Quickie® Pulse 6 Order Form - Sunrise Medical

Quickie Pulse 6 Group 3(K0848, K0849, K0856)EIPW22, Sept 06, 2011Account:Date:PO#:Buyer:Marked For:Ship To:Name:Address:City,State,Zip:Phone:The HCPCS CODES provided are based on code verification through PDAC or our interpretation of the code definitions.The use of HCPCS CODES does not ensure coverage or payment. For coverage information, verify with the appropriate payer's coverage policy.Option # HCPCS Definition Price Option # HCPCS Definition Price1. QUICKIE Pulse 6 GROUP 3 CATEGORY (Select One)QUICKIE Pulse 6 BC (Group 3 K0848/K0011)QUICKIE Pulse 6 SC (Group 3 K0856/K0011)Quickie Pulse 6 BC w/Frame Seat (Fig 1.1)$5,765.00 Quickie Pulse 6 SC for SPOT Tilt (Fig 1.4)195PC74K0848K0011Base PackageVR-2 90A Drive Control (non-expand)Base PackageVR-2 90A Drive Control (non-expand)300 lb 6 mph 4-pole Motor Package 300 lb 6 mph 4-pole Motor PackageASAP II Seat FrameASAP II Seat Frame13" Drive Wheels (flat free insert N/C) 13" Drive Wheels (flat free insert N/C)8A Dual Mode Charger (Compact) CTE195PC76K0856K00118A Dual Mode Charger (Compact) CTE$6,195.00195NB83K0848Pulse 6 BC BASE ONLYFor use with Aftermarket Seat frame.$5,765.00195NB85K0856Pulse 6 SC BASE ONLYFor use with Aftermarket Seat frame.$6,195.00Pulse 6 BC SEAT ONLY w/o elect.Pulse 6 SC SEAT ONLY w/o elect. 195EQ08 - For use to add/replace seating when $750.00 195EQ10 - For use to add/replace seating when $750.00additional electronics are not required.additional electronics are not required.195EQ11 -Pulse 6 BC SEAT ONLY w/ elec.For use to add/replace seating whenadditional electronics are required.$750.00195EQ13-Pulse 6 SC SEAT ONLY w/ elec.For use to add/replace seating whenadditional electronics are required.$750.00QUICKIE Pulse 6 BC (Group 3 K0848/K0011)Quickie Pulse 6 BC w/Capt Back and Solid Seat Pan (Fig 1.2)195PC77K0848K0011Base PackageVR-2 90A Drive Control (non-expand)Base PackageVR-2 90A Drive Control (non-expand)300 lb 6 mph 4-pole Motor Package 300 lb 6 mph 4-pole Motor PackageCaptains Seat Back and Solid Seat Pan.$5,965.00195EG25 E0973 Flip Back ht adj removable armrest BC$200.00Captains Seat Back and Cushion.195EG24 E0973 Flip Back ht adj removable armrest CC$200.0013" Drive Wheels (flat free insert N/C) 13" Drive Wheels (flat free insert N/C)8A Dual Mode Charger (Compact) CTE$5,765.00QUICKIE Pulse 6 CC (Group 3 K0849/K0011) Quickie Pulse 6 CC w/Capt Seat and Cushion (Fig 1.3) $5,965.00195PC75K0849K00118A Dual Mode Charger (Compact) CTE$5,765.00195NB86K0848Pulse 6 BC BASE ONLYFor use with Aftermarket Capt SeatBack and solid Seat pan.$5,765.00 195NB84 K0849Pulse 6 CC BASE ONLYFor use with Aftermarket Capt SeatBack and Cushion.$5,765.00195EQ14195EQ15--Pulse 6 BC SEAT ONLY w/o elect.For use to add/replace Capt Seat Backand Solid Seat Pan when additionalelectronics are not required.Pulse 6 BC SEAT ONLY w elect.For use to add/replace Capt Seat Backand Solid Seat Pan when additionalelectronics are required.$750.00$750.00 195EQ09 - 195EQ12 -Pulse 6 CC SEAT ONLY w/o elect.For use to add/replace Capt seat Backand Cushion when additionalelectronics are not required.Pulse 6 CC SEAT ONLY w/ elec.For use to add/replace Capt seat Backand Cushion when additionalelectronics are required.$750.00$750.00Fig 1.1 Pulse 6 BCFig 1.2 Pulse 6 BCCapt Back and Solid Seat PanFig 1.3 Pulse 6 CCFig 1.4 Pulse 6 SCORDERING INFORMATION: PHONE: (800) 333-4000 FAX: (800) 300-7502 WEBSITE: www.sunrisemedical.comSpecifications are subject to change without notice. Copyright © 2011 119302 REV APage 1

