Invacare® Top End® Force™ RX Handcycle

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Order Form and Price List: All products must be ordered through an Invacare provider. Our provider locator is available at www.topendwheelchair.com Invacare® Top End® Force™ RX Handcycle

Order Request Type: Quote CAD/Quote Order PO #

Provider / Customer Information: Provider Information: End User Information: Date: Name: Height: IVC Acct #: Ship to Address: Weight: Contact: Address Line 2: Leg Length: Phone #: City: Hip Width: Fax/Email: State: Zip: Phone #: Ship to Provider Ship to End User Email

Base Model: (see definitions) Wheelbase: (see definitions) Item #: Description: Price: Item #: Description: Price: 10009 Force RX Handcycle $5,650 75014 Standard Length $0 75019 Extended Length $0 Wheel Size: Seat Width: (see diagram 1) Item #: Description: Price: Item #: Description: Price: 50170 26" Front and Rear $0 15011 13" Seat Width $0 50172 700c Front and Rear $0 15013 14" Seat Width $0 50171 26" Front and 20" Rear $600 15015 15" Seat Width $0 15017 16" Seat Width $0 Wheel Sets: 15019 17" Seat Width $0 Wheel sets cannot be mixed and matched. 15021 18" Seat Width $0 Item #: Description: Tire: Price: 26" Front and Rear: Camber Angle: High Performance, 26" Front Item #: Description: Price: 50173 Clincher $475 High Performance, 26" Rear 45001 0 Degree Camber $0 Corima Aero Carbon , 26" Front 45002 3 Degree Camber $0 50174 Tubular $3500 Corima Aero Carbon , 26" Rear (see diagram 4) Spinergy Carbon, 26" Front Fork Adjustability Options: 50175 Clincher $1800 Item #: Description: Price: Spinergy Carbon, 26" Rear Adjustable Height - 18.5" - 21.5" Omit all wheels (see definitions) 65181 $0 50183 N/A $0 Fixed Length - 29" 26" Front and 26" Rear Adjustable Height - 18.5" - 21.5" 26" Front and 20" Rear: 65180 $300 50176 High Performance, 26" Front Adjustable Length - 27" - 30" Clincher $675 High Performance, 20" Rear Custom Fixed Height Choose Height Below 65182 $250 C7 Carbon, 26" Front Custom Fixed Length Choose Length Below 50177 Clincher $3000 C7 Carbon, 20" Rear Corima Aero Carbon, 26" Front 50178 Tubular $3500 Fixed Fork Options: Corima Aero Carbon, 20" Rear Only required when fixed fork option (65182) is chosen Corima Aero Carbon, 26" Front 50179 Tubular $3700 Item #: Description: Price: Corima Disc Carbon, 20" Rear Fixed Height: Omit all wheels (see definitions) 65193 19.0" Crank Height $0 50184 N/A $0 26" Front and 20" Rear 65195 20.0" Crank Height $0 700C Front and Rear: 65197 21.0" Crank Height $0 High Performance, 700c Front 65199 22.0" Crank Height $0 50180 Clincher $650 High Performance, 700c Rear Fixed Length: Corima Aero Carbon, 700c Front 65209 27.0" Fork Length $0 50181 Tubular $3500 Corima Aero Carbon, 700c Rear 65211 28.0" Fork Length $0 Omit all wheels (see definitions) 65213 29.0" Fork Length $0 50185 N/A $0 65215 30.0" Fork Length $0 700c Front and 700c Rear

