Quickie Q200 R with Captain's Seat

Order Form and Specifications

Order Details

Customer Ship To
Account #:
Date:
PO#:
Buyer:
Mark For:
Name:
Address:
City:
Province:
Postal Code:
Phone:

Client Measurements

Diagram illustrating a seated person with measurement points labeled a through o, indicating: a) Top of head to seat, b) Top of shoulder to seat, c) Underarm to seat, d) Elbow to seat, e) Top of leg to seat, f) Shoulder width, g) Chest width, i) Hip width, j) Actual sitting depth, m) Foot length, n) Knee to foot, o) Seat width. Measurements are in inches.

Measurement Unit
Top of head to seatin
Top of shoulder to seatin
Underarm to seatin
Elbow to seatin
Top of leg to seatin
Shoulder widthin
Chest widthin
Hip widthin
Actual sitting depthin
Foot lengthin
Knee to footin
Seat widthin

Product Specifications

Chair Specifications

Weights starting at (with Batteries)260 lbs
Power Seating22° Tilt
Seat TypeCaptain Seat w/ Fold Down Back and 25° Angle Adjustment
Seat Size RangeWidth 16" to 20", Depth 16" to 22"
Seat-to-Floor Height Range17" to 18"

Mid-Wheel Drive Base Specifications

Drive Wheel PositionRear-wheel drive
User Weight Capacity300 lbs.
Base SizeWidth 23", Length 42"
Minimum Turning Radius18.5" (excludes footplates)
Drive ControlR-net PM 90A / VR-2 90A
Driving RangeUp to 15.5 miles
Drive Motors2-pole, 6 mph / 10 kph
Drive Wheels12" w/ Flat Free Inserts
14" w/ Pneumatic Inserts
14" w/ Flat Free Inserts
Front Casters9" w/ Pneumatic Inserts
9" w/ Flat Free Inserts
Charger8A Dual Mode (Compact), 10A
Battery SizeGroup 22
Color7 color accents
Ground Clearance3"

Configuration Options

Standard Duty Rear Wheel Drive Base (End Item Number EIPW35 - Captain's Seat)

BASEOPTIONDESCRIPTIONRETAIL
350PC304Quickie Q200 R NCC No Power Option, Captain's Seat and Back. Included in Base Pricing: Q200 R Base, VR-2 90amp Electronics for No Power Seat Functions, 4-wheel Suspension System, 12" Drive Wheels with Dual Density Inserts, 9" Flat Free Casters, ISO Occupied Tie-Down Brackets and 8amp Charger. Max Speed = 10kph / 6mph, Weight Capacity = 300 lbs., STFH = 17".$7,579.00
350PC305Quickie Q200 R SCC Single Power Option, Captain's Seat and Back. Included in Base Pricing: Q200 R Base, VR-2 90amp Electronics for No Power Seat Functions, 4-wheel Suspension System, 12" Drive Wheels with Dual Density Inserts, 9" Flat Free Casters, ISO Occupied Tie-Down Brackets and 8amp Charger. Max Speed = 10kph / 6mph, Weight Capacity = 300 lbs., STFH = 17".$7,579.00
350PC306Quickie Q200 R NCC No Power Option, Captain's Seat Back and Solid Seat. Included in Base Pricing: Q200 R Base, VR-2 90amp Electronics for No Power Seat Functions, 4-wheel Suspension System, 12" Drive Wheels with Dual Density Inserts, 9" Flat Free Casters, ISO Occupied Tie-Down Brackets and 8amp Charger. Max Speed = 10kph / 6mph, Weight Capacity = 300 lbs., STFH = 17".$7,579.00
350PC307Quickie Q200 R SCC Single Power Option, Captain's Seat Back and Solid Seat. Included in Base Pricing: Q200 R Base, VR-2 90amp Electronics for No Power Seat Functions, 4-wheel Suspension System, 12" Drive Wheels with Dual Density Inserts, 9" Flat Free Casters, ISO Occupied Tie-Down Brackets and 8amp Charger. Max Speed = 10kph / 6mph, Weight Capacity = 300 lbs., STFH = 17".$7,579.00

User Weight

OPTIONDESCRIPTIONRETAIL
350WG23Up to 300 lbs.NC

Motor Package

OPTIONDESCRIPTIONRETAIL
350PF1072-pole 6 mph / 10 kphNC

Drive Wheels

OPTIONDESCRIPTIONRETAIL
350DW77Drive Wheel, 12", Solid, Knobby, BlackNC
350DW79Drive Wheel, 14", Solid, Knobby, BlackNC

Caster Wheels

OPTIONDESCRIPTIONRETAIL
350CW121Caster Wheels 9", Pneumatic, BlackNC
350CW122Caster Wheels 9", Solid, BlackNC

Color Accents

OPTIONDESCRIPTIONRETAIL
350EZ20Apple GreenNC
350EZ22BlackNC
350EZ21BlueNC
350EZ23OrangeNC
350EZ24RedNC
350EZ19WhiteNC
350EZ25SilverNC

ISO Transit Tie Downs

OPTIONDESCRIPTIONRETAIL
350T050ISO Transit PackageNC

LED Lights

OPTIONDESCRIPTIONRETAIL
350L102Omit LED LightsNC
350L108LED Fender Lights$646.00

Seat Heights

(Seat height is measured from front of seat pan to floor with 0° frame angle.)

