the rules in basketball, the rear wheel forms the back-most point)
_______cm
G: KP tipping point (inner edge rear tube to axis middle drive wheel)
_______cm
P: Position of the steering wheel bearing block (distance from the inner edge backrest to middle bearing block)
_______cm
H: Start frame retraction _______cm Q: Distance between steering wheel bearing blocks
_______cm
Dimensional tolerances according to DIN EN ISO 13920 apply for the design (mm)
Degree of accuracy Up to 30 More then 30 to 120 More then 120 to 400 More then 400 to 1000
C +/- 1 +/- 3 +/- 4 +/- 6
Körpergröße: __________ cm
Gewicht: __________ kg
Unterschenkellänge: __________ cm
(anatomisches Maß: Kniekehle bis Fußsohle)
Basic size
Individual frame geometry oversized: 9011100001
Body size: __________ cm
Weight: __________ kg
Lower leg length: __________ cm
(anatomic dimension: hollow of the knee to the foot sole)
- 3 - 2017-09-25 / The prices are plus statutory value-added tax and shipping costs = Included in the basic price = Position selected Colours Rev. 02
Frame colour - One-colour design Rahmenfarbe - Einfarbdesign Information on current colour designs and example images under: www.proactiv-gmbh.de/farben.php
White RAL 9016
gloss 9000100170-023 matt 9000100170-123 € 33.30
Brilliant Silver
gloss 9000100170-011
Anthrazit RAL 7016
gloss 9000100170-001 matt 9000100170-101 € 33.30
Black RAL 9005
gloss 9000100170-003 matt 9000100170-019 € 33.30
Deep black, silver effect
gloss 9000100170-007
Pure orange RAL 2004
gloss 9000100170-022
Fire Red
gloss 9000100170-018 matt 9000100170-118 € 33.30
Pink magenta RAL 4010
gloss 9000100170-037 matt 9000100170-137 € 33.30
Sky blue
gloss 9000100170-017
Pastel blue RAL 5024
gloss 9000100170-036 matt 9000100170-136 € 33.30
Navy blue
gloss 9000100170-045 matt 9000100170-145 € 33.30
Apple green
gloss 9000100170-014 matt 9000100170-114 € 33.30
Lemon green
gloss 9000100170-005 matt 9000100170-105 € 33.30
Purple
gloss 9000100170-044
Yellow RAL 1023
gloss 9000100170-046 matt 9000100170-146 € 33.30
Red RAL 3001
gloss 9000100170-047 matt 9000100170-147 € 33.30
Colour - Attachment parts
Drive wheel
Aluminium
rim and hub
Caster fork and
bearing block
silver
9000100171-011
9000100173-011 black
9000100171-003
9000100173-003 If no details have been made, the attachment parts are mounted in black.
Attachment parts colour design according to customer
desires:
Drive wheel1
Aluminium rim and hub 5" Aluminium rim
2
3 spoke design Orange
RAL 2004 € 144.3901
9000100171-022
€ 30.702 9000100174-022
white
RAL 9016 € 144.901
9000100171-023
€ 30.702 9000100174-023
in frame
colour € 176.101
9000100171-999
€ 51.502 9000100174-999
Selection
from single
colour design
deviating
from the
frame colour
€ 206.201 9000100171-998
€ 60.802 9000100174-998
Please enter the last 3 digits of the desired colour (single colour design):
9000100170-
9000100170-
Frame colour - Two-colour design
Information on current colour designs and example images under: www.proactiv-gmbh.de/farben.php
Note: With two-colour design, according to both colours of the
gloss level of the design colour.
