Invacare T-5 - Manual

Top End

®

T-5

™

Tennis Elite Chair

Price List and Order Form

Effective July 1, 2006

Revised January 15, 2009

For accuracy of ordering, please fax order to Top End at 727-522-1007 or e-mail to [email protected]
For questions call 800-532-8677 or 727-522-8677.
To order Literature: 800-828-6282

www.topendwheelchair.com

Provider Name

Date

Top End Job Number

Account #

P.O. #

Phone #

Fax #

Address

City

State

Zip Code

Customer Name

Email

Phone No

________

Address

City

State

Zip Code

Ship order to:

□

Provider

□

Customer Order will ship to Provider unless otherwise noted.

All prices subject to change w/o notice. All prices in U.S. Dollars. All orders F.O.B. Pinellas Park, Florida, USA

For the most current pricing information go to www

.

topendwheelchair

.

com.

Page 1 of 3

KEY MEASUREMENT GUIDELINES PAGES 2 & 3

SWSA

Top End T-5 Tennis Elite Aluminum Chair

........... $2,625.00

SWST

Top End T-5 Tennis Elite Titanium Chair

................ 3,985.00

1.

SEAT WIDTH

□

14"

□

14.5"

□

15"

□

15.5"

□

16"

□

16.5"

□

17"

□

17.5"

□

18"

□

18.5"

□

19"

□

19.5"

□

20"

□

20.5"

□

21"

TER1

Tapered seat width ......................................... 125.00

1

Rear Seat Width: _______ Front Seat Width: _______

2. FOOTREST WIDTH: _______ Standard = Seat Width minus (-) 6"

2

3. FOOTREST HEIGHT: (TOP) TO FLOOR: _______

3

4. FOOTREST TYPE: Standard: Tubular Footrest (Adjustable Height)

TER86

Adjustable Angle Footplate.................................. 125.00

□

with risers

□

2"

□

4" (for desired Footrest Heights over 5" from floor)

TER87

Recessed Footrest ........................................... 150.00

4

5. FOOTREST OPTIONS:

TER10

Plastic footrest cover (standard footrest only) ............. 75.00

TER89

Carbon fiber footrest cover (standard footrest only)... 125.00

TER127

Toe Clips .......................................................... 60.00

5

6. FRONT FRAME ANGLE:

□

80°

□

85°

□

90°

□

100°

7. SEAT HEIGHT FRONT:

□

14.5"

□

15"

□

15.5"

□

16"

□

16.5"

□

17".

□

17.5"

□

18"

□

18.5"

□

19"

□

19.5"

□

20"

□

20.5"

□

20-7/8" (53cm)

8. SEAT HEIGHT REAR:

□

14.5"

□

15"

□

15.5"

□

16"

□

16.5"

□

17"

6

□

17.5"

□

18"

□

18.5"

□

19"

□

19.5"

□

20"

□

20.5"

□

20-7/8" (53cm)

TER31

Solid Seat w/ welded rigidizer bars for aluminum..... 175.00

TERTi3

Solid Seat w/ welded rigidizer bars for titanium........ 425.00

9. AXLE POSITION: ”CENTER OF GRAVITY” (choose fixed or adj.):

7

Fixed Axle Position:

□

3"

□

3.5"

□

4"

□

4.5"

□

5"

□

5.5"

□

6" Other ______

Adjustable Center of Gravity Range:

□

2" to 4"

□

3" to 5"(Std.)

□

4" to 6"

8

(10). CASTER POSITION: (choose ‘Front to Wall’ or ‘Wheel Base’)
FRONT TO WALL:

□

18"

□

20"

□

22"

□

24"

□

26" Other ______

-OR- WHEEL BASE:

□

15"

□

16"

□

17"

□

18"

□

19" Other ______

11. UPHOLSTERY SEAT DEPTH:

□

14"

□

15"

□

16"

□

17"

□

18"

12. EXTRA FRAME DEPTH: Standard = 0":

□

1"

□

1½"

□

2"

13. CASTER CENTER TO CENTER (refer to notes)

9

Standard Mount Footrest CtC = Footrest Width plus (+) 6"

□

Other_______

Recess Mount Footrest CtC = Seat Width minus (-) 1"

□

Other_______

14. ANTI-TIP/5

TH

WHEEL: Choose one:

□

Fixed or

□

Omit

TER102

Telescoping .................................................... 200.00

15. CAMBER:

□

12°

□

15°

□

18°

□

20° (no other camber available)

16. WHEEL DISTANCE: Standard = Seat Width + 2.5”

□

Other ______

17. WHEEL TYPE: Build for:

□

Standard or

□

Spinergy

18. SUN®PERFORMANCE WHEELS/ OPTIONS:
Rear Wheel Size:

□

24"(540)

□

25"(559)

□

26"(590)

□

700C

TER131

Spinergy SLX (4mm) upgrade (24 spokes) ........... 895.00

Spoke color: (choose one)

□

Black

□

Yellow

□

White

□

Red

□

Blue

TER67

Spinergy Spox (3mm) upgrade (24 spokes) ......... 695.00

Spoke color: (choose one)

□

Black

□

Yellow

□

White

□

Red

□

Blue

TER6

Crossed Spoke Upgrade

(not available for Spinergy wheels)................................. 125.00

TER101

Kenda

®

Tires:

□

Red or

□

Yellow.................... 75.00

TER76

Titanium axles ................................................ 150.00

19. PUSHRIMS, ANODIZED (Aluminum):
(

□

Std. mount) or (

□

Close mount

□

Cut Tabs)

TER75

Titanium pushrims upgrade ............................ 600.00

10

TER08

Coated Pushrims ............................................. 100.00

20. BACK HEIGHT (choose fixed or adjustable):
Fixed Height:

□

8"

□

8.5"

□

9"

□

9.5"

□

10"

□

10.5"

□

11"

□

11.5"

□

12"

□

12.5"

□

13"

□

13.5"

□

14"

□

14.5"

□

15"

□

15.5"

Adjustable Height Range:

□

Short 9" to 11"

□

Low 11" to 14"

□

Med 14" to 18"