OPTIONDESCRIPTIONRETAIL
350HT55Seat Height 17" (N/A with Tilt)NC
350HT56Seat Height 18"NC

Batteries and Chargers

OPTIONDESCRIPTIONRETAIL
Group 22 Battery350AG31GP22 Flat Top Pair w/Straps$678.00
350AG35GP22/50Ah Flat Top Pair w/Straps (Required for Tilt)$662.00
Chargers350BJ3010A Dual Mode (Compact)$162.00
350BJ198A Dual Mode (Compact)NC

Seating Options

Power Seating Options

OPTIONDESCRIPTIONRETAIL
Seat Tilt350PA56Posterior CG 22° Tilt$3,636.00

Pre Set Seat Frame Angle (No Power Seating Options, Increases Seat to Floor Height)

OPTIONDESCRIPTIONRETAIL
350FA100° (Adds 0" to STFH)NC
350FA33° (Adds 1" to STFH)NC
350FA46° (Adds 2" to STFH)NC

Backrest Frame Type

OPTIONDESCRIPTIONRETAIL
350BF08Captain's Seat Frame (Includes back cushion)NC

Seat Type

OPTIONDESCRIPTIONRETAIL
350ST80JAY®NC
350ST77Captain's Seat CushionNC
350ST75OmitNC

Seat Size

Seat Pan WidthOPTIONAvailable DepthsRETAIL
16"350R5316" to 18"NC
18"350R5516" to 20"NC
20"350R5718" to 22"NC

Seat Pan Depth (Front of Seat Pan to Back Structure)

OPTIONDESCRIPTIONRETAIL
350RF5116"NC
350RF4517"NC
350RF4618"NC
350RF4719"NC
350RF4820"NC
350RF4921"NC
350RF5022"NC

JAY® Seat Cushion

OPTIONDESCRIPTIONRETAIL
350CU59JAY® Ion®$505.00
350CU61JAY® Union®$764.00
350CU64JAY® Fusion®$1,045.00
350CU104JAY® Fusion® with Cryo® Technology$1,152.00

Positioning Supports & Accessories

Armrest Structure

OPTIONDESCRIPTIONRETAIL
350EG37Flip Back (Includes Waterfall Arm Pads) (Height Adjustable 11" to 14")$271.00

Swing-Away Legrest (Pair)

OPTIONDESCRIPTIONRETAIL
350H177SEDEO PRO Legrests, Swing Away, 70° (14" to 21" Leg Length)NC
350H178SEDEO PRO Legrests, Manual Elevating, Swing Away (Includes Padded Calf Pads) (14.5" to 21.5" Leg Length)$380.00
350H179SEDEO PRO Legrests, Power Elevating, Swing Away (Includes Padded Calf Pads) (15.5" to 22.5" Leg Length)$3,435.00
350H180SEDEO PRO Hanger Receivers OnlyNC

Swing Away Legrest Calf Supports

OPTIONDESCRIPTIONRETAIL
350DI42Calf Support, Depth Adjustable, Padded (6.5" to 8" Wide, Depending On Chair Width, x 9.5" Tall)$512.00

Footplates

OPTIONDESCRIPTIONRETAIL
350F370Angle Adjustable Flip Up Footplates$277.00

Accessories

OPTIONDESCRIPTIONRETAIL
350DI44Heel LoopsNC
350KG4Knee Pads, Integral Foam (2.5" Wide x 4.5" Tall)$282.00

SEDEO Lower Extremity Swing Away Support

OPTIONDESCRIPTIONRETAIL
350VD01Lower Extremity Support, Padded, Swing Away, SEDEO, Right$512.00
350VD02Lower Extremity Support, Padded, Swing Away, SEDEO, Left$512.00

Pelvic Positioning Belts

OPTIONDESCRIPTIONRETAIL
350A837Positioning Belt, Auto Style Buckle, 50 mm 1600 mm / 2"NC
350A839Positioning Belt, Aircraft Buckle, 50 mm x 1300 mm / 2"NC
350A840Positioning Belt, Aircraft Buckle, Padded 50 mm x 1300 mm / 2"$103.00

