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Extreme Wheelchairs
Online quote form
Custormize & Buy
FRAME COLOUR*
Please select Option
EXTB Dynamic Frame - Black
EXTC Dynamic Frame - Custom
Custom frame colour:
CLIENT WEIGHT*
Please select Option
EXTWA Up to 250Lbs
EXTWAMF Exceeds 250Lbs
EXTWAMG Exceeds 350Lbs
EXTWAMH Exceeds 400Lbs (Max 600Lbs)
SEAT WIDTH*
Please select Option
EXTSW16 Seat Width 16"
EXTSW17 Seat Width 17"
EXTSW18 Seat Width 18"
EXTSW19 Seat Width 19"
EXTSW20 Seat Width 20"
EXTSWC Custom Seat Width
If custom seat width:*
SEAT DEPTH*
Please select Option
EXTSD16 Seat Depth 16"
EXTSD17 Seat Depth 17"
EXTSD18 Seat Depth 18"
EXTSD19 Seat Depth 19"
EXTSD20 Seat Depth 20"
EXTSDC Custom Seat Depth
If custom seat depth:*
Foot rest and foot plates:*
  
EXTOFST Offset Foot Rest
EXTF6A 60 Degree Hanger
EXTF7A 70 Degree Hanger
EXTF8A 80 Degree Hanger
EXTEA Elevating Legrest
EXTAL Articulating L/R
EXTEB Elevating Legrest System
EXTPPL Plastic
EXTPXL Extra Large
EXTPAF Angle Adjustable Footplates
EXT1FB One Piece Foot Board
EXT1FBP One Piece Foot Board Padding
EXTNLS Nylon Leg Strap Padded
EXTNLSC Nylon Leg Strap Custom
EXTCSL Contracture Sling Standard
EXTCSL Contracture Sling M-Style
Size of custom nylon leg strap?*
Pivot style or pin style?
Please select Option
Pivot
Pin
BACK TYPE*
  
EXTAB1 Angle Adjustable Back
EXTENDO Endomorph Canes
EXTRBK Recline Kit
Width of endomorph canes?*
HEADREST*
  
EXTMAHF Multi-Axis Hardware Complete with Large Pad
EXTMAHFXL Multi-Axis Hardware Complete with Flex Large
EXTMAHKP Multi-Axis Hardware Complete with Medium Pad
EXTMAHFXS Multi-Axis Hardware Complete with Flex Medium
EXTMAHFT Multi-Axis Hardware Complete with Small
EXTUPHT219 Contour Headrest Complete with Swivel Hardware
EXTUPHT218 Contour Headrest with Std. Assembly (1/2")
EXTUPHT217 Contour Headrest with Std. Assembly (3/4")
EXTUHA Universal Hardware Adaptor (Adaptor only)
No Headrest
ARM REST*
  
EXTTA T-Arm Ht. Adj./ Removable (Standard 10 - 14 inches)
EXTTAS T-Arm Ht. Adj./ Removable (Short 7 - 11 inches)
EXTGWAPF Gel Waterfall Arm Pads
* Note: Gel Waterfall Arm Pads are only compatible with locking laptrays if required
Seat to floor specifications (± 0.5")*:
Please select Option
STF = 13.00 R.Wheel = 20 Caster = 5 Fork = XL SHORT
STF = 13.75 R.Wheel = 20 Caster = 5 Fork = XL SHORT
STF = 14.50 R.Wheel = 20 Caster = 6 Fork = SHORT
STF = 14.50 R.Wheel = 22 Caster = 5 Fork = SHORT
STF = 14.50 R.Wheel = 22 Caster = 6 Fork = SHORT
STF = 15.25 R.Wheel = 20 Caster = 5 Fork = SHT/LONG
STF = 15.25 R.Wheel = 20 Caster = 6 Fork = SHT/LONG
STF = 15.25 R.Wheel = 22 Caster = 5 Fork = SHT/LONG
STF = 15.25 R.Wheel = 22 Caster = 6 Fork = SHT/LONG
STF = 16.00 R.Wheel = 22 Caster = 6 Fork = LONG
STF = 16.75 R.Wheel = 22 Caster = 6 Fork = LONG
STF = 17.50 R.Wheel = 22 Caster = 6 Fork = LONG
STF = 17.50 R.Wheel = 22 Caster = 6 Fork = LONG
STF = 17.50 R.Wheel = 24 Caster = 6 Fork = LONG
STF = 18.25 R.Wheel = 24 Caster = 8 Fork = LONG
For more Seat To Floor combinations, visit our website
REAR WHEEL*
Please select Option
EXTRWT0 20” Solid Treaded Tire
EXTRWT2 22” Solid Treaded Tire
EXTRWT4 24” Solid Treaded Tire
EXTRWT12 12" Solid Tire (STF 13-19 inches)
EXTRWT16 16" Solid Tire
EXTRWA2 22” Air Tire
EXTRWA4 24” Air Tire
EXTHRT Narrow Handrim Config. (1/2" less)
EXTAQR Axles – Quick Release
*Note: Quick Release is not available for wheels smaler than 20"
CASTER*
Please select Option
EXTFC1A 5” X 1.25” Caster
EXTFC1B 6” X 1.25” caster
EXTFC1C 8” X 1.25” Caster
EXTFC2A 5” X 1.75” Caster (Soft Roll)
EXTFC2B 6” X 1.75” Caster
EXTFC2C 8” X 1.75” Caster
EXTFC4B 6” X 2 Caster (Steel Fork)
EXTFC4C 8” X 2 Caster (Steel Fork)
WHEEL LOCK*
  
