6
Order Form and Price List: All products must be ordered through an Invacare provider. Our provider locator is available at www.topendwheelchair.com Invacare® Top End® Force™ RX Handcycle Invacare Corporation Top End Division All rights reserved. Trademarks are identified by the symbols ™ and ®. All trademarks are owned by or licensed to Invacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification. ©2015 Invacare Corporation PN: 1181419 REV C KPIPARO 07-03-2017 Page of Product Description: The Invacare® Top End® Force™ RX Handcycle is the latest competitive handcycle to join the Invacare Top End Force Handcycle series. The Force RX handcycle delivers hypersonic speed in a lightweight, adjustable and sleek aerodynamic package. How to use: Use any Adobe Acrobat application to electronically fill out the order form Use the default selections to order a product with the most common configuration Use the "Reset" button located in the forms footer to reset selections to their defaults Use the "Clear All" button located in the forms footer to clear selections, including defaults. This feature allows for a blank order form to be printed and completed by hand Use the "E-mail to Top End order box" button located on the last page of the form to e-mail the completed form directly to the [email protected] e-mail inbox Forms can be completed electronically, printed, and e-mailed or faxed to [email protected] or 727-522-1007 if access to Acrobat Reader for Windows is unavailable (Acrobat Reader for Windows with java-script enabled is required to save and attach to e-mail) Features: Tabulated options for an organized and standardized work-flow New more specific option codes which will appear on confirmations to improve customer / manufacturing communication Common special requests have been given option codes Built in exclusions to help eliminate errors Ability to save the form after it is filled out Ability to e-mail the form inside Acrobat Reader rather than saving a copy and attaching to an e-mail Ability to clear the entire form so it can be printed and completed by hand in the field when a computer is not available Ability to reset form to default selections About New Smart Forms: Top End is excited to introduce a new way to order Top End products. Our new Smart Forms provide an easy and electronic way to fill out order forms, save copies, and submit them via e-mail. Please see below for the features and useful information. Please see below for the features and useful information. Please note that because of the many upgrades available on our Invacare® Top End® Force™ RX Handcylce, the base price does not include wheels or components. The standard selections are set as the default for your convenience and the overall price will be adjusted accordingly. This will allow you to build your Invacare® Top End® Force™ RX Handcycle exactly how you want it!

Order Form and Price List: Invacare® Top End® Force™ RX ... · 11-36 Cassette: Di2 XTR Electronic Derailleur Tektro Caliper Hand Brake: Shimano Hollow Pin Chain Tektro Flip Lever

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Page 1: Order Form and Price List: Invacare® Top End® Force™ RX ... · 11-36 Cassette: Di2 XTR Electronic Derailleur Tektro Caliper Hand Brake: Shimano Hollow Pin Chain Tektro Flip Lever

Order Form and Price List: All products must be ordered through an Invacare provider. Our provider locator is available at www.topendwheelchair.com

Invacare® Top End® Force™ RX Handcycle

Invacare Corporation Top End Division All rights reserved. Trademarks are identified by the symbols ™ and ®. All trademarks are owned by or licensed to Invacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification. ©2015 Invacare Corporation PN: 1181419 REV C KPIPARO 07-03-2017

Page of

Product Description:The Invacare® Top End® Force™ RX Handcycle is the latest competitive handcycle to join the Invacare Top End Force Handcycle series. The Force RX handcycle delivers hypersonic speed in a lightweight, adjustable and sleek aerodynamic package.

How to use: ■ Use any Adobe Acrobat application to electronically fill out the order form ■ Use the default selections to order a product with the most common configuration ■ Use the "Reset" button located in the forms footer to reset selections to their defaults ■ Use the "Clear All" button located in the forms footer to clear selections, including defaults. This feature allows for a

blank order form to be printed and completed by hand ■ Use the "E-mail to Top End order box" button located on the last page of the form to e-mail the completed form directly

to the [email protected] e-mail inbox ■ Forms can be completed electronically, printed, and e-mailed or faxed to [email protected] or 727-522-1007

if access to Acrobat Reader for Windows is unavailable (Acrobat Reader for Windows with java-script enabled is required to save and attach to e-mail)

Features: ■ Tabulated options for an organized and standardized work-flow ■ New more specific option codes which will appear on confirmations to improve customer / manufacturing communication ■ Common special requests have been given option codes ■ Built in exclusions to help eliminate errors ■ Ability to save the form after it is filled out ■ Ability to e-mail the form inside Acrobat Reader rather than saving a copy and attaching to an e-mail ■ Ability to clear the entire form so it can be printed and completed by hand in the field when a computer is not available ■ Ability to reset form to default selections

About New Smart Forms:Top End is excited to introduce a new way to order Top End products. Our new Smart Forms provide an easy and electronic way to fill out order forms, save copies, and submit them via e-mail. Please see below for the features and useful information. Please see below for the features and useful information. Please note that because of the many upgrades available on our Invacare® Top End® Force™ RX Handcylce, the base price does not include wheels or components. The standard selections are set as the default for your convenience and the overall price will be adjusted accordingly. This will allow you to build your Invacare® Top End® Force™ RX Handcycle exactly how you want it!