Two-colour design
comprising one basic colour (on the back of the frame) and one design colour (on the front of the frame)
€ 205.90
Please select from the following colours:
Base colours (on the back frame):
Design colours (on the front frame)
White 9000100170-200
Silver 9000100170-201
Anthracite 9000100170-202
Black 9000100170-203
Pastel blue 9000100170-206
Lemon green 9000100170-207
Yellow 9000100170-208
Yellow
gloss 9000100170-261
matt 9000100170-262
Lemon green
gloss 9000100170-250
matt 9000100170-251
Blue
gloss 9000100170-252
matt 9000100170-263
Chili
gloss 9000100170-253
matt 9000100170-254
Pure orange
gloss 9000100170-255
matt 9000100170-256
Cappuccino
gloss 9000100170-257
matt 9000100170-258
Black
gloss 9000100170-259
matt 9000100170-260
Special colour requests (frame or attachment parts)
Frame colour single procurement Frame from RAL range of colours Surface coating: gloss matt
9000100170-100 € 317.20
Colour details with RAL number
Note: Attachment parts not possible in design colours 1 Only in combination with aluminium rim drive wheel 9000203000-9000203300 2 Only in combination with caster wheel 5" Aluminium rim 3-spoke design smooth running 9000501200 or 5" Aluminium rim 3-spoke design good shock absorption 9000501210
- 4 - 2017-09-19 / The prices are plus statutory value-added tax and shipping costs = Included in the basic price = Position required Speedy „F1“ Rev. 07
Backrest
Aluminium side guard, contour following the wheel
9011400020-002
Bolted backrest, cannot be folded Adapted to the upper edge of the tyre, in frame colour
Aluminium side guard, contour by indicated dimension
9011400020-001 € 70.70
Bolted backrest, cannot be folded Indicated dimension: A=_____ cm / B=_____ cm
Welded side guard with alu plate, contour following the wheel
9011400400-002 € 297.90
Bolted backrest, cannot be folded, Adapted to the upper edge of the tyre, in frame colour (3 cm above the tyre)
Welded side guard with alu plate, contour by indicated dimension
9011400400-001 € 338.00
Bolted backrest, cannot be folded, Adapted to the upper edge of the tyre, in frame colour Indicated dimension: A=_____ cm / B=_____ cm
Folding backrest
9011400010 € 247.50
and 7-way angle adjustment, with integrated aluminium side parts
Back equipment Adaptable back with back padding
9011802010
Colour: black (Equipment with back bar extended by 120 mm)
Further back systems e.g. ergonomic back shell see separate dimension sheet: "PRO ACTIV seat and back systems"
Seat upholstery
Body Contour
9011801025
Open belt system
9011801010 € 58.80
Seat cushion
"Standard" seat cushion F1
Höhe: 3cm 9000805190-003
€ 103.50
Höhe: 4cm 9000805190-004
€ 103.50
Höhe: 6cm 9000805190-006
€ 103.50
Cover: black breathable
Further seat cushions e.g. "Anti-Decubitus" see separate dimension sheet:"PRO ACTIV Seat and back systems"
Wheel camber * Total width with tight-mounted hand rim
12° drive wheel camber
9011202090
15° drive wheel camber
9011202150
18° drive wheel camber
9011202160
20° drive wheel camber
9011202170
Footrest
Continuous footrest with tubular resting bracket
9011601010
height adjustable +/- 3 cm
Continuous footrest with rubber coated footplate
9011610000 € 92.60
height adjustable +/- 3 cm edge-folded at front, bolted Depth: 27cm
Continuous footrest with footplate "Box-Form"
9011610020 € 164.30
height adjustable +/- 3 cm rubber coated Width: 20cm, Length: 31.5cm + 1.5cm adjustable
- 5 - 2017-09-19 / The prices are plus statutory value-added tax and shipping costs = Included in the basic price = Position required Speedy „F1“ Rev. 07
Ram bar
Offence bar
9011100500 € 203.80
with radius tube
Offence bar with trapezium tube
9011100501 € 203.80
Defence bar, removable
9011100502 € 203.80
Rear protection bar
9011100600 € 182.00
with bent tube
Adaptations
Central anti-tipping support oversized, welded (basket ball)
Anti-tipping fork with screwed axle 9011300378
€ 274.60
Anti-tipping fork with quick-release axle 9011300374
€ 307.60
2 anti-tipping supports with oversized tube
Anti-tipping fork with screwed axle 9011300170
€ 355.70
Anti-tipping fork with quick-release axle 9011300270
€ 449.30
Central anti-tipping support with oversized tube, length adjustable (Tennis)
9011300370 € 338.00
fixed tipping wheel rotary fork
Mittelkippstütze abnehmbar 4 Dance
9000300010 € 411.80
über Schnellspannklammer, mit drehbarer Lenkradgabel und Skaterolle Ø80mm in Bodenfreiheit und Winkel einstellbar Farbe: schwarz
Caster wheels All caster wheels (except pneumatic tyres) are puncture-proof!