2. BASE CHAIR OPTIONSShroud ColorVentilator Options195EZ01 -Candy Apple RedN/CNot available w/ transit. Power ELR's or Capt seat.195EZ02195EZ03- High Gloss Black- Candy BlueN/CN/C195VT4E1029Fixed Vent Tray(Pulmonetic LTV Models)$440.00User weightPre-Set Seat Frame Angle 195WG06 - < 150lb.N/C 195FA10 - 0°N/C 195WG13 - 151-200lbN/C 195FA3 - 3° NA with +3" or +4" STFHN/C 195WG14 - 201-250lbN/C 195FA4 - 6° NA with +3" or +4" STFH or TiltN/C 195WG03 - 251-300lbN/CSeat HeightTransit Option(Measured in the front) - Obtain Quote to verify est. STFHNot available w/ Ventilator or Capt seat. 195HT44 Lowest STFH NA with Capt Seat.NC 195TO25 - 4-Point Transit Package ( N/A with Vent) $300.00 195HT45+1" Seat to Floor HeightNC 195TO40 - Omit TransitNC 195HT46195HT47+2" Seat to Floor Height+3" Seat to Floor HeightNCNC 195HT48+4" STFH NA with Capt SeatNCSeating Type andPower Option CombinationsASAP II with TiltSTFH MatrixLowASAP II No power seating. 15.25Seat-to-Floor Height at 0 tilt+1"16.2517.2516.5 17.5 18.5Captain Seat (From Pan) NA 16.25+2" +3"17.2518.2519.518.25+4"19.2520.5NAAdding seat angle will increase STFH by 1" for eachincremental change.3. BATTERIES and CHARGERSBatteriesBattery Charger195AG01 E2361 22NF Standard Posts (Pair) w/straps $320.00 195BJ19 - 8A Dual Mode Charger (Compact) CTEN/C195AG05 - Omit batteries (Includes harness) N/C 195BJ3 - Omit Charger-$40.00ORDERING INFORMATION: PHONE: (800) 333-4000 FAX: (800) 300-7502 WEBSITE: www.sunrisemedical.comSpecifications are subject to change without notice. Copyright © 2011 119302 REV APage 2

195ER1 - Non-expandable controller and joystickN/C 195EM01Single Switch Mount Bracket$195.00Quickie Sip n' Puff System195ID34195II01195IJ01195IH1ASL Head Array Package (Adult)195II02195IJ01 195JM11 E1028 Swing Away Mount$235.00 ASL Head Array Package (Ped)195II03195IJ01Switch-It Head Array Package (Adult)195II04195IJ01Switch-It Head Array Package (Pediatric)195II05195IJ01195ID36195II01195IJ01195ID45195IJ03 195SW22Stereo to 2 Mono Splitter$60.00 195DN2Mounting Location: Left Back CaneDrive Control OptionsR-Net Expandable Drive Control Upgrade (90A)195J70195J93195J88195J95 -Joystick Mount (Fixed or Swing Away)195JM10 -195JH1195JH4195SW6--E2323E2323Joystick W/Toggle, Spd Pot, Stereo Jacks& Color DisplayOmit JS for use with OMNIFixed MountJoystick Mount (Location)Captain Seat Not Height Adjustable, ASAP II = Height Adjustable.195HM1 -Right Side Mount195HM2 - Left Side MountFoam Ball HandlePenta Switch with DB9 Connector$950.00195EX01 E2377 Expandable Controller - R-net $525.00195EX02Joystick Handle (Optional)195JH2195JH6E2323N/CT-Handle $75.00Ribbon SwitchCA5 5 Switch Adapter w/ DB9 Connector4-way toggle switch w/5th button DB9Connector.4. ELECTRONICS$425.00N/C$75.00$95.00$75.00 195PR6Switch Mount Bracket195EM03E2325E2330E1028E1028Sip N' Puff KitASL Proportional Mini JoystickChin / Lip Control PackageHeadrest Removable MountMini JoystickHeadrest Removable Mount$2,234.00$3,795.00$4,020.00(For expandable controls, choose all that apply)ASL Proportional Mini JoystickRnet OMNI Input Control Module andMidline with Gatlin Package$4,720.00 195ON1 -display with built in Infrared and armrestmount. Choose mount below. (required forSpecialty Input Devices.)$975.00195ID37195IJ03E2312E1028Mini joystickASL Proportonal S/A Joystick Mount$4,495.00$225.00 195ON2 E2351 Rnet Output Module (ECM)$995.00 Quickie Proportional Chin Control Package$4,345.00195DS04195SW4195SW24195SW21E2323Ball HandleGoalpostN/CN/CE1028 Swing Away Left Side OMNI Mount$235.00Switch inputs for Joysticks or OMNI195SW1195SW2195SW9195SW19195SW20195SW23Harnessing for Expandable ControllerJoystick w/stereo Jacks andMonochrome DisplayR-net OMNI and Output Options195ON3OMNI Mount195DS03E2313R-net Joystick (for expandable electronics)-E1028Std LED Joystick for Expandable CtrlsRnet Bluetooth Mouse-mover(If used with Joystick must be mounted opposite side)Swing Away Right Side OMNI MountDrive or Mode / Profile ControlBuddy Button SwitchDisc SwitchWobble SwitchMicro Light SwitchEgg Switch-BlackDual toggle switch onlyN/C$200.00$395.00$75.00$75.00$850.00$235.00$75.00$160.00$500.00$95.00$170.00$200.00$150.00$170.00195EM02Attendant Mounting location195DN1195PR5E2326E1028E0955Dual toggle switch mount bracket4-way toggle switch mount bracket.Specialty Driver Control OptionsRequires expandable controls and OMNI. All packages must be added to the specialtycontrol on-chair package. Not available with Upholstered backs or the Captains seat.1950A011950A02E0955E2330E2330E1028E2330HeadrestSip n' Puff Tubing and HardwareASL Proximity Head Array (Adult)Switch-it Proximity Head ArrayHeadrestElectronic Programmers195PR2E1028E1028E2312E2312E1028Attendant ControlE2331E2331Headrest Removable MountMounting location: Right Back Cane$225.00$225.00R-net PC Programmer with Dongle $400.00DTT VR2 and Rnet cables included.$195.00$195.00$1,420.00$225.00Headrest Removable Mount $225.00Headrest Removable MountSwitch-it Proximity Head Array$364.00$4,020.00$225.00ASL Proximity Head Array (Ped) $3,795.00$225.00$4,020.00$3,795.00Headrest Removable Mount $225.00Proportional JoystickASL Proportonal S/A Joystick MountAttendant Control for R-net$4,020.00$3,795.00$225.00$4,945.00$4,495.00$4,120.00$225.00Attendant Control for VR-2 $995.00$995.00N/CN/CVR-2 Hand Held Programmer (HHP) $250.00$1,000.00ORDERING INFORMATION: PHONE: (800) 333-4000 FAX: (800) 300-7502 WEBSITE: www.sunrisemedical.comSpecifications are subject to change without notice. Copyright © 2011 119302 REV APage 3

E1002 Quickie SPOT 50° CG Tilt$4,950.00 195PA6 E1005 Recline w/Power Shear Reduction Only $5,725.00Powered Seating Control MethodPower Seating Options (SC Models)195PJ2(For use with power seating actuators. Switch activation is stand-alone and does notrequire expandable or thru-drive electronics.195EO10195EO11Switch Control 1 actuator w/dual toggle andmount. (For operating Tilt)Switch Control 1 actuator w/buddy button &mount.(For operating Tilt)8. POWERED SEATINGNot available with Captain SeatPowered Seating Control Method - Cont.N/CN/C195EO12195EO13195EO14Switch MountE2310E2311 195EY01 - Switch Mount Right 195EY02 - Switch Mount LeftSwitch Control 2 - 3 Actuator w/ 4-wayToggle Switch & Mount. (Capable of operatingcombo of Tilt/Legs or legs only)Thru Drive 1 Actuator(For operating Tilt thru Joystick.)Thru Drive 2+ Actuators (2+ actuators perInput Device requires expandable Rnet)(for use with switch control powered seating)N/C$1,375.00$2,825.00N/CN/CBackrest Frame Type195BT8195BT98-Angle AdjustableBack Height 23". Fits all seat types.9. BACKREST AND BACK OPTIONS FOR ASAP II SEATNot available with Captain SeatBack Type (Uphostery or Solid)N/CE1225 Manual Recline 40° ( not width adjust.)