4.5 160 Armand-Majeau Sud Saint-Roch-de-l'Achigan, QC, Canada J0K 3H0 T.450 588-6555 1 866 650-6555 F.450 588-0200 [email protected] www.motioncomposites.com Helio C2 ORDER FORM - INTERNATIONAL P.O. number:* Ship to:* Company Name:* Name: Date: Address: Contact name:* Phone:* City: Email: State/Prov: Postal/Zip Code: Marked for: Phone: * Required English Manual □ MODEL 1 C2WC05 Ultralight Folding Carbon Fiber Helio C2 Wheelchair (113 kg - 250 lb weight capacity ) 2 C2WC09 HD Heavy Duty package (159 kg - 350 lb weight capacity ) 3 C2WC10 E-Motion adaptor Kit (4 adaptors) SEAT WIDTH 3 - cm (inches) 4 C2SW14 Seat width: 45.7 (18") □1 35.6 (14") □ 38.1 (15") □ 40.6 (16") □ 43.2 (17') □ 1 2 2 5 C2SW20 Special seat width: 50.8 (20") □ 53.3 (21") □ 55.9 (22") □ SEAT DEPTH - cm (inches) 6 C2SD14 Seat depth: 35.6 (14") □ 38.1 (15") □ 40.6 (16") □ 43.2 (17') □ 45.7 (18") □ 50.8 (20") □ 7 C2SD20 Special seat depth: 1: Available with HD kit 2: Only available with HD kit □ Manuel Français Taxes not included USD $3 790 $500 $196 □ □ □ 48.3 (19") □1 NC $495 □ □ 48.3 (19") □ NC $475 □ □ $480 □ 3. Width calculator NEWTON ULTRALIGHT PACKAGE 8 A value of $715 $235 C2PK01 Includes: Carbon fiber angle adjustable footplates + Newton Gravity Ultralight rear wheels Save FRONT Seat-to-floor Height (cm) - Please, circle your choice 3" caster Stem bolt Length Forks 4" 4" caster Stem bolt Length 5" caster Stem bolt Length STD +1" +2" STD +1" +2" P1 33.0 35.6 38.1 34.3 36.8 39.4 P2 34.3 36.8 39.4 35.6 38.1 P2 34.9 37.5 40.0 36.2 P3 36.2 38.7 41.3 37.5 P4 37.5 40.0 40.0 38.7 6" caster Stem bolt Length STD +1" +2" 40.6 36.8 39.4 41.9 38.7 41.3 37.5 40.0 42.5 40.0 42.5 38.7 41.3 41.3 43.8 40.0 42.5 7" caster Stem bolt Length STD +1" +2" 43.8 40.0 42.5 45.1 45.1 41.3 43.8 41.3 43.8 8" caster Stem bolt Length STD +1" +2" 46.4 42.5 45.1 47.6 46.4 42.5 45.1 47.6 STD +1" +2" P1 5" P1 7" P2 41.3 43.8 46.4 42.5 45.1 47.6 43.8 46.4 48.9 P3 42.5 45.1 47.6 43.8 46.4 48.9 45.1 45.1 P4 P5 42.5 45.1 47.6 50.2 46.4 48.9 51.4 42.5 45.1 47.6 43.8 46.4 48.9 43.2 47.6 50.2 46.4 48.9 51.4 47.6 50.2 52.7 43.8 46.4 48.9 45.1 47.6 50.2 46.4 48.9 51.4 47.6 50.2 52.7 48.9 51.4 54.0 NC □ □ □ □ □ □ □ □ □ See last page for imperial sizes CASTERS 9 C2CA01 Composite wheel w/ PU tire (1" width) 10 C2CA10 Pneumatic casters 6" x 1 ¼" 11 C2CA11 Pneumatic casters 8" x 1 ¼" 12 C2CA14 13 C2CA15 Newton UltraCaster Soft-Roll Composite1 14 C2CA16 15 C2CA17 16 C2CA18 Newton UltraCaster Soft-Roll Aluminum1 17 C2CA19 CASTER OPTIONS 18 C2CA12 Caster Pin Locks (Available with +1" or +2" Stem bolt ONLY) 19 C2CA13 Frog Legs suspension forks (Not available with caster pin locks) 1: Newton Ultracaster wheels are designed to absorb vibrations 3"□ 4"□ 5"□ 7"□ 8"□ $160 $160 4" x 1 ½ " 5" x 1 ½ " 6" x 1 ½ " 4" x 1 ½ " 5" x 1 ½ " 6" x 1 ½ " $80 $90 $100 $175 $185 $195 $295 Specify weight of user2: $475 □ □ 2: Max weight: 220 lbs Motion Composites T.450 588-6555 1 866 650-6555 F.450 588-0200 6"□ HELIO C2 Orderform INTL 4.5 December 20, 2016 1 of 7 REAR Seat-to-floor Height