Invacare Corporation Top End Division All rights reserved. Trademarks are identified by the symbols ™ and ®. All trademarks are owned by or licensed to Invacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification. ©2015 Invacare Corporation PN: 1181419 REV E KPIPARO 11/13/2018 Page of Order Form and Price List: All products must be ordered through an Invacare provider. Our provider locator is available at www.topendwheelchair.com Invacare® Top End® Force™ RX Handcycle Lower Fork Style: Training : Item #: Description: Price: Item #: Description: Price: 75025 Aerodynamic $0 65058 Omit SRM Training System $0 Wide SRM Training System - Double Compact 75026 $3,250 Required with disk brake $0 65151 Not available with triple chainring option 65104 Disc brake mounts will be welded on the frame Cranks: (see diagram 3) Braking: Item #: Description: Price: Item #: Description: Price: Style: Front disk brake 65055 V Cranks $0 65082 Wide fork option (75026) required $300 Crank Length: 65084 Rim Brakes, Tektro (see definitions) $0 65036 160mm Long $0 65083 Rim Brakes, Torq Lite (see definitions) $375 65037 165mm Long $0 65038 170mm Long $0 Shifter Options: 65039 175mm Long $0 Item #: Description: Price: Crank Width: 10 Speed 65005 12" Wide $0 65228 65007 13" Wide $0 SRAM GX Trigger Shifting Package 65009 14" Wide $0 Shifter & brake mounted on right Handpedal only $450 65011 15" Wide $0 SRAM GX Shifter 65013 16" Wide $0 SRAM GX Derailleur 65015 17" Wide $0 Avid Brake Lever Cable Driven Derailleur 11-36 Cassette Handpedal Options: Item #: Description: Price: 65229 SRAM GS/GX Grip/Twist Shifter Package Size: $450 Shifter & brake on right pedal, left pedal mount 65131 Medium (1-3/4") Ovalized Ergonomic $125 available as a special 65132 Large (2-1/4") Ovalized Ergonomic $200 SRAM GS Shifter Angle: SRAM GX Derailleur 65171 15 Degrees $0 Avid Brake Lever 25 Degrees Cable Driven Derailleur Only Available with Apex (65067) or eTap (65227) 11-36 Cassette 65172 shifting packages $100 Options: SRAM Apex Road Shifting Package $600 65067 Shifter & brake mounted on right side of fork only 65139 Omit Power Plates $0 SRAM Apex Shifter Power Plates 65129 Required with eTap shifting package (65227) $50 SRAM GX Derailleur Brake Lever Integrated into shifter Footrest Options: (see diagram 2) Cable Driven Derailleur Item #: Description: Price: 11-36 Cassette 60008 Footrests, 3-3/4" wide $0 11 Speed: 60009 Footrests, 4-3/4" wide $0 65227 SRAM eTap Electronic Shifting Package Connected Footrest, 3-3/4" wide, W/ Shifter on left pedal & brake on right pedal $1700 Bumper Not available with Triple chainring option (65104) Not recommended for users under 5'8". $100 Power Plate upgrade (65129) required Not available with the disc brake (65082) or wide eTap Clic Shifter 60017 fork (75026) options SRAM Red eTap cassette Derailleur Connected Footrest, 4-3/4" wide, SRAM Time Trial Brake Lever Connected W/ Bumper SRAM Red eTap chainring Derailleur Not recommended for users under 5'8". $100 11-36 Cassette Not available with the disc brake (65082) or wide Other: 60018 fork (75026) options 65224 Omit All Shifting Components $0 (see definitions) Upholstery: Item #: Description: Price: Chainrings: Material/Color: Item #: Description: Price: 30001 Nylon, Black Upholstery $0 Triple 48-36-26 Compact 110 Back Upholstery: 65104 Not available with eTap shifting (65227) SRM $0 25064 Back Cushion $0 (65151) Seat Upholstery: 65059 Double 48-34 Compact 110 $75 25063 Seat Cushion $0 65106 Double 50-36 Compact 110 $75 25060 Hook and Loop Positioning Strap $0 Invacare Corporation Top End Division All rights reserved. Trademarks are identified by the symbols ™ and ®. All trademarks are owned by or licensed to Invacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification. ©2015 Invacare Corporation PN: 1181419 REV E KPIPARO 11/13/2018 Page of Order Form and Price