Page 2: Order Form and Price List: Invacare® Top End® Force™ RX ... · 11-36 Cassette: Di2 XTR Electronic Derailleur Tektro Caliper Hand Brake: Shimano Hollow Pin Chain Tektro Flip Lever

Order Form and Price List: All products must be ordered through an Invacare provider. Our provider locator is available at www.topendwheelchair.com

Invacare® Top End® Force™ RX Handcycle

Invacare Corporation Top End Division All rights reserved. Trademarks are identified by the symbols ™ and ®. All trademarks are owned by or licensed to Invacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification. ©2015 Invacare Corporation PN: 1181419 REV C KPIPARO 07-03-2017

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Frame: (see definitions) Item #: Description: Price:

10009 Force RX frame & fork W/ Carbon back $5,650

Sizing: (see diagram 1) Item #: Description: Price:

150111501315015150171501915021

13" Seat Width $014" Seat Width $015" Seat Width $016" Seat Width $017" Seat Width $018" Seat Width $0

Wheelbase: (front to rear axle) Item #: Description: Price:Wheelbase for 26" wheel:

7507875080

7507975081

60" Wheebase $062" Wheelbase $0

Wheelbase for 700c wheel:61" Wheelbase $063" Wheelbase $0

Camber Angle: Item #: Description: Price:

4500145002

0 Degree Camber $03 Degree Camber $0

Footrest Options: (see diagram 2) Item #: Description: Price:Size:

6000860009

3-3/4" Footrest Width $04-3/4" Footrest Width $0

Upgrades:

60010

Connected Footrest W/ Bumper (Not reccommended for users under 5'8" or with Disc Brakes)

$100

60015

Leg Support, Curved (sold as a single item - if two are desired please write it in the specials section)

$35

25039 Leg Guard (Tire/Chain) $75

Crank Options: (see diagram 3) Item #: Description: Price:Crank Length:

650356503665037650386503965040

155mm Long $0160mm Long $0165mm Long $0170mm Long $0175mm Long $0180mm Long $0

Crank Width:650056500765009650116501365015

12" Wide $013" Wide $014" Wide $015" Wide $016" Wide $017" Wide $0

Handpedal Options: (see diagram 4) Item #: Description: Price:Size:

651306513165132

Small (1-1/2") Ovalized Ergonomic $200Medium (1-3/4") Ovalized Ergonomic $125Large (2-1/4") Ovalized Ergonomic $200

Angle:6517165172

15 Degrees $025 Degrees $100

Upgrades:65129 Power Plates $5065135 Quad Cuff (must order Elbow Shifting) $200

Provider / Customer Information: Provider Information: End User Information:

Date: Name: Height:

IVC Acct #: Ship to Address: Weight:

Contact: Address Line 2: Leg Length:

Phone #: City: Hip Width:

Fax/Email: State: Zip: Phone #:

Ship to Provider Ship to End User Email

Derailleur Options: Item #: Description: Price:

6507565076

Cable Driven $0Manual $0

Order Request Type:Quote CAD/Quote Order PO #

Complete handcycle starts at: $6,665.00

Page 3: Order Form and Price List: Invacare® Top End® Force™ RX ... · 11-36 Cassette: Di2 XTR Electronic Derailleur Tektro Caliper Hand Brake: Shimano Hollow Pin Chain Tektro Flip Lever

Order Form and Price List: All products must be ordered through an Invacare provider. Our provider locator is available at www.topendwheelchair.com

Invacare® Top End® Force™ RX Handcycle

Invacare Corporation Top End Division All rights reserved. Trademarks are identified by the symbols ™ and ®. All trademarks are owned by or licensed to Invacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification. ©2015 Invacare Corporation PN: 1181419 REV C KPIPARO 07-03-2017

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Shifter Options: Item #: Description: Price:10 Speed

65065

65066

65067

65068

65069

65063

65064

SRAM X9 Trigger Shifting Package (right handle mounted SRAM X9 Shifter) $41511-36 CassetteSRAM X9 DerailleurTektro Caliper Hand BrakeSRAM Hollow Pin Chain Tektro Flip Lever Parking BrakeSRAM XX/X0 Shifting Package (right handle mounted SRAM XX Shifter) $1265

11-36 CassetteSRAM XO DerailleurTorq Lite Caliper Hand BrakeSRAM Hollow Pin Chain Torq Lite Flip Lever Parking BrakeSRAM Apex Shifting Package (right side fork mounted SRAM Apex Shifter) $1165

11-36 CassetteSRAM X9 DerailleurTorq Lite Caliper Hand BrakeSRAM Hollow Pin Chain Torq Lite Flip Lever Parking BrakeQuadGrip® Shifter Package (Wide fork required)

$1010

11-36 CassetteSRAM X9 derailleurTektro Caliper Hand BrakeFront Disc Brake Tektro Flip Lever Parking BrakeDouble Tap SRAM X9 Elbow Shifter package (see definitions / Wide fork required)

$1015

11-36 CassetteSRAM X9 DerailleurTektro Caliper Hand BrakeFront Disc Brake Tektro Flip Lever Parking Brake

11 Speed:Shimano Di2 Electronic Shifter - (right handpedal mounted / see definitions) $2160

11-36 CassetteDi2 XTR Electronic DerailleurTektro Caliper Hand BrakeShimano Hollow Pin Chain Tektro Flip Lever Parking BrakeShimano Di2 (right side fork mounted shifter / see definitions) $2160

11-36 Cassette Di2 XTR Elecronic DerailleurTektro Caliper Hand BrakeShimano Hollow Pin Chain Tektro Flip Lever Parking Brake

Front Wheel Options: (see exclusions) Item #: Speed: Description: Tire: Price:

50127

5012850135

501365012950130

50125

50126

50131

5013250133

50134

50150

10 26" High Performance Clincher $21010 26" High Performance

(Disk Brake Compatible)Clincher $230

11 26" High Performance Clincher $29011 26" High Performance

(Disk Brake Compatible)Clincher $405

10/11 26" Spinergy Carbon Clincher $81010 26" Top End Carbon Tubular $990

10/11 26" Corima Aero Carbon Tubular $1,210

10/1126" Corima Aero Carbon (Disk Brake Compatible)

Tubular $1,265

10/11 700c Corima Aero Carbon Tubular $1,375

10/11700c Corima Aero Carbon (Disk Brake Compatible)

Tubular $1,435

10/11 700c High Performance Clincher $210

10/11 700c High Performance (Disk Brake Compatible)

Clincher $230

N/A

Omit Front Wheel (Indicate Build for Wheel Size in the specials section)

N/A $0

Tire Options: (see exclusions) Item #: Description: Tire: Price:

5021450235502385023950242502405024150237

26" High Performance Clincher $026" Tufo Jet Special Tubular $026" Continental Grand Prix Clincher $13526" Continental Sprinter Tubular $125700c High Performance Clincher $0700c Continental Grand Prix Clincher $135700c Continental Sprinter Tubular $125700c Tufo Jet Special Tubular $0

Braking: (see exclusions) Item #: Description: Price:

65082 Front disk brake $300

Rear Wheel Options: (see exclusions) Item #: Description: Tire: Price:

50139501415013750138501405014250143

50151

26" High Performance Clincher $26526" Top End Carbon Tubular $1,83026" Corima Aero Carbon Tubular $2,26526" Corima Disk Carbon Tubular $2,51526" Spinergy Carbon Clincher $1,465700c Corima Aero Carbon Tubular $2,595700c High Performance Clincher $265Omit Rear Wheels (Indicate Build for Wheel Size in the specials section)

N/A $0

Page 4: Order Form and Price List: Invacare® Top End® Force™ RX ... · 11-36 Cassette: Di2 XTR Electronic Derailleur Tektro Caliper Hand Brake: Shimano Hollow Pin Chain Tektro Flip Lever

Order Form and Price List: All products must be ordered through an Invacare provider. Our provider locator is available at www.topendwheelchair.com

Invacare® Top End® Force™ RX Handcycle

Invacare Corporation Top End Division All rights reserved. Trademarks are identified by the symbols ™ and ®. All trademarks are owned by or licensed to Invacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification. ©2015 Invacare Corporation PN: 1181419 REV C KPIPARO 07-03-2017

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Chainring/Cassette Options: Item #: Description: Price:Chainrings:

6510165102

65103

48-39-24 Chainring Combination $053-39-28 Chainring Combination $100Compact 48-34-22 Chainring Combination $100

Cassette options:65161

65162

11-36 Cassette $011-28 Cassette (only available with 10 speed upgraded shifter packages) $50

Fixed fork Options: Item #: Description: Price:Fixed Height:

6519165192651936519465195651966519765198651996520065201

18.0" Crank Height (26" wheels only) $018.5" Crank Height (26" wheels only) $019.0" Crank Height $019.5" Crank Height $020.0" Crank Height $020.5" Crank Height $021.0" Crank Height $021.5" Crank Height $022.0" Crank Height $022.5" Crank Height (700C wheels only) $023.0" Crank Height (700C wheels only) $0

Fixed Length: 6520765208652096521065211652126521365214652156521665217

26.0" Fork Length (26" wheels only) $026.5" Fork Length (26" wheels only) $027.0" Fork Length $027.5" Fork Length $028.0" Fork Length $028.5" Fork Length $029.0" Fork Length $029.5" Fork Length $030.0" Fork Length $030.5" Fork Length (700C wheels only) $031.0" Fork Length (700C wheels only) $0

Fork Options: (see diagram 5) Item #: Description: Price:Lower fork style:

7502575026

Aerodynamic $0Wide (Required with disk brake) $0

Fork adjustability options:

65181

65180

65182

Adjustable Height - 18.5" - 21.5"Fixed Length - 29" $0Adjustable Height - 18.5" - 21.5"Adjustable Length - 27" - 30" $300Fixed Height - Choose height belowFixed Length - Choose length below $250

Options and Accessories: Item #: Description: Price:Safety:

25067 Drafting Bumper $025070 Carbon Fiber Chainguard $025071 Adjustable Headrest $025061 Safety Flag $025038 Mirror, Chain Guard Mounted $3525015 Light, Front (White) $2525016 Light, Rear (Red) $2525029 Tool and Tire Repair Kit $9025055 Cable Kit $3525030 Extra Steering Dampener $1025018 Helmet, Small/Medium $7525019 Helmet, Medium/Large $75

Hydration: 25020 Backpack Hydration System $10025021 Water Bottle and Cage $35

Positioning: 25063 Seat Cushion $025064 Back Cushion $025001 Click Strap, 8" Small $7525002 Click Strap, 10" Medium $8025003 Click Strap, 12" Large $86

Performance Enhancement: 25022 Wheel Alignment Gauge $75

25023Crank Width Adaptor Set (not installed) (+1.5" of crank width per set) $20

25024Cordless Computer (speed, distance, etc.) $125

Transportation: 25006 Crutch Holder $12525007 Bike Rack, Hitch 1-1/4" $45025008 Bike Rack, Hitch 2" $45025031 Wheel Bag $18025032 Travel Bag $300

Training:

65150SRM Training System - Triple (see definitions) $3,250

65151SRM Training System - Compact (see definitions) $3,250

25033 Heartrate Monitor $10025036 Indoor Stationary Roller $25025037 Sportscrafter Mini Roller $350

Apparel:25009 T-Shirt, Large $1025010 T-Shirt, Extra Large $1025026 Racing Jersey, Large $7025027 Racing Jersey, Extra Large $70

Page 5: Order Form and Price List: Invacare® Top End® Force™ RX ... · 11-36 Cassette: Di2 XTR Electronic Derailleur Tektro Caliper Hand Brake: Shimano Hollow Pin Chain Tektro Flip Lever

Order Form and Price List: All products must be ordered through an Invacare provider. Our provider locator is available at www.topendwheelchair.com

Invacare® Top End® Force™ RX Handcycle

Invacare Corporation Top End Division All rights reserved. Trademarks are identified by the symbols ™ and ®. All trademarks are owned by or licensed to Invacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification. ©2015 Invacare Corporation PN: 1181419 REV C KPIPARO 07-03-2017

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Color Options: Item #: Color: Hue: Price: Frame Color:

55002550035500555007550085501055011550125501455015550165501755018550195502055023

Red Tangerine Red $0 Red Raspberry Red $0 Orange Simple Orange $0 Yellow Safety Yellow $0 Green Grasshopper Green $0 Blue Midnight Blue $0 Blue Royal Blue $0 Blue Electric Blueberry $0 Purple Grape Madness $0 Pink Bubble-Gum Pink $0 White White Snow $0 Black Stealth Black $0 Black Wet Black $0 Black Black Prism $0 Silver Silver Metallic $0 Grey Stealth Grey $0

Optional Alternative Fork Color: Item #: Color: Hue: Price:Fork Color: (Pick one only when alternative fork color is desired)