3" Skate wheel (80 mm)
9000501110 € 54.20 € 50,10
puncture-proof
Drive wheels
24" drive wheel, 36 spoke aluminium rim
9000203000
with aluminium front hub, radially spoked (ETRTO 540)
Drive wheel double rim 36 spokes
24" (ETRTO 540) 9000203100
€ 126.90
25" (ETRTO 559) 9000203200
€ 126.90
26" (ETRTO 590) 9000203300
€ 126.90
28" (ETRTO 622) 9000203310
€ 126.90
with aluminium front hub, spoked radially Use with higher loads and body weight > 120 kg!
Spinergy running wheel "Spox Sport" with 24 PBO spokes; rim, hub and spokes in black
24“ (ETRTO 540) 9000203550
€ 561.40
25“ (ETRTO 559) 9000201559
€ 561.40
26“ (ETRTO 590) 9000203555
€ 561.40
Handrims x = dimension handrim attachment!
Handrim attachment:
x = 11mm
x = 19mm
If no specification is given, the handrims will be mounted wide (19mm/18mm).
Ø 19 mm stainless steel handrims
for 24" and 25" wheel 9000205010-004
for 26" wheel 9000205010-006
for 28" wheel 9000205010-008
Ø 19 mm aluminium handrims silver anodised
for 24" and 25" wheel 9000205019-004
Ø 19 mm aluminium handrims polished and hard-anodised
for 24" and 25" wheel 9000205030-004
€ 124.80
for 26" wheel 9000205030-006
€ 124.80
- 6 - 2017-09-19 / The prices are plus statutory value-added tax and shipping costs = Included in the basic price = Position required Speedy „F1“ Rev. 07
Ø 19 mm titanium handrims
for 24" and 25" wheel 9000205040-004
€ 257.90 € 202,50
for 26" wheel 9000205040-006
€ 257.90 € 202,50
Silicone handrim cover
for 24" hand rim 9000205100-004
€ 187.10 € 173,00
for 26" hand rim 9000205100-006
€ 187.10 € 173,00
Surface without structure
compatible with handrim Ø 19mm or Ø 20mm.
Spoke guard
Finger- and spoke guard "transparent"
for 24" wheel 9000206300-004
€ 158.60 € 146,40
for 26" wheel 9000206300-006
€ 158.60 € 146,40
Design and spoke protection film basket
9000206310-001 € 110.80 € 102,40
Only in combination with finger and spoke protection!
Design and spoke protection film silly-bubble
9000206310-002 € 110.80 € 102,40
Only in combination with finger and spoke protection!
Design and spoke protection film blue-sky
9000206310-003 € 110.80 € 102,40
Only in combination with finger and spoke protection!
Design and spoke protection film colour-stones
9000206310-004 € 110.80 € 102,40
Only in combination with finger and spoke protection!
Tyres
Schwalbe "RightRun" High-pressure tyre 7.5 bar
24x1“ (540-25) 9000204000-004
25x1“ (559-25) 9000204000-005
26x1“ (590-25) 9000204000-006
28x1" high pressure smooth running 7.5 bar
9000204000-008
(ETRTO 622)
Schwalbe "SpeedAir" Indoor sports tyre 10 bar
24x3/4“ (540-20) 9000204121-004
€ 35.50
25x3/4“ (559-20) 9000204121-005
€ 35.50
26x3/4“ (590-20) 9000204121-006
€ 35.50
Colour: white, black wall
Accessories
Hand air compressor with pressure gauge up to 14 bar
9000901100 € 85.50 € 79,00
Transport bag for drive wheels
for 24" wheel 9000903530-004 Ø76cmx2cm
€ 59.50
for 26" wheel 9000903530-006 Ø83cmx2cm
€ 59.50
€ 54,60
Your additional notes:
I herewith confirm the details listed above
____________________________________________________
Location, Date Signature (End customer)
____________________________________________________
Location, Date Signature (Dealer)