Carbonbike-USAChris Petersonchris@carbonbike‐usa.com

Customer name: STEPHANE MASSARDstreet: steph@carbonbike‐usa.comCity:State: Carbonbike.USAZip: Country: 6585 HAINES ROADemail: ST PETERSBURG, FL. 33702phone #: ph (440) 315‐8503

K1 / K2 Price in USD

Quantity Price Total

FRAME AND FORK ONLYK1 CARBON FIBER KNEELER (DOUBLE AMPUTEE) 11,500K2 CARBON FIBER KNEELER (SINGLE LEG AMPUTEE OR AMBULATORY) 11,500INCLUDES CRANK BOTTOM BRACKET BEARING ADAPTORS AND 1 SET OF 1/2" THREADED AXLE INSERTS

ALUMINUM CRANKSCRANK LENGTH CRANK WIDTH 500INCLUDES BOTTOM BRACKET, 110 BCD SPIDER , 53/38 CHAIN RINGS

GRIPSGRIP SIZE MEDIUM LARGE 240GRIP ANGLE 15 DEGREE 30 DEGREEBRAKE HANDLE RIGHT LEFT

DRIVE TRAINSram AXS ETAP 24 SPEEP, 53/38, cassette 10‐32 1900Sram AXS ETAP 24 SPEED, 53/38, cassette 10‐36 1900

DRIVE WHEELCARBONBIKE 700c 50 mm CARBON FIBER DRIVE WHEEL (CLINCHER) N/CCARBONBIKE 700c 50 mm CARBON FIBER DRIVE WHEEL (TUBULAR) 250

REAR WHEEL CAMBER INSERT13 DEGREE N/C11 DEGREE 5015 DEGREE 50

REAR WHEELSCARBONBIKE 700c 50 mm CARBON FIBER WHEEL (CLINCHER) N/CCARBONBIKE 700c 50 mm CARBON FIBER WHEEL (TUBULAR) 500CORIMA REAR DISC WHEELS 2500no wheels ‐400

OPTIONSSRM ONLY 2100SRM TRAINING SYSTEM (BUNDLE) 2500

Name: Date

K1 / K2 Order Form

Sending costs all countries outside of Europe (to be quoted) 8% VAT/ TVA for all countries in the EU . Taxes and duties outside of U payed upon receiptWarranty 3 years on all carbon partsOrder commenced with 50% down payment. Delivery time 4-6 weeks depending on demand

Total price

A) Seat width

B) Center of crank to back of seat

C) Center of Crank to floor

D) Length of seat

E) Fork length

F) Rear axle length

1 inch = 2.54 cm

Special Instructions:

CM Inches

46 cm or 48

K1-k2 pg 1Sheet1

K order formK1-k2Pages from REVO-X order form 5-1-17 pg3

K1 CARBON FIBER KNEELER DOUBLE AMPUTEE: 11000: K2 CARBON FIBER KNEELER SINGLE LEG AMPUTEE OR AMBULATORY: 11000_2: CRANK LENGTH CRANK WIDTH: 500: INCLUDES BOTTOM BRACKET 110 BCD SPIDER 5338 CHAIN RINGS: 500INCLUDES BOTTOM BRACKET 110 BCD SPIDER 5338 CHAIN RINGS: GRIP SIZE MEDIUM LARGE: 240: GRIP ANGLE 15 DEGREE 30 DEGREE: 240GRIP ANGLE 15 DEGREE 30 DEGREE: BRAKE HANDLE RIGHT LEFT: 240BRAKE HANDLE RIGHT LEFT: ETAP 22 SPEEP 5338 cassette 1132: 1700: ETAP 22 SPEED 5338 cassette 1136: 1700_2: CARBONBIKE 700c 50 mm CARBON FIBER DRIVE WHEEL CLINCHER: NC: CARBONBIKE 700c 50 mm CARBON FIBER DRIVE WHEEL TUBULAR: 250: 13 DEGREE: NC_2: 11 DEGREE: 50: 15 DEGREE: 50_2: CARBONBIKE 700c 50 mm CARBON FIBER WHEEL CLINCHER: NC_3: CARBONBIKE 700c 50 mm CARBON FIBER WHEEL TUBULAR: 500_2: CORIMA REAR DISC WHEELS: 2500: no wheels: 400: SRM ONLY: 2100: SRM TRAINING SYSTEM BUNDLE: 2500_2: INCLUDES CRANK BOTTOM BRACKET BEARING ADAPTORS AND 1 SET OF 12 THREADED AXLE INSERTSRow26: INCLUDES CRANK BOTTOM BRACKET BEARING ADAPTORS AND 1 SET OF 12 THREADED AXLE INSERTSRow26_2: street: city: state: zip: country: email: phone: crank length: crank width: grip size: Offgrip angle: Offbrake side: Offname: date: seat width: center of crank to back of seat: center of crank to floor 1: center of crank to back of seat 1: center of crank to floor: length of seat: length of seat 1: crank l: Offseat width 1: rear wheel width cm: rear wheel width inches: Special Instructions -1: sending costs1: sending costs 2: vat: vat2: total 1: total 2: