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Extream Wheelchair
Online quote form
Customize & Buy - Extreme
Company Name:*
Location:*
First Name*
Last Name*
Phone Number:*
Official Work Email*
Other Info
Product Configuration
FRAME COLOUR*
Please select Option
EXTB Dynamic Frame - Black - $3899
EXTC Dynamic Frame - Custom - $4299
Custom frame colour:
CLIENT WEIGHT*
Please select Option
WA Up to 250Lbs - N/A
WAMF Exceeds 250Lbs - $730
WAMG Exceeds 350Lbs - $992
WAMG Exceeds 400Lbs (Max 600Lbs) - $1110
SEAT WIDTH*
Please select Option
SW16 Seat Width 16" - N/A
SW17 Seat Width 17" - N/A
SW18 Seat Width 18" - N/A
SW19 Seat Width 19" - $399
SW20 Seat Width 20" - $399
SWC Custom Seat Width - $399
If custom seat width:*
SEAT DEPTH*
Please select Option
SD16 Seat Depth 16" - N/A
SD17 Seat Depth 17" - N/A
SD18 Seat Depth 18" - N/A
SD19 Seat Depth 19" - $265
SD20 Seat Depth 20" - $265
SDS Custom Seat Depth - $265
If custom seat depth:*
Foot rest and foot plates:*
OFST Offset Foot Rest - N/A
F6A 60 Degree Hanger - N/A
Pivot
Pin
F7A 70 Degree Hanger - N/A
F8A 80 Degree Hanger - N/A
EA Elevating Legrest - $404
AL Articulating L/R - $450
EB Elevating Legrest System - $450
PPL Plastic - N/A
PXL Extra Large - $150
PAF Angle Adjustable Footplates - $240
1FB One Piece Foot Board - $80
1FBP One Piece Foot Board Padding - $44
NLS Nylon Leg Strap Padded - $60
NLSC Nylon Leg Strap Custom - $120
CSL Contracture Sling Standard - $240
CSLM Contracture Sling M-Style - $240
Size of custom nylon leg strap?*
Pivot style or pin style?
Please select Option
Pivot
Pin
BACK TYPE*
AB1 Angle Adjustable Back - N/A
ENDO-P Endomorph Canes - N/A
(Specify Width)
RBK Recline Kit - $560
Width of endomorph canes?
HEADREST*
MAHF Multi-Axis Hardware Complete with Large Pad - $512
MAHFXL Multi-Axis Hardware Complete with Flex Large - $512
MAHKP Multi-Axis Hardware Complete with Medium Pad - $512
MAHFXS Multi-Axis Hardware Complete with Flex Medium - $512
MAHFT Multi-Axis Hardware Complete with Small - $512
UPHT219-P Contour Headrest Complete with Swivel Hardware - $433
UPHT218-P Contour Headrest with Std. Assembly (1/2") - $292
UPHT217 Contour Headrest with Std. Assembly (3/4") - $292
UHA Universal Hardware Adaptor (Adaptor only) - $57
No Headrest - N/A
ARM REST*
TA T-Arm Ht. Adj./ Removable (Standard 10 - 14 inches) - $240
FA Flip Back Ht. Adj./ Removable (Standard 7 - 10 inches) - $240
GWAPF Gel Waterfall Arm Pads - $180
*Note: Gel Waterfall Arm Pads are only compatible with locking laptrays
Seat to floor specifications (± 0.5"):*
Please select Option
STF = 13.00 R.Wheel = 20 Caster = 5 Fork = XL SHORT - N/A
STF = 13.75 R.Wheel = 20 Caster = 5 Fork = XL SHORT - N/A
STF = 14.50 R.Wheel = 20 Caster = 6 Fork = SHORT - N/A
STF = 14.50 R.Wheel = 22 Caster = 5 Fork = SHORT - N/A
STF = 14.50 R.Wheel = 22 Caster = 6 Fork = SHORT - N/A
STF = 15.25 R.Wheel = 20 Caster = 5 Fork = SHT/LONG - N/A
STF = 15.25 R.Wheel = 20 Caster = 6 Fork = SHT/LONG - N/A
STF = 15.25 R.Wheel = 22 Caster = 5 Fork = SHT/LONG - N/A
STF = 15.25 R.Wheel = 22 Caster = 6 Fork = SHT/LONG - N/A
STF = 16.00 R.Wheel = 22 Caster = 6 Fork = LONG - N/A
STF = 16.75 R.Wheel = 22 Caster = 6 Fork = LONG - N/A
STF = 17.50 R.Wheel = 22 Caster = 6 Fork = LONG - N/A
STF = 17.50 R.Wheel = 24 Caster = 6 Fork = LONG - N/A
STF = 18.25 R.Wheel = 24 Caster = 8 Fork = LONG - N/A
For more Seat To Floor combinations, visit our website
REAR WHEEL*
Please select Option
RWT0 20" Solid Treaded Tire - N/A
RWT2 22" Solid Treaded Tire - N/A
