Invacare T-5 manual KEY Measurement Guidelines Pages 2 Swsa, Swst, Footrest Height TOP to Floor

Top End®

T-5™Tennis Elite Chair

Price List and Order Form

Effective July 1, 2006

Revised January 15, 2009

For accuracy of ordering, please fax order to Top End at 727-522-1007 or e-mail to TopEndOrders@invacare.com

For questions call 800-532-8677 or 727-522-8677.

To order Literature: 800-828-6282

www.topendwheelchair.com

Provider Name

Date

Top End Job Number

Account #

P.O. #

Phone #

Fax #

Address

City

State

Zip Code

Customer Name

Email

Phone No

________

Address

City

State

Zip Code

Ship order to:

□ Provider

□ Customer

Order will ship to Provider unless otherwise noted.

KEY MEASUREMENT GUIDELINES PAGES 2 & 3
￿ SWSA	Top End T-5 Tennis Elite Aluminum Chair	$2,625.00
￿ SWST	Top End T-5 Tennis Elite Titanium Chair	3,985.00

1.SEAT WIDTH □14" □14.5" □15" □15.5" □16" □16.5" □17" □17.5"

□18" □18.5" □19" □19.5" □20" □20.5" □21"

￿ TER1	Tapered seat width	125.00 1
	Rear Seat Width: _______	Front Seat Width: _______

2. FOOTREST WIDTH: _______ Standard = Seat Width minus (-) 6" 2

3.FOOTREST HEIGHT: (TOP) TO FLOOR: _______ 3

4.FOOTREST TYPE: Standard: Tubular Footrest (Adjustable Height)

￿ TER86 Adjustable Angle Footplate 125.00

□with risers □ 2" □ 4" (for desired Footrest Heights over 5" fromfloor)

￿ TER87	Recessed Footrest	150.00	4
5. FOOTREST OPTIONS:
￿ TER10	Plastic footrest cover (standard footrest only)	75.00
￿ TER89	Carbon fiber footrest cover (standard footrest only)...	125.00	5
￿ TER127	Toe Clips	60.00

6. FRONT FRAME ANGLE: □80° □85° □90° □100°

7.SEAT HEIGHT FRONT: □14.5" □15" □15.5" □16" □16.5" □17".

□17.5" □18" □18.5" □19" □19.5" □20" □20.5" □20-7/8" (53cm)

8.SEAT HEIGHT REAR: □14.5" □15" □15.5" □16" □16.5" □17" 6

□17.5"	□18"	□18.5" □19"	□19.5"		□20" □20.5" □20-7/8" (53cm)
￿ TER31	Solid Seat w/ welded rigidizer bars for aluminum..... 175.00
￿ TERTi3	Solid Seat w/ welded rigidizer bars for titanium........ 425.00					7
9. AXLE POSITION: ”CENTEROF GRAVITY” (choose fixed or adj.):
Fixed Axle Position: □3" □3.5" □4" □4.5"					□5" □5.5" □6" Other ______
Adjustable Center of Gravity Range: □2" to 4"					□3" to 5"(Std.) □4" to 6" 8
(10). CASTER POSITION: (choose ‘Front to Wall’ or ‘Wheel Base’)
FRONT TO WALL:
	□18"	□20" □22"	□24"	□26" Other ______
-OR- WHEEL BASE:
	□15" □16" □17"		□18"	□19" Other ______

11.UPHOLSTERY SEAT DEPTH: □14" □15" □16" □17" □18"

12.EXTRA FRAME DEPTH: Standard = 0": □1" □ 1½" □ 2"

13.CASTER CENTER TO CENTER (refer to notes) 9

Standard Mount Footrest CtC = Footrest Width plus (+) 6" □ Other_______

Recess Mount Footrest CtC = Seat Width minus (-) 1" □ Other_______

14. ANTI-TIP/5THWHEEL: Choose one: □Fixed or		□Omit
￿ TER102	Telescoping	200.00

15.CAMBER: □ 12° □ 15° □ 18° □ 20° (no other camber available)

16.WHEEL DISTANCE: Standard = Seat Width + 2.5” □ Other ______

17. WHEEL TYPE: Build for: □ Standard			or □ Spinergy
18. SUN®PERFORMANCE WHEELS/ OPTIONS:
Rear Wheel Size: □ 24"(540) □25"(559) □26"(590) □700C
￿ TER131	Spinergy SLX (4mm) upgrade (24 spokes)				895.00
Spoke color: (choose one)		□Black □ Yellow	□ White	□ Red	□ Blue
￿ TER67	Spinergy Spox (3mm) upgrade (24 spokes)				695.00
Spoke color: (choose one)		□Black □ Yellow	□ White	□ Red	□Blue
￿ TER6	Crossed SpokeUpgrade
	(not availablefor Spinergy wheels)				125.00
￿ TER101	Kenda® Tires: □ Red or □ Yellow				75.00
￿ TER76	Titanium axles				150.00
19. PUSHRIMS, ANODIZED (Aluminum):
(□ Std. mount) or (□ Close mount □ Cut Tabs)						10
￿ TER75	Titanium pushrims upgrade				600.00
￿ TER08	Coated Pushrims				100.00
20. BACK HEIGHT (choose fixed or adjustable):
Fixed Height: □8" □8.5" □9" □9.5" □10" □10.5"				□11"	□11.5"
	□12" □12.5" □13" □13.5" □14" □14.5" □15" □15.5"
Adjustable Height Range:
□ Short 9" to 11"		□ Low 11" to 14"	□ Med 14" to 18"

All prices subject to change w/o 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.topendwheelchair.com.	Page 1 of 3