order form / price list - frankmobility.com retail orderform 2018.pdf250 w heinzmann direct power...
TRANSCRIPT
Rev 2/2018
Accessories
Adjustable Headrest $310
Headrest Quick Release Lever (Adjusts Without Tools) $100
Bike Stand $125
LED Light System (Battery Operated Front & Rear Light) $235
Footrest Quick Release Lever (Adjusts Without Tools) $150
Raised Footboard (4’0” and under) $340
Molded Foot Supports with Straps Size: Small Medium Large X-Large
$325
Wheelchair Spoke Covers $365
Seat Reduction (Removable Upholstery Pieces)
Seat Width (Standard = 18”) 15” 13” 10”
$270
Custom Split Footplates $550
Order Form / Price List Ordered By:
Net Amount
Freight Charges
**Sales Tax
Total
$350.00
Delivery Time: 5-15 days via UPS Freight Payment Terms: Prepaid Orders Only
Delivery Time subject to change Prices subject to change without notice.
Thigh Harness $145
Foot Strap Calf Strap $75
“H” Style Harness $195
Elevated Handlebar for Wheelchair (For Tall Bike Riders)
$215
Handlebar Quick Release Lever (Adjusts without tools) $150
Raised Armrests, Removable $265
Hand Shields (Keeps Hands Off Tires) $295
Bicycle Basket: XL Basket $80 XXL Basket $160(Select Size. Baskets only compatible with Basic & Plus)
Anti-Tip Support for Wheelchair $520
Puncture Proof Resistant (Wheelchair & Bike) $500
Payment Method Visa MasterCard
Check by Mail Discover American Express
Name as it Appears on Card
Card Bill to Address
Card Number
Expiration Date
Signature
Phone:
Standard Features Include:
26” x 1.75” Bike Tires
Alloy Luggage Rack
90mm Twin Drum Brakes
Wheelchair Parking Brake
Adjustable & Removable Footrest
Adjustable Lap Belt
Adjustable Handlebars
Removable & WashableSeat Upholstery
Folding Seat with 3Position Seat Angle
Chain Guard
Coaster Brakes
On-Board Tools forHeadrest/Footrest
Basic - $4,995.00
Includes standard features with: Shimano Nexus 8-Speed Gears Blue Bike Frame Yellow Wheelchair Seat
Yellow Footrest
Includes standard features plus: Shimano Nexus 8-Speed Gears
Puncture Proof Resistant Adjustable Headrest
LED Light System
Bike Stand Bike Lock
Tire Pump, Tool Set “H” Style Harness
Wheelchair Spoke Covers Suspension Bike Seat
Choice of Frame Color:
o Red o Blue
Plus - $5,995.00
Includes “Plus” features plus:
Includes same features on the Plus model and 7-Speed Chain Gear System
250 W Heinzmann Direct Power Drive Motor 36V, 1 x 11Ah Li-Ion Battery
110V Charger
Silver Frame Only 30 Miles per Charge
Note there is an Additional $100Freight Charge for the Electro
Electro Plus - $8,995.00
WHEELCHAIR BICYCLE TANDEM
®
1003 INTERNATIONAL DRIVE • OAKDALE, PA 15071
Phone (724) 695-1590 • Fax (724) 695-1593 Facebook.com/DuetWheelchairBicycleTandem Email • [email protected] Web • www.MobilityAccess.com