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Invacare eForms offer new functionality! Invacare is pleased to offer you an upgraded solution to your ordering process. Our enhanced order forms allow you to fill out a form electronically, print and fax the form, save and email* it to Customer Service, or maintain the business practices that work for you today. The format has been revised to reveal a cleaner look with electronic selection and input functions. *Saving and emailing the eForms is available with Acrobat Professional software If you are using Adobe Reader View and download all forms Save blank versions of the forms to your desktop Complete forms electronically Print blank or completed forms Fax completed forms to Customer Service Please note: The 'Email' button at the end of the form will not work with Adobe Reader. The 'Email' button will only work while using Adobe Acrobat Professional. If you are using Adobe Acrobat Professional View and download all forms Save blank AND completed versions of the forms to maintain electronic records Complete forms electronically Print blank or completed forms Fax completed forms to Customer Service Email completed forms to Customer Service by using the 'Email' button at the end of the form. For information on downloading Adobe Reader for free, or puchasing Adobe Acrobat Professional, please visit www.adobe.com . Page 1 of 4 NOTE: All specifications and dimensions are approximate. For the most current pricing information, go to www.invacare.com/homecare. Invacare eForms For additional information, visit www.invacare.com/eForms www.topendwheelchair.com Customer Service: 800-532-8677 Fax: 727-522-1007 To order Literature: 800-828-6282

Transcript of Invacare eFormsstormtdx.invacare.com/doc_files/08-008_Top End... · The 'Email' button at the end...

Page 1: Invacare eFormsstormtdx.invacare.com/doc_files/08-008_Top End... · The 'Email' button at the end of the form will not work with Adobe Reader. The 'Email' button will only work while

Invacare eForms offer new functionality!

Invacare is pleased to offer you an upgraded solution to your ordering process. Our enhanced order forms allow you to fill out a form electronically, print and fax the form, save and email* it to Customer Service, or maintain the business practices that work for you today. The format has been revised to reveal a cleaner look with electronic selection and input functions. *Saving and emailing the eForms is available with Acrobat Professional software

If you are using Adobe Reader

• View and download all forms

• Save blank versions of the forms to your desktop

• Complete forms electronically

• Print blank or completed forms

• Fax completed forms to Customer Service Please note: The 'Email' button at the end of the form will not work with Adobe Reader. The 'Email' button will only work while using Adobe Acrobat Professional.

If you are using Adobe Acrobat Professional

• View and download all forms

• Save blank AND completed versions of the forms to maintain electronic records • Complete forms electronically

• Print blank or completed forms

• Fax completed forms to Customer Service

• Email completed forms to Customer Service by using the 'Email' button at the end of the form.

For information on downloading Adobe Reader for free, or puchasing Adobe Acrobat Professional, please visit www.adobe.com.

Page 1 of 4

NOTE: All specifications and dimensions are approximate. For the most current pricing information, go to www.invacare.com/homecare.

Invacare eFormsFor additional information, visit www.invacare.com/eForms www.topendwheelchair.comCustomer Service: 800-532-8677 Fax: 727-522-1007 To order Literature: 800-828-6282

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Top End® Crossfire™ All Terrain Wheelchair

Date

Phone #

Customer Name

Address City Zip Code

Account # P.O. #

State

Fax #

Provider Name

Sales Order Number

Zip Code State CityAddress

Phone #

Ship order to:Order will ship to Provider unless otherwise noted.

Provider Customer

Email

Internal Use Only

Email

Please fax order to TopEnd at 727-522-1007 Or order by email: [email protected] For questions call: 800-532-8677 or 727-522-8677 To order literature: 800-828-6282

Price List and Order Form www.topendwheelchair.com

Order Quote

TRANSACTION TYPE:

Revised Jul 01, 2012 Page 2 of 4

All prices subject to change without 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.invacare.com.

Comments

CRFAT Top End Crossfire All Terrain ................................. $2,795.00

FRAME TYPE

Crossfire All Terrain is built of 1-1/8" 6061T6 Aluminum.

SEAT WIDTHW14 14" Seat Width ....................................................... No ChargeW15 15" Seat Width ....................................................... No ChargeW16 16" Seat Width ....................................................... No ChargeW17 17" Seat Width ....................................................... No ChargeW18 18" Seat Width ....................................................... No ChargeCRF105 19" Seat Width ........................................................... $100.00CRF105 20" Seat Width ........................................................... $100.00

UPHOLSTERY SEAT DEPTHD14 14" Seat Depth ....................................................... No ChargeD15 15" Seat Depth ....................................................... No ChargeD16 16" Seat Depth ....................................................... No ChargeD17 17" Seat Depth ........................................................ No ChargeD18 18" Seat Depth ........................................................ No ChargeCRF106 19" Seat Depth ........................................................... $100.00CRF106 20" Seat Depth ........................................................... $100.00

FSTF19 19" .......................................................................... No ChargeFSTF20 20" .......................................................................... No ChargeFSTF21 21" .......................................................................... No Charge

FRONT SEAT-TO-FLOOR HEIGHTKnee-to-Heel Range is 15.5"-19.5" for 21", 14.5"-18.5" for 20", and 13.5"-17.5" for 19" front seat heights.

