519, J‐Oswald Forest, suite 101 Saint‐Roch‐de‐l'Achigan, QC, Canada J0K 3H0 T.450 588‐6555 1 866 650‐6555 F.450 588‐0200 www.motioncomposites.com
November 14th, 2011
Order Form | shipped within 72 hours
□ English □ French
User manual:
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1
FRAME COLOR 2 Onyx black □ Sapphire blue □ SEAT WIDTH & DEPTH 3 Seat width 16” □ 18” □ 4 Seat width 20” □ 5 Seat depth 16” □ 18” □ 6 Seat depth 20” □ 1
WMA3QM005 HELIO /WAMC
Ultralight manual folding helio wheelchair1
$2950
□
NC
□
□ □ □ □
WAMA
HSW1
WAMB
HSD1
NC $285 NC $215
HBA1
NC $80
□ □
NC
□
WAMD/WAME HBU1 HBU2
NC $162 $‐15
□ □ □
HAR2
$348
□
HFR1
$55 NC
□ □
HFP1 HFP2
NC $138 $190 NC
□ □ □ □
Maximum weight limit: 250lbs
BACK CANE, include push handles 7 Lightweight carbon fiber straight back cane 8 Aluminum 8° bend back cane 9 Select height: 15” – 18” □ 18” – 21” □ Set height to : _____________ (measured from seat sling to top of back upholstery)
SEATING UPHOLSTERY 10 Nylon seat sling BACK UPHOLSTERY 11 Slip on back upholstery 12 Adjustable tension back upholstery 13 Omit back upholstery FLIP BACK ARMREST 14 Full length, height 9½” – 12” FOOTREST 15 60° swing away footrest, 14” – 18” length adjustable 16 70° swing away footrest, 14” – 18” length adjustable Set length to :_______________ FOOTPLATES 17 Standard (Composite) 18 Adjustable angle oversize (Aluminum) 19 One piece adjustable angle flip‐up 20 Length adjustable heel loop
WAMJ
For the full feature Helio order form, please visit www.motioncomposites.com Page 1 of 2
HELIO_CANADA_V0.10EN_QS
519, J‐Oswald Forest, suite 101 Saint‐Roch‐de‐l'Achigan, QC, Canada J0K 3H0 T.450 588‐6555 1 866 650‐6555 F.450 588‐0200 www.motioncomposites.com
CASTERS 21 Composite wheel /w PU tire (1’’ width) 22 24 1
5” □ 6“ □ 4” x 1 ½” 5” x 1 ½” 6” x 1 ½”
Composite wheel Soft‐Roll® by Frog Legs1
23
November 14th, 2011
HCA2 HCA3 HCA4
□ □ □ □
NC $85 $95 $105
Soft‐Roll® by Frog Legs are casters that absorb vibrations
FRONT SEAT‐TO‐FLOOR HEIGHT MATRIX
Circle the desired configuration
Forks 4” 5”
7”
P1 P2 P1 P2 P3 P4 P1 P2 P3 P4 P5
4” caster
5” caster
6” caster
Stem bolt length STD +1” +2”
Stem bolt length STD +1” +2”
Stem bolt length STD +1” +2”
14 ½ 15 15 ¼ 15 ¾ 16 ¼ 17 ¾ 18 ¼
15 ½ 16 16 ¼ 16 ¾ 17 ¼ 18 ¾ 19 ¼
16 ½ 17 17 ¼ 17 ¾ 18 ¼ 19 ¾ 20 ¼
15 ½ 15 ¾ 16 ¼ 16 ¾ 17 ¼ 17 ¾ 18 ¼ 18 ¾
16 ½ 16 ¾ 17 ¼ 17 ¾ 18 ¼ 18 ¾ 19 ¼ 19 ¾
17 ½ 17 ¾ 18 ¼ 18 ¾ 19 ½ 19 ¾ 20 ¼ 20 ¾
REAR SEAT‐TO‐FLOOR HEIGHT Wheel size 16 ¾ 17 ¼ 17 ¼ 17 ¾ 18 ¼ 18 ¾ 19 ¼
17 ¾ 18 ¼ 18 ¼ 18 ¾ 19 ¼ 19 ¾ 20 ¼
18 ¾ 19 ¼ 19 ¼ 19 ¾ 20 ¼ 20 ¾ 21 ¼
Height available ± ¼” 13 ½” to 18” 14 ½” to 19”
22” wheel 24” wheel
Specify desired height: __________
REAR WHEELS, include quick release axle 25 Spoke 22” □ 24” □ 26 Spinergy Wire® 22” □ 24” □ TIRES 27 Soft urethane 1 ⅜” 22” □ 24” □ 28 Pneumatic 1 ⅜” 22” □ 24” □ HANDRIM 29 Aluminum anodized Assembly 30 regular □ narrow □ Plastic coated
WAMU WAMU
HRW2
WAMO
HHR1
NC $275
□ □
NC NC
□ □
□ □
NC $130
REAR WHEEL CAMBER ANGLE 31 0° camber 32 3° camber
NC NC
□ □
HWL1
NC $32
□ □
HPB2 HPB3
$40 $16
□ □
HAC1 HAC2
$75 $85
□ □
WHEEL LOCK 33 Push to lock □ Pull to lock □ 34 6” removable extension handle
POSITIONING BELT 35 Auto buckle 36 Hardware for 4 points seatbelts
ACCESSORIES 37 Anti tippers 38 Cane Carrier
left □ right □
Transit securement points come standard on every Helio wheelchair
Total
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HELIO_CANADA_V0.10EN_QS