Handbike "Challenger"

Handbike "Challenger"
Order No.:
Base price
"Challenger": € 2.980,incl. wheelchair: € 5.290, Cost estimate / Offer
 Order
Billing address / Customer number
Phone
E-mail:
Delivery address
Phone
E-mail:
Commission
Basic Equipment:
w Shimano 27-gear change with
disc brake und V-Brake
w Gear-lever and brakes on
Ergo-grips
w Front wheel 24''
w Bell, beverage bottle incl. Holder
w Chainguard cockpit and knee
w Steering damper
w Parking brake
w Quick-release system incl. mounting
frame for wheelchair
Name
Date of delivery
Date
Signature
PERSONAL DATA
Body height: _______________
cm
Body weight: _____________kg
Arm length: _________________ cm (from back to fist - extended arm)
Injury level (paralysis): ____________________
FRAME
Cockpit:
 Standard ( width 37 cm )
 Narrow ( width 23 cm )
Guide for the fork-length:
Body height:
160 - 175cm
175 - 185cm
more than 185cm
650mm
700mm
750mm
- 650er fork
- 700er fork
- 750er fork
ERGO-GRIP
 Ø 22 mm
 Ø 25 mm
 Ø 30 mm
"Handbike Challenger" page 1 von 3
Alois Praschberger Rolltechnik Sport GmbH | Sebi 9 | A-6342 Niederndorf | Tel. +43 (0) 5373/42570 | Fax +43 (0) 5373/42570-10 | [email protected] | www.praschberger.com
FRONT WHEEL
 24'' (540)
 26'' (559)
TYRES
 Schwalbe - Light wall (Standard)
 Schwalbe - Marathon Plus, flatless (extra € 27,-)
 Schwalbe - Marathon Plus, flatless 1 3/8" (extra € 27,-)
 other tyres by request ____________________________________
FRAME COLOURS
 ASC silver
 Black matt
 Light blue
 Pearl-glimmer grey
 Antique silver
 Emerald green
 Night blue
 Strontium
 Black glitter
 Light green
 Olivegrey
 Iridium
 Black gloss
 Signal red
 Yellow
 Orange
 Black textured
 Ruby
 White
other RAL-colours by request: _________________ (extra € 55,-)
GEAR-CHANGE
 Shimano 27-gears (Standard)
(change gears and use the brakes without taking your hands off the grips)
 Shimano XT 30 gears
(extra €
367,-)
 SRAM Grip-shift
(extra €
132,-)
 other gear-change by request ____________________________________
EXTRAS
 Halogen lights incl. batteries
extra
€
60,00
 Digital speedo
extra
€
15,50
 Digital speedo, cable free, SIGMA 1009
extra
€
42,00
 Hydraulic Disc Brake
extra
€
135,00
 Front mudguard
extra
€
19,80
 Bike stabilizer
extra
€
107,00
 Basket "Klick-Fix" incl. holder, black
extra
€
39,50
 Rolli backpack "AP"
extra
€
62,00
 Electro Support-drive "PowerBike" (gear drive motor)
extra
€
1 400,00
 Electro Support-drive "BionX" (recharging)
extra
€
1 990,00
 Tool-Set 14pieces
extra
€
16,00
QUICK RELEASE SYSTEM INCL. MOUNTING FRAME FOR WHEELCHAIR (for existing wheelchair)
Model: _____________________________________________________________________________________
Seat width: ________________ cm
Camber of wheels: __________°
WHEEL BASE EXTENSION (for existing wheelchair)
 yes
 no
 already exists
"Handbike Challenger" page 2 von 3
Alois Praschberger Rolltechnik Sport GmbH | Sebi 9 | A-6342 Niederndorf | Tel. +43 (0) 5373/42570 | Fax +43 (0) 5373/42570-10 | [email protected] | www.praschberger.com
WHEELCHAIR - NEW ORDER (Please use the special orderform!)
Producer / Model: __________________________________
Seat width:_____________cm
Back height:____________cm
Frame colour:____________
Camber of wheels:___________°
NOTES
Complete Price € _______________________
SET-PRICE Includes
s Wheelchair Model
(Standard equipment)
Otto Bock
Küschall
Sopur
"VENTUS"
"K-SERIES"
"HELIUM"
(no extra cost )
(extra
€ 383,-)
(extra
€ 546,-)
s Wheel base extension
Way of delivery:
 Pick up
 Carrier (shipping costs by request)
Delivery time approx. 4 weeks after order
Delivery ex-works
Price without 20% VAT
Valid from 02.05.2014
Subject to modification
The supplied commodity remains up to the complete payment property of the company
Alois Praschberger, Rolltechnik & Sport GmbH.
"Handbike Challenger" page 3 von 3
Alois Praschberger Rolltechnik Sport GmbH | Sebi 9 | A-6342 Niederndorf | Tel. +43 (0) 5373/42570 | Fax +43 (0) 5373/42570-10 | [email protected] | www.praschberger.com