RSTF15 15" .......................................................................... No ChargeRSTF16 16" .......................................................................... No ChargeRSTF17 17" .......................................................................... No ChargeRSTF18 18" .......................................................................... No ChargeRSTF19 19" .......................................................................... No ChargeRSTF20 20" .......................................................................... No Charge

REAR SEAT-TO-FLOOR HEIGHT15" rear seat height only available with 24" wheels.

CRF111 Active Position 1 1/4" – 5 1/2" .............................. No ChargeCRF113 Extended Position -2 1/4" – 2.0" ................................ $175.00

CENTER OF GRAVITYMeasured from the front of the back post to the center of the axle.

Form No. 08-008

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Comments

CRF630 0° Camber Tube with Single Camber .................... No ChargeCRF633 3° Camber Tube with Single Camber .................... No ChargeCRF636 6° Camber Tube with Single Camber ..................... StandardCRF639 9° Camber Tube with Single Camber .................... No Charge

CRF649 9° Extra Camber Tube ................................................ $150.00CRF646 6° Extra Camber Tube ................................................ $150.00CRF643 3° Extra Camber Tube ................................................ $150.00CRF640 0° Extra Camber Tube ................................................ $150.00

CAMBER SYSTEM

Top End® Crossfire™ All Terrain Wheelchair

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All prices subject to change without 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.invacare.com.

Form No. 08-008

Foot Space Width Standard as per diagram above.

FOOTPLATE OPTIONS

Calf and foot strap ...................................................... Standard Adjustable Height and Angle ..................................... Standard

CRF191 Adjustable Angle Footrest with 2" Risers ..................... $95.00

LKDWN Lock-Down, Folding Ht/angle Adj. Back ................. Standard

CRF1070 Fixed Back with Fixed Angle Welded at 0°, Adj Ht .. $200.00

CRF1073 Fixed Back with Fixed Angle Welded at 3°, Adj Ht ... $200.00

CRF1076 Fixed Back with Fixed Angle Welded at 6°, Adj Ht .. $200.00

CRF1079 Fixed Back with Fixed Angle Welded at 9°, Adj Ht .. $200.00

BACK TYPE

Maximum height on fixed back is 16". Fixed back is manufactured in 1" aluminum and is available in fixed or adjustable height (7/8 telescoping in 1" tube).

Maximum height on fixed back is 16". Fixed back is manufactured in 1" aluminum and is available in fixed or adjustable height (7/8 telescoping in 1" tube).

Maximum height on fixed back is 16". Fixed back is manufactured in 1" aluminum and is available in fixed or adjustable height (7/8 telescoping in 1" tube).

Maximum height on fixed back is 16". Fixed back is manufactured in 1" aluminum and is available in fixed or adjustable height (7/8 telescoping in 1" tube).

Folding or fixed back available. Folding back is manufactured of 1" aluminum tubing and is only available with adjustable height (3/4" tube telescoping in 1" tube).

BH811 9" – 11" ................................................................... No ChargeBH1014 10" – 14" ................................................................. No ChargeBH1216 12" – 16" ................................................................. No ChargeBH1418 14" – 18" ................................................................. No ChargeBH1620 16" – 20" ................................................................. No Charge

BACK HEIGHTFolding or fixed back available. Folding back is manufactured of 1" aluminum tubing and is only available with adjustable height (3/4" tube telescoping in 1" tube). Maximum height on fixed back is 16". Fixed back is manufactured in 1" aluminum and is available in fixed or adjustable height (7/8" telescoping in 1" tube).

CRFBAT Ballistic Nylon Adj. Tnsn Uph with Straps & Anchors ....... StandardCRF16 Fold Over Back Upholstery ........................................ $100.00

BACK ACCESSORIES

CRF30 Back Pack ..................................................................... $50.00CRF97 Bolt-through Integral Push Handles ........................... $100.00

Integral push handles not available with fold-over back upholstery.

Integral push handles not available with fold-over back upholstery.

CRF24HPS 24” Sun High Performance Spoke ......................... No ChargeCRF25HPS 25" Sun High Performance Spoke ......................... No ChargeCRF6724 24” Spinergy Spox Wheel* ........................................ $695.00CRF6725 25" Spinergy Spox Wheels* ....................................... $695.00

REAR WHEEL/KNOBBY TIRES

SPCY Yellow .................................................................... No ChargeSPCBK Black .......................................................................... StandardSPCBW White ...................................................................... No ChargeSPCR Red ......................................................................... No ChargeSPCBL Blue ........................................................................ No Charge

*SPINERGY SPOKE COLORIf no color is chosen, spokes will be black.

25" wheels are supplied with 25" x2.5" black knobby tires. 24" wheels are equipped with 24" x 2" grey knobby tires.

