RazorBladeJR

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Fields

Dealer Info

Name

Account #

PO #

Ordered by

Address

City/ST/Zip

Phone

Fax

Customer Height

Customer Weight

Shipping Info

Name

Ship Via

Address

City/ST/Zip

Phone

Fax

Chair Information

Razorblade K0005

FSH - RSH

Max Capacity 250 Lbs

Main Frame ZK 55 and ZK 60 high grade A7000 series Aluminum

Main Frame Lifetime Warranty

Chair Model*

Frame and Parts Colors

Refer to diagram for custom colored parts

Frame Color

Parts Color

Powder Coat Color

Number A $

Frame Measurements

Refer to the diagram for assistance with each specific measurement

1. Seat Width

Seat Depth Type

Net Seat Depth Depth Adj Frame

Only Choose one

Net Seat Depth

Depth Adj. Frame

Positioning frame seat depth Ergo seat depth

Positioning Frame Seat Depth - OPTIONAL

Omit Positing Frame Seat Depth $150 Ergo Seat Depth $200

Positioning Frame Seat Depth -- $150

optional measrement in inches

Ergo Seat Depth -- $200

optional measrement in inches, must be 4" greater than center of gravity, STD is 5in

Foot Rests

Footrest Width

STD - Taper on Top STD - Taper on Bottom STD - No Taper Custom -- $150

Standard Taper is 5in less than seat width. Foot rests with no taper are 2in less than the seat width

Custom Foot Plate Length

Indicate the custom length of your foot plate

Custom Foot Plate Width

Indicate the width of your custom foot plate

How many holes are to be drilled in your custom foot plate?

Foot Plate Style

STD single loop w/ ADJ Height & Angle Flip back w/ ADJ Height & Angle -- $150 Custom Tubular Footrest -- $250

Custom Foot Plate Length

Indicate the custom length of your foot plate

Custom Foot Plate Width

Indicate the width of your custom tubular foot plate

Frame Angle

75 80 85 90

To the ground

Back Rest Height, Angle & Type

Back Height Low End Adjustment Range

Back Height Top End Adjustment Range

Back Rest Angle - Set at

Degrees to the ground -- STD 90

Back Rest Type

STD Locking Mechanism w/ Height & Angle ADJ Double Locking Mechanism w/ ADJ Height & Angle -- $25 Folding w/ ADJ Height & Angle -- NCO

Custom Backrest Options

Custom Backrest Options

Welded Side Guards -- $450

Custom Backrest Options

Welded Backrest -- $150

Custom Backrest Options

Custom Backrest -- $250

Ie Double rigidizer bars, custom back height/depth

Rigidizer Bar Depth

Custom Back Rest Height

Welded Back Rest Height

Front Seat Height

Front of Seat height as it relates to caster size

Front Seat Height

Rear Seat Height

Rear seat heights / Relative to rear tire sizes

Rear Seat Height

Center of Gravity

Camber Angle

2 4 6

Measured in Degrees

Front of Seat Height to Front of Footrest

Not available w/ 19in to 21in seat height

Custom *** High mount w/ risers or clamps -- $65

Inside Wheel Clearence

.75in wheel clearance not avail w/ 2 degree camber unless Y-360 wheels. .75in wheel clearance not avail with DLock brakes or armrests

Total Section B

Total Section B - Custom Measurements*

Razorblade Measurement Customization Notes

The Razorblade is a custom wheelchair. If you'd like further customization, please enter your requests here. Colours will determine if the customization is possible while maintaining the safety and integrity of the wheelchair. If the customization request can be accomplished, the ensuing quote will reflect any changes. Thank You

Further Razorblade Customization

Wheels

Wheel Type

Standard Spoke Wheel

Standard Spoke Wheel Size

Standard Mag Wheel

Standard Mag Wheel Size

X-Core

Wheel Size

X-Core - Wheel Color

Spinergy 18 Spokes

Spinergy 18 Spoke - Wheel Size

Spinergy 18 Spoke - Wheel Color

Or Choose your custom spokes patterns and colors $795

Spinergy LX Spox 12 Spokes

Spinergy 12 Spoke - Wheel Size

Spinergy 12 Spoke - Wheel Color

Or Choose your custom spokes patterns and colors $795

Handrims

Handrim Type

Natural Fit Grip Specs

Not available with short tabs, Y-360 Billet Wheels, Pro wheels, X-Core wheels & Pro wheels

Natural Fit LT Grip Specs

Not available with short tabs, Y-360 Billet Wheels, Pro wheels, X-Core wheels & Pro wheels

Handrim Tab Length

Handrim Specs

Standard and vinyl coated handrims not available with pro wheels.
Natural Fit & Natural Fit LT rims with grip not available with Y-360 Billet,Topolino, X-Core and Pro wheels.
Natural Fit & Natural Fit LT rims without grip are not available with Y-360 Billet & X-Core Wheels.
The Surge and Surge LT handrims are not available with the Y-360 Billet Wheels. There is a $30 installation fee on X-Core Wheels.
Projections handrims are not available with Y-360 Billet,Topolino, X-Core and Pro wheels.