List: All products must be ordered through an Invacare provider. Our provider locator is available at www.topendwheelchair.com Invacare® Top End® Force™ RX Handcycle Standard Options and Accessories: Color Options: Item #: Description: Price: Frame Color: 25061 Safety Flag $0 55018 Black Wet Black $0 25067 Drafting Bumper $0 55019 Black Black Prism $0 25070 Carbon Fiber Chainguard $0 55017 Black Stealth Black $0 25071 Adjustable Headrest $0 55010 Blue Midnight Blue $0 55011 Blue Royal Blue $0 55012 Blue Electric Blueberry $0 Upgradable Options and Accessories: 55023 Gray Stealth Grey $0 Item #: Description: Price: 55053 Green Agriculture Green $0 Safety: 55008 Green Grasshopper Green $0 25038 Mirror, Chain Guard Mounted $35 55054 Green Neon Green $0 25015 Light, Front (White) $25 55006 Orange Sunkissed Orange $0 25016 Light, Rear (Red) $25 55005 Orange Simple Orange $0 25029 Tool and Tire Repair Kit $90 55051 Orange Neon Orange $0 25030 Extra Steering Dampener $10 55015 Pink Bubblegum Pink $0 25018 Helmet, Small/Medium $75 55057 Pink Neon Pink $0 25019 Helmet, Medium/Large $75 55055 Purple Lilac Purple $0 60015 Leg Support, Curved (pair) $100 55001 Red Simple Red $0 25039 Leg Guard $75 55002 Red Tangerine Red $0 Hydration: 55003 Red Raspberry Red $0 25020 Backpack Hydration System $100 55050 Red Neon Red $0 25021 Water Bottle and Cage $35 55020 Silver Silver Metallic $0 Positioning: 55016 White White Snow $0 25001 Click Strap, 8" Small $75 55007 Yellow Safety Yellow $0 25002 Click Strap, 10" Medium $80 55052 Yellow Neon Yellow $0 25003 Click Strap, 12" Large $86 55066 Raw Buffed Aluminum $300 Performance Enhancement: 25022 Wheel Alignment Gauge $75 Color Options: Crank Width Adaptor Set Fork Color: Not installed 55067 Black Same as Frame Color $0 25023 (Gain +1.5" of crank width per set) $20 55041 Black Wet Black $100 Cordless Computer 55042 Black Black Prism $100 25024 (tracks speed, distance, etc.) $125 55040 Black Stealth Black $100 Garmin 55033 Blue Midnight Blue $100 25076 (tracks speed, distance, etc.) $400 55034 Blue Royal Blue $100 Transportation: 55035 Blue Electric Blueberry $100 25006 Crutch Holder $125 55046 Gray Stealth Grey $100 25007 Bike Rack, Hitch 1-1/4" $450 55061 Green Agriculture Green $100 25008 Bike Rack, Hitch 2" $450 55031 Green Grasshopper Green $100 25031 Wheel Bag $180 55062 Green Neon Green $100 25032 Travel Bag $300 55029 Orange Sunkissed Orange $100 Training: 55028 Orange Simple Orange $100 25033 Heartrate Monitor $100 55059 Orange Neon Orange $100 25036 Indoor Stationary Roller $250 55038 Pink Bubblegum Pink $100 25037 Sportscrafter Mini Roller $350 55065 Pink Neon Pink $100 Apparel: 55063 Purple Lilac Purple $100 25084 Lemon Yellow T-Shirt $20 55024 Red Simple Red $100 25085 Army Green T-Shirt $20 55025 Red Tangerine Red $100 25086 Army Green Racer Back Tank Top $20 55026 Red Raspberry Red $100 Please select a size for your shirt selection: 55058 Red Neon Red $100 25087 Extra Small 55043 Silver Silver Metallic $100 25088 Small 55039 White White Snow $100 25089 Medium 55030 Yellow Safety Yellow $100 25090 Large 55060 Yellow Neon Yellow $100 25091 Extra Large 55044 Raw Buffed Aluminum $100 25092 XXLarge 25093 XXXLarge Decal Color Options: (decals are reflective) Frame Decal Color: 55071 Black Frame Decals $0 55072 White Frame Decals $0 Fork Decal Color: 55073 Black Fork Decals $0 55074 White Fork Decals $0 Invacare Corporation Top End Division All rights reserved. Trademarks are identified by the symbols ™ and ®. All trademarks are owned by or licensed to Invacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification. ©2015 Invacare Corporation PN: 1181419 REV E KPIPARO 11/13/2018 Page of Order Form and Price List: All products must be ordered through an Invacare provider. Our provider locator is available at www.topendwheelchair.com Invacare® Top End® Force™ RX Handcycle