EXTALPH Aluminium Push To Lock
EXTALPL Aluminium Pull To Lock
EXTEXTH Steel Push To Lock
EXTEXTL Steel Pull To Lock
EXTBRXC 4” Brake Extension
EXTBRXA 6” Brake Extension
EXTBRXB 9” Brake Extension
EXTATTBRX Attendant Brakes
EXTULBL Unilateral Hand Brake Left
EXTULBR Unilateral Hand Brake Right
SEATING-BACKS*
  
EXTBK01 RELAX Gentle Fit Back
EXTBK02 RELAX Full Fit Back
EXTBK03 RELAX Snug Fit Back
EXTBK04 RELAX Form Fit Back No Laterals
EXTBK06 RELAX Form Fit Back Gentle Laterals
EXTBK07 RELAX Form Fit Back Full Laterals
EXTBK05 RELAX Form Fit Back Snug Laterals
EXTBK10 RELAX Spiral Fit Back Gentle LateralsLaterals
EXTBK09 RELAX Spiral Fit Back Snug Laterals
EXTBK11 RELAX Spiral Fit Back Full Laterals
EXTTAB RELAX Tension Back Upto 18”
EXTTAB+ RELAX Tension Back Over 18”
EXTBGL1 Full Overlay Gel (2 Pieces)
EXTBGL2 Gel Center Vertebrae
EXTBGL3 Gel Left Lateral
EXTBGL4 Gel Right Lateral
EXTBK12 Custom Width
EXTBK13 Custom Height $176
No Back
Enter back width and height:*
Enter custom width below:*
Enter custom height below:*
SEATING - CUSHIONS*
  
EXTC01 RELAX Soft Cushion
EXTC02 RELAX Comfy Cushion
EXTC03 RELAX Firm Cushion
EXTC03 RELAX AIRFLOW Cushion
EXTCGL2 Full Overlay Gel
EXTCCL Contoured Leg Channel (Bolster) Std.
EXTCCLA Contoured Leg Channel (Bolster) with ABS
EXTCCLC Contoured Leg Channel (Bolster) Custom ( *Note: Please refer to the Seating Booklet for custom sizes)
EXTC00 Extra Cushion Cover
No Cushion
*Note: Please refer to the Seating Booklet for custom sizes
Enter Cushion width and length:*
ACCESSORIES
  
EXTSBA Seat Belt (Auto Style)
EXTSBAP Seat Belt (Padded)
EXTSBA4P Seat Belt (4 Point Padded)
EXTTRC Full Plastic Tray ABS Black or Clear
EXTTRD Half Padded Left Tray
EXTTRE Half Padded Right Tray
EXTTRF Half Left Tray ABS Black or Clear
EXTTRG Half Right Tray ABS Black or Clear
EXTTDFB Transport Tie Downs Front
EXTTDRB Transport Tie Downs Rear
EXTOXY Oxygen Tank Holder
EXTIVA Adjustable I V Pole
EXTCHPT-L Left Arm Trough Tray
EXTCHPT-R Right Arm Trough Tray
EXTLATB Lateral Bite out
EXTADD8 8" Adductor
EXTADD10 10" Adductor
EXTADD12 12" Adductor
EXTFRCH Padded Footplates
Additional Notes
Final Total
First Name*
Last Name*
Company Name:*
Phone Number:*
Official Work Email*
Location:*
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