$425.00Manual Recline Adjustment Method Option195MN01195MN02ToolKnob (NA with dual post arms.)N/CN/C195BU1195BU70195BU71195BU77- Upholstery (Not avail with tilt)N/CE2611E2611195BU76 - S.P.O.T. CurvedE2613Tension adj Upholstery Ballistic Nylon. w/1"width adjustment. (NA with tilt)Tension adj Upholstery 3DX Vented. w/1"width adjustment. (NA with tilt)Jay SPO Posterior$315.00$330.00$475.00N/CAngle Adjustable Backrest Options195OD8195OD9Cane Angle195BP40195BP41Towel Bar Depth195QT03195QT04(NA with Manual recline)Non-Folding BackrestFolding BackrestStraight Back Post8 o Bend Back Post (Avail. only w/ Uph orJ3 Back) NA with Manual reclineShallow (NA with Upholstery backs.)Deep (Ext. 4" from back canes for deepbacks)N/C$110.00N/C$100.00N/CN/C195BU78 E2617 ART SPO Custom Back See appendix 1 See Pg 8195BU14 - Omit Upholstery-$15.00Jay 3 Option 195JB01 xxx Jay J3 (select OMIT above)See J3 OFBack Cane(Upholstery Height Measured pan to top of upholstery.) 195B1 Low (15.5") N/C 195B5 Med (17.5")N/C 195B9 Tall (19.5") N/CBack Height - Required for SPOT Curved and SPO Backs.(Limited combinations of widths) Measured from pan to top of solid back.195B132 - 14"195B36 - 16"195B38 - 18"195B40 - 20"195B42 - 22"195B44 - 24"N/CN/CN/CN/CN/CN/C195B140 - 26"N/C10. HEADREST OPTIONS FOR ASAP II SEATAvailable with on-chair solid backs. Headrests for Jay 3 backs need to be ordered on Jay 3 Order form.Whitmyer Linx Headrest Small$450.00 Whitmyer Linx Headrest Large$450.00195HE65 E0955 Plush Head Support Pad 8" $225.00195HE66 E0955 Plush Head Support Pad 10"$225.00195MH1 E1028 No Tool / Quick Rem. Headrest Mount $225.00195MH1 E1028 No Tool / Quick Rem. Headrest Mount$225.00ORDERING INFORMATION: PHONE: (800) 333-4000 FAX: (800) 300-7502 WEBSITE: www.sunrisemedical.comSpecifications are subject to change without notice. Copyright © 2011 119302 REV APage 5

11. POSTURAL SUPPORTS FOR ASAP II SEATALL Postural Supports are Sold as EACH; Must select both left and right for a pair.Swing Away Lateral Thoracic Support - LeftSwing Away Knee Adductor Supports Swing Away Lateral Thoracic Support 4x5" - Left$325.00Available only with Fixed and Power Center Mount Legrests.195ZV09 E0956 Lateral Pad Curved 4"x5" $100.00Knee Adductor Supports - LEFT (choose Pad & Arm)$395.00195ZS06 E1028 Swing Away Mount$225.00Pad Size Swing Away Lateral Thoracic Support 4x6" - Left$325.00 195KB5 E0957 Knee Adductor Pad SM- Left$170.00195ZV11195ZS06E0956E1028Lateral Pad Curved 4"x6"Swing Away Mount$100.00$225.00 195KB7 E0957 Knee Adductor Pad LG- LeftS/A Arm Size$170.00 195XX04 E1028 Swing Away Short - Left$225.00Swing Away Lateral Thoracic Support -Right 195XX06 E1028 Swing Away Long - Left$225.00 Swing Away Lateral Thoracic Support 4x5" - Right $325.00195ZV10 E0956 Lateral Pad Curved 4"x5" $100.00Knee Adductor Supports - RIGHT (choose Pad & Arm)$395.00195ZS05 E1028 Swing Away Mount $225.00Pad Size Swing Away Lateral Thoracic Support 4x6" - Right $325.00 195KB6 E0957 Knee Adductor Pad SM- Right$170.00195ZV12195ZS05E0956E1028Lateral Pad Curved 4"x6"Swing Away Mount$100.00$225.00 195KB8 E0957 Knee Adductor