HANDRIM OPTIONSCRF77 Aluminum Anodized Handrims ....................... StandardCRF75 Titanium Handrims ........................................... $600.00CRF8 Coated Handrims ............................................... $100.00CRF99 Natural Fit® Standard Grip Handrims ............... $295.00CRF98 Natural Fit® Super Grip Handrims .................... $340.00

K0059

SEAT ACCESSORIES

CRF74 Positioning Strap – Auto Style ............................. $50.00

CRF72 Positioning Strap – Hook and Loop ..................... $40.00

CRF29 Seat Pouch ............................................................ $35.00

K0978

K0978

TED144 Heavy Duty Seat Pouch ..................................... $100.00

TED14 2" Soft Cushion ............................................................ $75.00

CUSHIONS

Cushions are made with 2" soft foam which offers minimum protection. If a therapeutic cushion is needed please order from Invacare Customer Service 1-800-333-6900.

Quick Release Axles ................................................. StandardCRF27 Quad release Axles ..................................................... $125.00CRF76 Titanium Axles ........................................................... $150.00

AXLES

Revised Jul 01, 2012

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Comments

CRF121 Fold-in Style Black Aluminum Side Guards ............ $125.00

CRF19 Removable Side Guards without hole ....................... $125.00CRF18 Removable Side Guards with hole (quad) ................ $125.00CRF20E Fixed Aluminum Side Guards Even w/wheels ......... $175.00

CRF201 Fixed Aluminum Side Guards 1" above wheels ....... $175.00

CRF83E Fixed Carbon Fiber Side Guards Even w/wheels ..... $250.00

CRF831 Fixed Carbon Fiber Side Guards 1" above wheels ... $250.00

ARM ACCESSORIES

Fold-in Style SG: Fold-in style flip back for easier transfers and are adjustable in height.

Fixed back only.

Fixed back only.

Fixed back only.

Fixed back only.

TRA2 Push to Lock Wheel Locks Hi-Mount ........................ $110.00

WHEEL LOCKS

MISCELLANEOUS ACCESSORIESE0971CRF23 Rear Anti Tippers ............................................. $100.00

CRF94 Alignment Gauge ................................................ $75.00RACE22 Top End T-Shirt .................................................. $10.00

Extra Large ......................................... See Above Large ................................................... See Above

Dealer discount does not apply.

Black ......................................................................... StandardUPHI Woodland Camouflage .............................................. $100.00UPH2 Digital Desert Camouflage ........................................ $100.00

UPHOLSTERY

Camouflage upholstery not available for screw-on seat, mesh or fold over back upholstery. Camouflage upholstery is ballistic nylon adjustable tension with anchors and straps for the back upholstery. If cushion is ordered it will also be camouflage.

Top End® Crossfire™ All Terrain Wheelchair

FRAME COLOR AND UPHOLTERY

NOTE: All specifications and dimensions are approximate. For the most current pricing information, go to www.invacare.com/homecare.

Page 4 of 4

Invacare Corporation www.invacare.com TOP END Sports and Recreation Products 4501 63rd Circle North Pinellas Park FL USA 33781-5914

©2010 Invacare Corporation All rights reserved. Trademarks are identified by the symbols ™ and ®. All trademarks are owned by or licensed to Invacare Corporation unless otherwise noted. Products designated by ASL are Manufactured by Adaptive Switch Labs, Inc. Sun® is a registered trademark of Sun Components Inc.Spinergy™ is a registered trademark of Spinergy Corp. Schwalbe is a registered trademark of RALF BOHLE GmbH in Reichshof Germany. Frog Legs is a registered trademark of Frog Legs, Inc.Kenda is a registered trademark of Kenda Rubber Industrial Co. Ltd. Specifications and prices are subject to change without notification.

Form No. 08-008

Top End Crossfire All Terrain Specifications • Weight limit 250 pounds • Tapered Front End • Frame Angle= 90 degrees • Frame length= 25” for 14”, 15” and 16” seat depths and seat depth plus 8” depths of 17”-20” • Front wheels: 8” x 2” pneumatic w/aluminum hubs • Rear wheels: 25” x 2.5” black knobby pneumatic or 24” x 2” grey knobby pneumatic • Caster center to center = footrest width plus 11”

24P Wet Black ............................................................... No Charge115P Black Prism ............................................................ No Charge29P White Snow ............................................................ No Charge60P Silver Metallic ........................................................ No Charge

62P Electric Blue ........................................................... No Charge105P Midnight Blue ........................................................ No Charge127P Grasshopper Green ................................................. No Charge

117P Tangerine Red ........................................................ No Charge120P Grape Madness ....................................................... No Charge61P Electric Red ............................................................ No Charge132P Safety Yellow ......................................................... No Charge116P Sunkissed Orange ................................................... No Charge

146P Stealth Black .......................................................... No Charge

119P Bubblegum Pink ..................................................... No Charge

CONTEMPORARY COLORS

WAY COOL COLORS

TOO HOT COLORS

Revised Jul 01, 2012