WHEEL SIZES (inch) 20" wheel 22" wheel 24" wheel 25" wheel 26" wheel Height available +- 0.6 cm 31.8 cm (12 ½") to 43.2 cm (17") 34.3 cm (13 ½") to 45.7 cm (18") 36.8 cm (14 ½") to 48.3 cm (19") 38.1cm (15") to 49.5 cm (19 ½") 39.4 cm (15 ½") to 50.8 cm (20") Specify desired height: SWING-IN/SWING-OUT FOOTREST Set Length at: If not indicated, footrest wil be set at 2" from the ground Range guide: 34 - 44,5cm □ 39,5 - 51cm □ 43 - 53,5cm □ 20 C2FR03 60° Swing-in/swing-out footrest Range guide: 34 - 44,5cm □ 39,5 - 51cm □ 43 - 53,5cm □ 21 C2FR04 70° Swing-in/swing-out footrest Range guide: 28 - 35cm □ 34,5 - 40cm □ 22 C2FR05 90° Swing-in/swing-out footrest (07) Short 20,3-31,7cm □ (06) Stnd 20,3-25,4cm □ 90° Swing-in/swing-out footrest front mount 23 C2FR06 (Footplate mounted to hanger tube) 24 25 (08) Medium 20,3-36,8cm □ C2FR11 Length modification, between 31,8 cm (12.5") and 34.3 cm (13.5") C2FR99 Omit Footrest Set at: NC Set at: NC Set at: NC □ □ □ Set at: NC □ Set at: $75 □ □ NC FOOTPLATES 26 C2FP01 Standard (Composite) 27 C2FP02 Newton adjustable angle (Composite) 28 C2FP03 Newton Adjustable angle (Aluminum) 29 C2FP04 Newton Adjustable angle (Carbon fiber with rubber inserts) 30 C2FP06 One piece adjustable angle flip-up (Aluminum) 31 C2FP07 One piece adjustable angle flip-up (Carbon fiber with rubber inserts) FOOTPLATE ACCESSORIES 32 C2FP08 Length adjustable heel loop (not available with one piece footplate) 33 C2FP09 Calf strap 34 C2FP10 Padded calf strap ELEVATING LEGREST (unit) 35 C2FR10 Elevating legrest with calf pad, 35.5 to 50.8 cm length adjustable * FOOTPLATES FOR ELEVATING LEGREST (unit) 36 C2FP18 Standard (Composite) 37 C2FP19 Newton adjustable angle (Composite) 38 C2FP20 Newton adjustable angle (Aluminum) 39 C2FP21 Newton adjustable angle (Carbon fiber with rubber inserts) STUMP SUPPORT (Height and angle adjustable) (unit) 20.3 x 27.9 (8" x 11") 40 C2FR12 Swing away stump support: STRAIGHT BACK 41 C2BC06 Carbon fiber back cane 42 C2BC08 8° Bend Carbon fiber back cane Set height to: * ADJUSTABLE ANGLE BACK 43 C2BC09 Straight Carbon fiber back cane 44 C2BC10 8° bend Carbon fiber back cane 45 Select back cane angle: Set height to: * NC $210 $230 $415 $190 $435 $240 □ $55 $35 Right □ Set at: Left □ Left □ Left □ Left □ Right □ Right □ Right □ Right □ Left □ New WAMJ $110 New WAMJ $115 New WAMJ $210 □ □ □ □ $375 □ NC $50 □ □ □ □ New Right □ 22.9 - 30.5 (9-12") □ 30.5 - 38.1 (12-15") □ 38.1 - 45.7 (15-18") □ 45.7 - 53.3 (18-21") □ STD 34.3 - 38 (13 ½-15") □ 38.1 - 45.7 (15-18") □ 45.7 - 53.3 (18-21") □ STD (measured from seat sling to top of back upholstery / see drawing at the end of the order form) 85° □ $90 □ □ □ $40 Left □ 34.3 - 38 (13 ½-15") □ 38.1 - 45.7 (15-18") □ 45.7 - 53.3 (18-21") □ STD $200 34.3 - 38 (13 ½-15") □ 38.1 - 45.7 (15-18") □ 45.7 - 53.3 (18-21") □ STD $250 90° □ 95° □ STD 100° □ □ □ □ □ □ □ 105° □ 110° □ (measured from seat sling to top of back upholstery / see drawing at the end of the order form) * If not indicated, default height setting is at the