Handrim Tab specs

.75in Tab length not available with X-Core Wheels
.5in Tab length not available with Ultra Grip or Natural fit handrims with super grip
Shortest tab not available with Y-360, X-core and pro wheels

Tires

STD High Pressure Tire Size

20x1 22x1

Low Pressure Tire Size

20x1-3/8 22x1-3/8

Solid Tire Size

20x1 22x1

Solid Tire Color

Dark Gray Black

Wheels, Handrims and Tires Total

Wheels, Hand Rims and Tire Total

Front Casters

Front Caster Size

3in 4in 5in

3in Front Wheels

3in caster, 1in width, black tire, black hub, polyurethane - STD 3in caster, 1in width, clear tire, black plastic hub, lighted polyurethane - $65 3in caster, 1in width, red tire, red hub, polyurethane - STD 3in caster, 1in width, clear tire, black hub, polyurethane - STD 3in caster, 1in width, black tire, Aluminum silver hub, Made by Frog Legs - $165 3in caster, 1in width, black tire, Aluminum black hub, Made by Frog Legs - $165 3in caster, 1.5in width, black tire, Aluminum silver hub, Soft Roll Made by Frog Legs - $165 3in caster, 1.5in width, black tire, Aluminum black hub, Soft Roll Made by Frog Legs - $165

4in Front Wheels

4in wheel, 1in tire width, Black Tire, Black Plastic Hub - STD 4in wheel, 1in tire width, Clear Tire, Black Plastic Hub, Lighted Polyurethane - $65 4in wheel, 1in tire width, Black Tire, Black Plastic Hub, Made by Frog Legs - $125 4in wheel, 1in tire width, Black Tire, Aluminum Silver Hub, Made by Frog Legs - $165 4in wheel, 1in tire width, Black Tire, Aluminum Black Hub, Made by Frog Legs - $165 4in wheel, 1.5in tire width, Composite Black Hub, Soft Roll Made by Frog Legs - $1355 4in wheel, 1.5in tire width, Black Tire, Aluminum Black Hub, Soft Roll Made by Frog Legs - $165 4in wheel, 1.5in tire width, Aluminum Silver Hub, Soft Roll Made by Frog Legs - $165

4x1.5 Special Tire Color

5in Front Wheels

5in wheel, 1in tire width, Black Tire, Black Plastic Hub - STD 5in wheel, 1in tire width, Clear Tire, Black Plastic Hub, Lighted Polyurethane - $65 5in wheel, 1in tire width, Black Tire, Black Plastic Hub, Made by Frog Legs - $125 5in wheel, 1in tire width, Black Tire, Aluminum Silver Hub, Made by Frog Legs - $165 5in wheel, 1in tire width, Black Tire, Aluminum Black Hub, Made by Frog Legs - $165 5in wheel, 1.5in tire width, Composite Black Hub, Soft Roll Made by Frog Legs - $135 5in wheel, 1.5in tire width, Black Tire, Aluminum Black Hub, Soft Roll Made by Frog Legs - $165 5in wheel, 1.5in tire width, Aluminum Silver Hub, Soft Roll Made by Frog Legs - $165

5x1.5 Special Tire Color

Forks

Fork Types

STD - Aluminum Forks Frog Leg Forks for 3-4in x1 casters - $450 Frog Legs for 5in casters - $450

Aluminum Fork Options

Standard Suspension Springs - $55 Quick Release Axles - $107

Frog Leg Color A

Omit Anodized Black Anodized Silver

Frog Leg Color B

Omit Anodized Black Anodized Silver

Caster and Fork Total

After Market Parts

Brakes

D Locks aren't available w/ X-Core, Topolino & Magic wheels

Push Handles

Push Handles?

Omit Yes

If you select push handles you must select back rest locking mechanism

Height From Floor

Push Handle Type

Arm Rests

Omit Yes

Arm Rests Height from Seat Sling

8in 9in 10in 11in 12in

Arm Rest Type

Side Guards

Side Guards Type

Black ABS - Removeable

Removable Non-Removable Removable w/ hole - $10

Black ABS Size?

STD Medium Cut to Wheel - $98

Rigid Aluminum - Removable?

Removable Non-Removable

Rigid Aluminum - Size?

Medium Cut to Wheel - $98

Rigid Aluminum - Color

Black Polished Aluminum Powder Coated - $50 Gold Plated - Call for Price

Rigid Aluminum - Powder Coat Color?

PRO-TEX Fender - Install?

Cut to Fit Do Not Install

Seat Cushion

See more choices in Section: "Custom Seat Cushions"

Foam Seat Cushion?

Foam Cushion - Thickness

1in 2in 3in 4in

Anti Tippers

Omit Include - $112

Anodized Black w/ Quick Release

Miscellaneous

Miscellaneous Items

Omit Frame Protectors (Leather Zip type) - $78 Spoke Protectors (Black) - $107 Seat Belt (1.5in Black Belt) - $69 Tie Down Brackets (4pc) - $210

Spoke Protector Size?

24in 25in 26in

Wheelchair Tray

Tray?

Tray Size

Tray Color

Raw Aluminum Black Aluminum Polished Aluminum - $250

After Market Parts Total

GRAND TOTAL

Thank you for working with Colours Wheelchairs. Please review the grand total retail price of your chair. Upon submission, a representative will be with you within 24 hours to confirm your order. Should you have any questions, do't hesitate to contact us at customerservice@colourswheelchair.com

GRAND TOTAL

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