55025550265502855030550315503355034550355503755038550395504055041550425504355046

Red Tangerine Red $100Red Raspberry Red $100Orange Simple Orange $100Yellow Safety Yellow $100Green Grasshopper Green $100Blue Midnight Blue $100Blue Royal Blue $100Blue Electric Blueberry $100Purple Grape Madness $100Pink Bubble-Gum Pink $100White White Snow $100Black Stealth Black $100Black Wet Black $100Black Black Prism $100Silver Silver Metallic $100Grey Stealth Grey $100

Special Request 1)Special Request 2)Special Request 3)Special Request 4)Special Request 5)

Note: All Special requests are subject to approval, additional charges, and additional lead time

Handcycle Configuration:Weight: 28 pounds

Turning Radius:

18 feet for 360 degree circle, 12 feet on a 3-point turn

Transfer Height: 5" from ground with 2" cushion

Frame Style:Ovalized 7005 aluminum tubing which is heat treated for increased strength and stiffness

Fork: Removable, Travel ready, with adjustable cranks

Propulsion / Shifting: 30 or 33 speeds with choice of components

Crank assembly: Optional fixed or adjustable

Back:Carbon Fiber, adjustable angle from 50 to 70 degrees

Footrest: Dual adjustable length, includes strapsHand Pedals: Ovalized ergonomic with frictionless bearings

Brake: Caliper brakes standard, optional front disk brake

Wheelbase:60" standard, 56",61", 62" and 63" optional, axle to axle. 85.5" overall length

Camber: 3 or 0 degree availableWheels: 26" or 700c wheels with optional upgrades

Axles: ThreadedTires / Tubes: 26" or 700c clincher or tubular options

Positioning Straps: Hook and loop positioning strap included

Cushions: Seat and back cushion included

Safety / Visibility: Flag and reflectors included

Chain Guard: Carbon Fiber chain guard included

Product photo:

Page 6: Order Form and Price List: Invacare® Top End® Force™ RX ... · 11-36 Cassette: Di2 XTR Electronic Derailleur Tektro Caliper Hand Brake: Shimano Hollow Pin Chain Tektro Flip Lever

Order Form and Price List: All products must be ordered through an Invacare provider. Our provider locator is available at www.topendwheelchair.com

Invacare® Top End® Force™ RX Handcycle

Invacare Corporation Top End Division All rights reserved. Trademarks are identified by the symbols ™ and ®. All trademarks are owned by or licensed to Invacare Corporation unless otherwise noted. Specifications and prices are subject to change without notification. ©2015 Invacare Corporation PN: 1181419 REV C KPIPARO 07-03-2017

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Exclusions:

Quad Cuff handpedals:

The Quad Cuff handpedals are only available if the Elbow Shifting package (65069) is ordered, because there is no place to mount the shifter with the other shifting packages.

QuadGrip's® shifting package:

The QuadGrip's® shifting package is only available when the Elbow shifting package (65069) is also chosen. A wide fork (65086) is required as a disk brake is included in this package.

Double tap Elbow

shifting package:

Wide fork required due to included disk brake.

Disk Brake:

When the front disk brake option is picked, either the High Performance or Corima Disk Brake compatible front wheel must be chosen also. The wide fork option (65086 must also be chosen. The Disk brake options is included with the QuadGrip's® and Elbow shifting packages.

Tires:

Must choose the same size tires as wheels. Clincher wheels must have clincher tires and tubular wheels must have tubular tires.

Product Diagrams:

1.

2.

3. Definitions:

Top End Force RX

Handcycle:

The Top End Force RX handcycle is made of 7005 series aluminum. An adjustable carbon fiber backrest and an adjustable bolt-on headrest are included. With a standard configuration the Force RX is 30 speeds.

QuadGrip's® shifting

package:

The QuadGrip's® shifting package is designed to help users with limited hand function by locking the hands in place using three adjustable pin-like posts. This package includes a wrist activated shifter, mounted on the right handpedal, which controls the gears located on the front wheel. Also included are wraps to protect the users wrists.

Double tap Elbow

shifting package:

The Double tap Elbow shifting package allows users with limited hand function to keep their hands on the pedals at all times. The double tap shifter which controls the front wheel cassette is mounted on the frame and is designed to be operated by the elbow. If QuadGrip's® are combined with the Elbow shifting package the shifter is then mounted on the QuadGrip® right handpedal and is then wrist activated. There are two brake levers also munted on the frame. The right one operates the front Disk brake and the left operated the caliper brake.

Di2 Electronic

shifting package:

Di2 is a family of electronic shifting components manufactured by Shimano. Electronic shifters are offered on the handpedal or the fork, and operate the front wheel derailluer only. Electronic shifting at the crank is available as a special request.

4.

5.