Pad LG- RightS/A Arm Size$170.00 195XX05 E1028 Swing Away Short - Right$225.00Long Thigh Support w/Removable Mount 195XX07 E1028 Swing Away Long - Right$225.00Available with Cantilever Arms, NA with Manual Recline Back, Dual Post, Single Post orCantilever w/ 2 pt Locking arms. SPOT Long Thigh Support - Left$325.00 CHEST STRAP195TV2 E0956 Long Thigh Support - Left $100.00 195ZR03 E0960 Padded Chest Strap $225.00195TX1 E1028 Removable Mount - Left $225.00 SPOT Long Thigh Support - Right $325.00195TV1 E0956 Long Thigh Support - Right $100.00195TX2 E1028 Removable Mount - Right $225.0012. ARMREST AND ARMPAD OPTIONS FOR ASAP II SEATArmrest Mounting for K0848 Models with ASAP IIDual Post Armrests 195EG22 E0973 Lng Dual Post Flip Back HT Adj 10"-15"Cantilever Armrests195EG01195EG21195EG02195EG05195EG06E0973Short Dual Post Flip Back 10" Height.Long Dual Post Flip Back 10" Height.Low Cantilever Arm 7"-10" Ht Range(Choose ASAPII pad type and size below)N/CShrt Dual Post Flip Back HT Adj 10"-15" $230.00(Adjustable length arm pad included (choose Pad setting below, except for Low ArmOption) NA with Manual Recline Back 195EG03 E0973195EG04Single Post Armrests195EG07195EG08E0973E0973E0973E0973Standard Cantilever Arm w/ 2 PointLocking Post. (9"-10" Ht Range.) NA w/seat depths below 16"Standard Cantilever Arm w/ 2 PointLocking Post. (11"-12" Ht Range.) NA w/seat depths below 16"STD Cantilever Arm 9"-12" Ht RangeSingle Post Height Adjustable - Std.N/C$230.00$230.00$230.00$230.00$230.00$230.00E0973 Single Post Height Adjustable - Low $230.00Armrest Mounting for K0856 SC Models with Tilt.Dual Post Armrests 195EG23 - Lng Dual Post Flip Back HT Adj 10"-15"Cantilever Armrests(Adjustable length arm pad included (choose Pad setting below, except for Low ArmOption) NA with Manual Recline Back195EG09195EG10 -195EG11 -195EG12195EG13Single Post Armrests195EG14-Shrt Dual Post Flip Back HT Adj 10"-15"- STD Cantilever Arm 9"-12" Ht Range--Standard Cantilever Arm w/ 2 PointLocking Post. (9"-10" Ht Range.) NA w/seat depths below 16"Standard Cantilever Arm w/ 2 PointLocking Post. (11"-12" Ht Range.) NA w/seat depths below 16"Low Cantilever Arm 7"-10" Ht Range(Choose ASAPII pad type and size below)Single Post Height Adjustable - Std. 195EG15 - Single Post Height Adjustable - Low N/COmit Armrest 195EG20 - Omit Armrest and Mounts N/CN/CN/CN/CN/CN/CN/CN/CArm Pad Options for ASAPIIPad Type / Size Options for Dual Post / Single Post / Low CantileverLeft Arm Pad (N/C)195AE01 - Desk Length Waterfall (10")195AE02 - Full Length Waterfall (14")195AE03 - Desk Length Standard (10")195AE04 - Full Length Standard (14")Right Arm Pad (N/C) 195AB01 195AB02 195AB03 195AB04Pad Setting Options for Standard Cantilever ArmLeft Arm Pad (N/C)Right Arm Pad (N/C)195AE11 - Full Length Cantilever (14") 195AB11195AE10 - Desk Length Cantilever (10") 195AB10ORDERING INFORMATION: PHONE: (800) 333-4000 FAX: (800) 300-7502 WEBSITE: www.sunrisemedical.comSpecifications are subject to change without notice. Copyright © 2011 119302 REV APage 6