RWT4 24" Solid Treaded Tire - N/A
RWT12 12" Solid Tire (STF 13-19 inches) - N/A
RWT12I 12" Solid Tire Inside Mount (STF 17-19 inches) - $120
RWT16 16" Solid Tire - N/A
RWA2 22" Air Tire - $120
RWA4 24" Air Tire - $120
HRT Narrow Handrim Config. (1/2" less) - $120
AQR Axles – Quick Release - N/A
*Note: Quick Release is not available for wheels smaller than 20"
CASTER*
Please select Option
FC1A 5" X 1.25" Caster - N/A
FC1B 6" X 1.25" Caster - N/A
FC1C 8" X 1.25" Caster - N/A
FC2A 5" X 1.75" Caster (Soft Roll) - $80
FC2B 6" X 1.75" Caster - $80
FC2C 8" X 1.75" Caster - $80
FC4B 6" X 2 Caster (Steel Fork) - $80
FC4C 8" X 2 Caster (Steel Fork) - $80
WHEEL LOCK*
ALPH Aluminium Push To Lock - N/A
ALPL Aluminium Pull To Lock - N/A
STPH Steel Push To Lock - N/A
STPL Steel Pull To Lock - N/A
BRXC 4" Brake Extension - N/A
BRXA 6" Brake Extension - N/A
BRXB 9" Brake Extension - $130
ATTBRX Attendant Brakes - $240
ULBL Unilateral Hand Brake Left - $240
ULBR Unilateral Hand Brake Right - $240
SEATING-BACKS*
BK01 RELAX Gentle Fit Back - $544
BK02 RELAX Full Fit Back - $608
BK03 RELAX Snug Fit Back - $700
BK04 RELAX Form Fit Back No Laterals - $820
BK06 RELAX Form Fit Back Gentle Laterals - $820
BK07 RELAX Form Fit Back Full Laterals - $820
BK05 RELAX Form Fit Back Snug Laterals - $820
BK10 RELAX Spiral Fit Back Gentle Laterals - $832
BK09 RELAX Spiral Fit Back Snug Laterals - $832
BK11 RELAX Spiral Fit Back Full Laterals - $832
TAB RELAX Tension Back Upto 18" - $140
TAB+ RELAX Tension Back Over 18" - $240
BGL1 Full Overlay Gel (2 Pieces) - $348
BGL2 Gel Center Vertebrae - $116
BGL3 Gel Left Lateral - $116
BGL4 Gel Right Lateral - $116
BK12 Custom Width - $176
BK13 Custom Height - $176
No Back - N/A
*Note: Please refer to the Seating Booklet for custom sizes
Enter back width and height:
Enter custom width below:
Enter custom height below:
SEATING - CUSHIONS*
RS-C RELAX Soft Cushion - $480
RC-C RELAX Comfy Cushion - $624
RF-C RELAX Firm Cushion - $784
RELAX AIRFLOW Cushion - N/A
Select Airflow Cushion Size:
-- Select Size --
ACD1616
ACD1618
ACD1816
ACD1818
ACD1820
ACD2018
ACD2020
ACD2218
ACD2418
ACD2420
CGL2 Full Overlay Gel - $258
CCL Contoured Leg Channel (Bolster) Std. - $180
CCLA Contoured Leg Channel (Bolster) with ABS - $260
CCLC Contoured Leg Channel (Bolster) Custom (*Note: Please refer to the Seating Booklet for custom sizes) - $320
Extra Cushion Cover - $99
Select Extra Cushion Cover
-- Select Extra Cushion Cover --
RS-CO Relax Soft Cushion Cover Only (Specify Size)
RC-CO Relax Comfy Cushion COVER (Specify size)
RF-CO Relax Firm - Cover Only
No Cushion - N/A
*Note: Please refer to the Seating Booklet for custom sizes
ACCESSORIES
SBA Seat Belt (Auto Style) - $26
SBAP Seat Belt (Padded) - $56
SBA4P Seat Belt (4 Point Padded) - $26
TRC Full Plastic Tray ABS Black or Clear - $280
TRD Half Padded Left Tray - $240
TRE Half Padded Right Tray - $240
TRF Half Left Tray ABS Black or Clear - $240
TRG Half Right Tray ABS Black or Clear - $240
TDFB Transport Tie Downs Front - $85
TDRB Transport Tie Downs Rear - $85
OXY Oxygen Tank Holder - $195
IVA Adjustable I V Pole - $130
CHPTL-P Left Arm Trough Tray - $400
CHPTR-P Right Arm Trough Tray - $400
LATB Lateral Bite out - $180
ADD8-P 8" Adductor - $164
ADD10-P 10" Adductor - $164
ADD12-P 12" Adductor - $164
FRCH Padded Footplates - $88
Additional Notes
Final Total
Total estimated price for your configuration
Get Your Quote
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