Handcycle Configuration: Exclusions and definitions: Top End Force RX The Top End Force RX handcycle is made of 7005 series aluminum. Weight: 28 pounds Frame and Fork: An adjustable carbon fiber backrest and an adjustable bolt-on headrest are included. With a standard configuration the Force RX Turning 18 feet for 360 degree circle, 12 feet on a 3-point is 30 speeds and with eTap the bike is 22 speeds. Radius: turn Wheel Sets: Wheel sets include a front wheel, two rear wheels with axles, tires Transfer and tubes. Wheel sets are not able to be mixed and matched or Height: 5" from ground with 2" cushion broken out into individual wheel selections. Ovalized 7005 aluminum tubing which is heat Tires: Must choose the same size tires as wheels. Clincher wheels must have clincher tires and tubular wheels must have tubular tires. Frame Style: treated for increased strength and stiffness Fork: Removable, Travel ready, with adjustable cranks Fixed Fork: The fixed fork is only recommended if an athlete has already been using a Force RX with an adjustable fork. The length of the fork Propulsion / and the height of the cranks will be fixed into place and will NOT Shifting: 30 or 22 speeds with choice of components be adjustable. Connected The connected footrests are not recommended for athletes under Crank Footrests: 5'8" (1.77m) and are not available with the disc brake (65082) or assembly: Optional fixed or adjustable wide fork (75026) options. eTap Electronic Triple chainring combination not available, must select double Carbon Fiber, adjustable angle from 50 to 70 Shifting: chainring options 65059 or 65106. Power Plate upgrade (65227) Back: degrees required. Footrest: Dual adjustable length, includes straps Power Plates: Required with eTap shifting package (65227) Hand Pedals: Ovalized ergonomic with frictionless bearings Omit Wheels: When an omit wheels option is selected the following will NOT be included. Front or rear wheels, tires, tubes, axles. When a shifting Brake: Caliper brakes standard, optional front disk brake package is selected the cassette from that package will be 60" to 63" depending on wheel selection. See included. Wheelbase: definitions Wheelbase: Wheelbase is measured from the middle of the rear axle to the middle of the front hub. When Standard length is chosen Camber: 3 or 0 degree available wheelbase will be 60" with a 26" front wheel and 61" with a 700c Wheels: 20", 26" or 700c wheels with optional upgrades front wheel. When extended length is chosen wheelbase will be 61" with 26" front wheel and 63" with a 700c front wheel. Threaded Axles: Braking Options: The Tektro and Torq Lite braking packages include a caliper and Standard tires provided. Exact brand varies based cables for the hand brake lever included in the shifting package Tires: on availability and flip lever parking brake assembly. The disc brake braking Positioning package includes a disc brake rotor, caliper, cables and a Tektro flip lever parking brake assembly. Straps: Hook and loop positioning strap included Omit Shifting: When omit shifting option is selected the shifter, chainring Cushions: Seat and back cushion included derailleur, cassette derailleur, cassette, friction shifter for brake Safety / caliper, chain and shifter cables will NOT be included. The handpedals and fork will be made at accept trigger shifter Visibility: Flag and reflectors included components mounted on the right handpedal. A hand brake lever, Chain Guard: Carbon Fiber chain guard included caliper and cables as well as a flip-lever parking brake will be included. The brand/style is determined by the braking option selected. 25 Degree Only available with the Apex fork mounted (65067) or the eTap Handpedal Angle: (65227) shifting packages due to interference. SRM Training Only available with double chainring options. Not available with System: Triple chainring option 65104.

Product Diagrams: Product photo: 1.