13. HANGERS AND FOOTRESTS FOR ASAP II AND CAPTAIN SEATHanger and Extension Tubes Options (see footplate compatibility in the brackets)Non-Powered Swing Away LegrestsFootplate (Pair)195H9565° Swing Away (A,B,C)195H2 70° Swing Away (A,B,C) N/C195H94195H6 195H138 E0990Powered Elevating Legrests195H125K0108 195H126 E1010Fixed Center Mount Legrests (includes footplate)195H134195H135Omit Hangers.195H144Hanger Extensions. (See range listed in matrix below)195E16195E2K0037High Mount HangerShortMediumOmit ExtensionN/C-$20.00NOTE: Not all extension tube will be available; depending on the seat height, someextension tube options may not offer enough ground clearance.195E1195E5195E21Sold as Pairs75° Tapered Swing Away (E)90° Swing Away (B,C) (5.5-9")Manual ELR S/A (A,B,C,D) (Avail. withFixed Centermount, choose below)Centermount Pwr ELR w/ Articulation(F,H)S/A Power ELR w/ Articulation (B) Pair(N/A for 12" or 13" wide) (Avail. with FixedCentermount, choose below)Fixed Center Mount ShortFixed Center Mount LongOmit HangersLongN/CN/C$270.00N/CN/C$55.00N/CN/CN/CN/C$2,200.00 $2,200.00195F1195F282195HL10195F285195HL10195F283195LS13195F286195LS13195F290195LS14K0040Kids Angle Adjustable FootplateH - Centermount High Mnt Footplate195F279 Omit Footplate and extension tubeFootrest Accessories1955A01A - Composite with Heel Loop (Pair)K0040 Adult Angle Adjustable Footplate$165.00E0951K0040E0951K0038K0040K0037E0952K0038Heel LoopAdult Angle Adjustable FootplateHeel LoopLeg Strap195F287 D - Aluminum (Pair)195F284195LS13B - Adult Angle Adjust w/Heel Loop for use with65° and 70° hanger (Pair)B - Adult Angle Adjust w/Heel Loop for use with90° hanger (Pair)C - Kids Angle Adjust w/Leg Strap for use with 65°and 70° hanger (Pair)K0040K0038E - One Piece Angle Adjust FootplateK0038Kids Angle Adjustable FootplateLeg StrapC - Kids Angle Adjust w/Leg Strap for use with 90°hanger(Pair)One piece Angle Adjustable FootplateLeg Strap195F288 F - Centermount single FootplateOne piece Angle Adjustable FootplateToe Loop (Pair) Only avail on (opt B).Extra Leg StrapN/C$210.00$45.00$210.00$165.00$45.00$195.00$165.00$30.00$195.00$165.00$30.00$30.00$195.00$165.00$30.00N/C$55.00$55.00N/C$45.00$30.00Lower Leg Length Matrix (measured seat pan to the top of the footplate surface)Hanger Type65° Swing AwayHigh Mount7-14"Short13.5- 16"Medium16-18.5"Long18-20.5"70° Swing Away 7-14" 13.5- 16" 16-18.5" 18-20.5"75° Tapered S/A 7-14" 13.5- 16" 14.5-19" 15-18"90° Swing Away5.5-9" Footplate mounts to front of hanger.Manual ELR S/A12.5-17" 14.5-19" 17-21"Power ELR S/A 12-14" 14-17" 16.5-19"Fixed Centermount12.5"-15.5"14.5"-19.5"Power Centermount 13.5-18.5"16.5-21.5"Footplate MatrixHanger Type A B C D E F H65° Swing Away X X X70° Swing Away75° Tapered S/AX X XX90° Swing Away X XManual ELR S/A X X X XPower ELR S/AFixed CentermountPower CentermountXXX X14. ACCESSORIESWheelchair Tray Table1957A01 E0950 TRAY TABLE SM TUFFAK 12"-14" PWR1957A02 E0950 TRAY TABLE MED TUFFAK 15"-17" PWR1957A03 E0950 TRAY TABLE LRG TUFFAK 18"-20" PWR$225.00$225.00$225.00Positioning Belt - Select for any style seat 195EJ01Auto Style BuckleN/C 195EJ02 E0978 Belt 2" Aircraft Buckle $35.00 195EJ03 E0978 Belt 2" Aircraft Buckle Padded$65.00Backpack 195A1 195A2Black UtilityBlack/Charcoal Kids$55.00$50.00Mounting Accessories (available with Captain seat only) 195A603 E2207 Cane/Crutch Holder$250.00 195A604 E2208 O2 holder$250.00 195A605 K0108 Walker holder$250.00BUILT 4 ME OPTIONSYes! Call Customer ServiceORDERING INFORMATION: PHONE: (800) 333-4000 FAX: (800) 300-7502 WEBSITE: www.sunrisemedical.comSpecifications are subject to change without notice. Copyright © 2011 119302 REV APage 7