Page 3 of 4INFINFB3722/RevG/03FEB2020
Rear Basket (15.25″ × 9.75″ × 9.5″) ...................................... $118
Deluxe Contour part: ACCASMB1914. Comfort part: ACCASMB2537
Cane/Crutch Holder ............................................................ $110
Deluxe Contour part: ACCASMB2294. Comfort part: ACCASMB2540
HCPCS: E2207
Oxygen Tank Holder ...........................................................$118
Deluxe Contour part: ACCASMB2292. Comfort part: ACCASMB2651
HCPCS: E2208
Walker Holder ......................................................................$103
Deluxe Contour part: ACCASMB2541. Comfort part: ACCASMB1912
Account Number: ___________ Date: ________________ Marked for: _____________________________________
JOYSTICK MOUNTING BRACKETS
Optional. The power chair comes standard with an in-line joystick mounting bracket. Additional brackets may be selected below.
Swing-Away Joystick
In-line Mount (Right)
Swing-Away Joystick
Offset Mount (Right)
Back-Mounted Accessories
Optional. Only one back-mounted accessory can be used at a time. Includes mounting bracket and hardware.
Additional Lap Belts
Optional. Seats come with a 60″ lap belt. An additional lap belt may be selected below.
70″ Lap Belt ................................ $39.90
Part: ACCBELT1003
80″ Lap Belt ............................... $39.90
Part: ACCBELT1004
90″ Lap Belt ............................... $39.90
Part: ACCBELT1005
ACCESSORIES
Optional.
Weather Cover, Medium, Black .........................................$168
Part: ACCCOVR1022
Saddle Bag (12.5″ × 9.875″) .................................................. $35
Part: DWR1020D010
Bell-Shaped Foot Platform ............................................... $235
Part: RIGASMB7120041
PP1 Programmer ................................................................ $423
Part: CTLDC1388
Flag Holder ........................................................................... $25
Deluxe Contour part: ACCASMB1930. Comfort part: ACCASMB2629
Cup Holder ............................................................................ $20
Style B, Deluxe Contour part: ACCASMB2287
Style C, Comfort part: ACCASMB2288
XLR USB Charger ................................................................ $38
Part: ACC1704791
Unoccupied Transit Kit ......................................................$100
Part: KIT1805521
Used on Comfort Seats only — see SEATING on Page 2.
Swing-Away, In-line ..................................................... $245
Left part: ACC148364. Right part: ACC148365
HCPCS: E1028
Swing-Away, 1″ Oset ................................................. $245
Left part: ACC148366. Right part: ACC148367
HCPCS: E1028
JOYSTICK
REQUIRED. The joystick may be automatically selected based on the power base selection.
GC3 .............................................................................. Standard
Part: ELEASMB7226
Used with non-power elevating seats
VR2, 6-key ........................................................................... $200
Part: CTLDC1498
Required with power elevating seats
BATTERIES
REQUIRED. The Power Chair requires two batteries. The batteries are automatically selected with a Quick Ship order.
U-1 .................................................................................................................................................................................................... $133 ea.
Part: BATLIQ1017. HCPCS: E2365
Match seat width and depth — see cushion order form or
cushion part number:
Non-matching cushion size — see cushion order form or
cushion part number:
CUSHION QUICK PICK
Optional. Refer to the specic cushion order form for pricing, sizes, codes, and part numbers. If the cushion size matches the selected seat size,
check Match seat width and depth. If the cushion size diers from the seat size, check Non-matching cushion size. Attach the cushion order
form, or ll in the cushion part number below.