Speedy F1 oversized - proactiv-gmbh.com · Speedy F1 basket Speedy F1 dance Speedy F1 tennis Speedy...

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- 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: Cust. no.: Name: Street: Postcode, city: Phone: Fax: E-mail: Contact: Shipping address:same as company address other (see below) Name: Street: Postcode, city: Customer name / commission: Name: Street: Postcode, city: Phone: Fax: E-mail: Date of birth: Paying organisation: Indication: Invoice address: same as company address Invoice address: other (see below) Cust. no.: Name: Street: Postcode, city: Phone: Fax: E-mail: Contact: 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

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:

Cust. no.:

Name:

Street:

Postcode, city:

Phone:

Fax:

E-mail:

Contact:

Shipping address:same as company address

other (see below)

Name:

Street:

Postcode, city:

Customer name / commission:

Name:

Street:

Postcode, city:

Phone:

Fax:

E-mail:

Date of birth:

Paying

organisation:

Indication:

Invoice address: same as company address

Invoice address: other (see below)

Cust. no.:

Name:

Street:

Postcode, city:

Phone:

Fax:

E-mail:

Contact:

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)