lowest position PUSH HANDLES 46 C2PH01 Push handles, 0 - 7.6 cm (0 - 3") height adjustable 47 C2PH02 Straight extensions, 0 - 7.6 cm (0 - 3") height adjustable 48 C2PH04 Stroller handle (only available with push handle) - (not available with the HD option) 49 C2PH03 Folding Stabilizer bar (only available with push handle) 50 C2PH99 Omit push handles BACK UPHOLSTERY 51 C2BH01 Slip on back upholstery 52 C2BH02 Adjustable tension back upholstery 53 C2BH99 Omit Back upholstery RIGID BACK 54 nXt back series (See nXt back pricelist on last page) NC $160 $250 NC NC $300 STD See pricelist Motion Composites T.450 588-6555 1 866 650-6555 F.450 588-0200 STD HELIO C2 Orderform INTL 4.5 □ □ □ □ □ □ □ □ □ December 20, 2016 2 of 7 SEAT CUSHION 55 C2SC01 5.1 cm (2") Cushion 56 C2SC02 7.6 cm (3") Cushion 57 C2SC99 Omit seat cushion 58 nXt FIT cushion series (See nXt FIT pricelist on last page) REAR WHEELS (inch) 59 C2RW01 Mag 60 C2RW02 Newton One - spoke wheel 61 C2RW03 Newton Gravity - ultralight wheel 62 C2RW04 Spinergy Spox 63 Spinergy Spox spokes colors* 64 C2RW05 Spinergy LX 65 Spinergy LX spokes colors * $165 $185 NC See pricelist 20" □ 20" □ 20" □ 22" 22" 22" 22" Blk □ STD Wht □ 24" 24" 24" 24" Blue □ 22" □ Blk □ STD * Black spokes standard lead-time / Colour spokes up to 2 weeks extra lead-time TIRES (inch) 66 C2TI01 67 C2TI02 68 C2TI04 69 C2TI05 70 C2TI08 71 C2TI06 72 C2TI07 □ □ □ □ Wht □ $50 □ □ □ □ Red □ Red □ 25" □ 25" □ 26" □ 26" □ $300 25" □ 26" □ $995 Org □ NC $795 NC Yel □ 24" □ Blue □ NC New Yel □ Pink □ Grn □ □ □ □ □ □ □ □ □ □ □ □ Available 20", 22" 24" Soft Urethane 1 1/4" Soft Urethane knobby 1 3/8" Soft Urethane - Shox 1" Pneumatic 1 3/8" Pneumatic 1 3/8" with Airless insert Pneumatic HP - Schwalbe Right Run 1" * Pneumatic HP - Schwalbe Marathon Plus 1'' * STD 22", 24", 25", 26" New $95 22", 24", 25", 26" New $115 New $80 20", 22", 24", 25", 26" 22", 24" NC 20", 22", 24", 25", 26" $95 24", 25", 26" $125 □ □ □ □ □ □ □ * Not available with Mag Wheels Assembly HANDRIM 73 C2HR01 Aluminum anodized 74 C2HR07 Newton Air Grip* Newton Air Grip * 75 C2HR08 (11) Monster Green □ (08) Orange □ (09) Burgundy □ (10) Blue Sapphire □ (12) Charcoal □ (13) Fuchsia □ (14) Steel Blue □ Regular STD □ (15) Red □ (16) Acid Green □ (17) White □ (18) Sky Blue □ Narrow* □ Plastic coated Q-Grip High friction Neoprene coated* 76 77 78 79 C2HR02 C2HR03 C2HR05 C2HR04 80 C2HR06 Bbraver* 3 81 C2HR99 Omit handrim Surge LT* 1 Natural Fit* 2 AXLE 82 C2AX01 83 C2AX02 84 C2AX03 AXLE PLATE 85 C2AX04 □ □ $240 □ $95 □ □ □ □ □ □ $295 (oval aluminum handrim w/ a rubber high friction strip) $380 (oval aluminum handrim w/thumb piece) $375 (ultra-performance aluminum handrim , adjustable) * Not available with Mag wheels $95 STD Black □ See pricelist Orange □ White □ Black □ NC 1 - Not available in 20", 25", 26" 2 - Not available in 20" 3 - Not available in 20" and 22" Quick release axle Permanent axle Quad release axle $125 □ □ □ Amputee adjustable axle plate (may interfere with swing away armrest) $195 □ NC □ □ □ STD NC REAR WHEEL CAMBER 86 C2CM00 0° camber 87 C2CM03 3° camber 88 C2CM06 6° camber (not available with amputee axle plate) NC $150 CENTER OF GRAVITY Choose position of rear wheel axle plate: Measure distance X from front of back post to center of axle receiver. Most stable X= Most responsive 2.5 1" 3.2 3.8 4.4 5.7 6.3 7 3/4" 5.1 2" 1/4" 1/2" □ □ □ 8.3 8.9 9.5 3/4" 7.6 3" 1/4" 1/2" 1/4" 1/2" 3/4" □ □ □ □ □ □ □ □ □ 4" □ If not indicated, default setting is at 1.5’’ BACK UPHOLSTERY HEIGHT Possible conflict between a seat depth under 40.6 cm (16") and a center of gravity over 6,3 cm (2.5"). Possible conflict between a 66 cm (26") rear wheel and a center of gravity over 6,3 cm (2.5"). If a configuration issue arises due to the choice of the Center Of Gravity (COG) Motion Composites reserves the right to reduce or increase the COG by one inch without notice Motion Composites T.450 588-6555 1 866 650-6555 F.450 588-0200 HELIO C2 Orderform INTL 4.5 December 20, 2016 3 of 7 WHEEL LOCK 89 C2WL08 90 C2WL14 91 C2WL02 92 C2WL04 93 C2WL13 94 C2WL05 95 C2WL06 96 C2WL99 Newton Wheel lock - push to lock 6" removable extension handle for Newton push to lock Pull to lock Newton grade aid push to lock (suggested with pneumatic or high pressure tire) 6" removable extension handle for pull to lock and grade aid Scissor Lock Attendant Lock (additional set of wheel lock mounted to the back) Omit wheel locks STD $75 NC $150 $75 $240 $200 NC □ □ Removable function Height Adjustment FLIP BACK ARMREST (Convertible to “T" armrest) 97 C2AR01 10" Desk Length (25,4 cm) 98 C2AR02 14" Full Length (35,6 cm) “T" ARMREST 99 C2AR03 10" Desk Length (25,4 cm) 100 C2AR04 14" Full Length (35,6 cm) SWING AWAY ARMREST 101 C2AR05 Tubular arm pad 102 C2AR06 10 "Desk length arm pad □ □ □ □ □ □ 20.3 - 30.5 (8 - 12") □ STD 25.3 - 35.5 (10 - 14") □ Locked □ Unlocked □ STD $350 20.3 - 30.5 (8 - 12") □ STD 25.3 - 35.5 (10 - 14") □ Locked □ Unlocked □ STD $350 □ □ Height Adjustment 20.3 - 30.5 (8 - 12") □ STD 25.3 - 35.5 (10 - 14") □ $325 20.3 - 30.5 (8 - 12") □ STD 25.3 - 35.5 (10 - 14") □ $325 □ □ Height Adjustment 20.3 - 27.9 (8 - 11") $225 20.3 - 27.9 (8 - 11") $225 □ □ NC □ $195 □ □ □ □ □ 103 C2AR99 Omit armrest SIDE GUARDS (not available with Flip Back and "T" Armrest) 104 C2SG01 Plastic side guards (removable) 105 C2SG02 Carbon fiber side guards (fixed)* 106 C2SG03 Carbon fiber side guards (removable) 107 C2SG04 Carbon fiber mud guards (removable) 108 C2SG99 Omit side guard $250 New $290 $540 NC * Not available with back upholstery POSITIONING BELT 109 C2SB01 Velcro adjustable Standard □ 110 C2SB02 Auto buckle Standard □ 111 C2SB07 Hardware attachment for 2 point seatbelt (1 pair) 112 C2SB03 Additional hardware for 2 extra attachment points (needed for the 4 point seat belt) (1 pair) 113 C2SB04 BodyPoint Hip Belt - 2 point not padded M□ L□ 114 C2SB05 BodyPoint Hip Belt - 2 point padded S□ M□ L□ 115 C2SB06 BodyPoint Hip Belt - 4 point padded S□ M□ L□ 116 C2SB99 Omit positioning belt New New Long □ Long □ $45 $85 NC $15 $80 $150 $190 STD □ □ □ □ □ □ □ □ HEADREST 117 C2AC01 Profiled Headrest Small □ Medium □ Large □ $180 118 C2AC02 Headrest mounting hardware with tension bar * $295 □ □ * Only available with push handles ACCESSORIES 119 C2AC03 120 C2AC04 121 C2AC06 122 C2AC07 123 C2AC08 124 C2AC09 125 C2AC10 126 C2AC11 127 C2AC12 128 C2AC13 Anti tippers Transit Tie Down (Unoccupied) Cane Carrier Left □ Right □ Oxygen tank holder - D Type Left □ Spoke guards* Available: 20", 22", 24", 26" Footrest neoprene impact guard (pair) - Black Seat pouch Backpack Velcro Closing Strap Tool kit 129 C2AC14 Motion Composites T-Shirt S□ M□ $28 □ □ □ □ □ □ □ □ □ □ □ NC □ NC □ $360 □ $140 NC $195 $310 $115 $90 $75 $120 $50 $45 L□ XL □ XXL □ * Not available with Mag wheels FRAME COLOR (with carbon finish crossbrace) 130 C2FC01 Carbon Fiber Black □ 131 C2FC03 132 C2FC99 Custom Color Charcoal □ Sunkissed Orange □ Fuchsia □ Burgundy □ Steel Blue □ Specify PPG Paintit color: Sapphire Blue □ Ferrari Red □ Monster Green □ Acid Green □ TOTAL Motion Composites T.450 588-6555 1 866 650-6555 F.450 588-0200 HELIO C2 Orderform INTL 4.5 December 20, 2016 4 of 7 BACK UPHOLSTERY HEIGHT The slip-on or adjustable tension back upholstery is attached to the push handle offering 7.6 cm (3") of height adjustment with increment of 1.2 cm (0.5"). 7.6 cm (3") of adjustability Rigid backs are attached to the back cane and the height of the push handle is adjusted independently. Fork and Stem bolt combinations Imperial sizes FRONT Seat-to-floor Height (inches) - Please circle your choice 3" caster Stem bolt Length Forks 4" 4" caster Stem bolt Length 5" caster Stem bolt Length STD +1" +2" STD +1" +2" P1 13 14 15 13 1/2" 14 1/2" 15 1/2" P2 13 1/2" 14 1/2" 15 1/2" 14 15 14 1/4" P3 14 1/4" 15 1/4" 16 1/4" 14 3/4" P4 14 3/4" 15 3/4" 16 3/4" 15 1/4" 6" caster Stem bolt Length STD +1" +2" 16 14 1/2" 15 1/2" 16 1/2" 15 1/4" 16 1/4" 14 3/4" 15 3/4" 16 3/4" 15 3/4" 16 3/4" 15 1/4" 16 1/4" 16 1/4" 17 1/4" 15 3/4" 16 3/4" 7" caster Stem bolt Length STD +1" +2" 17 1/4" 15 3/4" 16 3/4" 17 3/4" 17 3/4" 16 1/4" 17 1/4" 16 1/4" 8" caster Stem bolt Length STD +1" +2" 18 1/4" 16 3/4" 17 3/4" 18 3/4" 17 1/4" 18 1/4" 16 3/4" 17 3/4" 18 3/4" STD +1" +2" P1 5" P2 P1 7" P2 16 1/4" 17 1/4" 18 1/4" 16 3/4" 17 3/4" 18 3/4" 17 1/4" 18 1/4" 19 1/4" P3 16 3/4" 17 3/4" 18 3/4" 17 1/4" 18 1/4" 19 1/4" 17 3/4" 18 3/4" P4 P5 16 3/4" 17 3/4" 18 3/4" 19 3/4" 18 1/4" 19 1/4" 20 1/4" 16 3/4" 17 3/4" 18 3/4" 17 1/4" 18 1/4" 19 1/4" 17 3/4" 18 3/4" 19 3/4" 18 1/4" 19 1/4" 20 1/4" 18 3/4" 19 3/4" 20 3/4" 17 1/4" 18 1/4" 19 1/4" 17 3/4" 18 3/4" 19 3/4" 18 1/4" 19 1/4" 20 1/4" 18 3/4" 19 3/4" 20 3/4" 19 1/4" 20 1/4" 21 1/4" Motion Composites T.450 588-6555 1 866 650-6555 F.450 588-0200 HELIO C2 Orderform INTL 4.5 December 20, 2016 5 of 7 Motion Composites T.450 588-6555 1 866 650-6555 F.450 588-0200 HELIO C2 Orderform INTL 4.5 December 20, 2016 6 of 7 Motion Composites T.450 588-6555 1 866 650-6555 F.450 588-0200 HELIO C2 Orderform INTL 4.5 December 20, 2016 7 of 7
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