Accessories

OPTIONDESCRIPTIONRETAIL
O2 Tank Holder350A718O2 Tank Holder Mounted to Backrest (D & E Styles)$391.00
Backpack350A1Black Utility$112.00

Captain's Seat Accessories

OPTIONDESCRIPTIONRETAIL
350A608Cane / Crutch Holder$115.00
350A610Walker Holder$191.00

Medial Thigh Support

OPTIONDESCRIPTIONRETAIL
3508A80Medial Thigh Support$271.00
3508A81Pommel Swing-Away Hardware$390.00

Misc. Accessories

OPTIONDESCRIPTIONRETAIL
3508A52Ram Mount Phone$77.00
3508A53Ram Mount Tablet$308.00
3508A54Ram Mount Cup Holder$77.00
3508A58Rear View Mirror$77.00
3509A10Utility Hooks$58.00

Joystick / Electronics

VR-2 Joystick

OPTIONDESCRIPTIONRETAIL
350J127VR-2 JoystickNC

R-net Joystick (Remote)

OPTIONDESCRIPTIONRETAIL
350J121Standard LED Joystick (w/o Screen Display)NC
350J138Color Joystick (2.3" Color LCD Screen Display, CJSM1)NC
350J118High Resolution Color Joystick, (CJSM2+BT) 3.5" Color LCD Display, Paddle Switches, Programmable Shortcut Keys, ICONs, Stereo Jack, IR and dual (IOS/Android) Bluetooth control$1,264.00
350J119Omit Remote ControlNC

Joystick Mounting

OPTIONDESCRIPTIONRETAIL
350JM34Fixed on ArmrestNC
350JM35Parallel Swing-Away$447.00

Joystick Mount (Location)

OPTIONDESCRIPTIONRETAIL
350HM16Right Hand ArmrestNC
350HM17Left Hand ArmrestNC

Display Language Selection R-net

OPTIONDESCRIPTIONRETAIL
350L1EnglishNC
350L3FrenchNC
350L7SpanishNC

Joystick Handle (Optional) N/A with HD Joystick

OPTIONDESCRIPTIONRETAIL
350JH13Ball Handle$110.00
350JH15T-Handle$110.00

Electronic Programmers

OPTIONDESCRIPTIONRETAIL
350PR10R-net PC Programmer w/ Dongle$706.00

R-net Power Modules

OPTIONDESCRIPTIONRETAIL
350ER12Power Module, VR-2 90A, Non-ExpandableNC
350ER13Power Module, R-net, 90A, Expandable$100.00
350EX15Expandable 90A Controller - R-netNC
350EX16Harness for 90A Expandable ControllerNC

Seating Control

OPTIONDESCRIPTIONRETAIL
Powered Seating Control350E040Omit Thru-Drive (Requires Switch Control and Standard LED Joystick Requires Ctrl+5) (N/A w/ VR-2 electronics)NC
350E037Thru-drive Control for 1 Actuator$1,443.00
350E038Thru-drive Control for 2+ Actuators$2,903.00
Switch Control (Available with Omit Thru-Drive only) (Requires use of Omni2 or Joystick Jacks)350E033Dual Toggle for 1 ActuatorNC
350E0342.5" Single Button Switch for 1 Actuator (Button switches are not mounted)NC
350E035Switch-It Mini 1 button for 1 ActuatorNC
350E036Switch-It Mini 2 button for 1 ActuatorNC
350E041Ctrl+5 Switch Box for 2 Actuators or moreNC

Additional Power Seating Control

OPTIONDESCRIPTIONRETAIL
350QG11Ctrl+5 Switch Box with Voice Activation$1,078.00

Dual Toggle Mounting Location

OPTIONDESCRIPTIONRETAIL
350TN1Toggle Mount, RightNC
350TN2Toggle Mount, LeftNC

Ctrl+5 Mounting Location

OPTIONDESCRIPTIONRETAIL
350EY19Right ArmrestNC
350EY20Left ArmrestNC

Ctrl+5 Switch Type

OPTIONDESCRIPTIONRETAIL
350EY22Push ButtonsNC
350EY23Toggle Switches$356.00

R-net Programming

Assignable Buttons

Assignable Button feature allows for customization of joystick buttons and/or Ctrl+5 Switches allowing access to various wheelchair and seating functions. When enabled, chair will be pre-programmed with seating functions assigned to buttons on the joystick. Assignments can be changed via PC Dongle.

OPTIONDESCRIPTIONRETAIL
350PM12Include Assignable ButtonsNC

Special Build Comments and Pricing

Comments for special build:

built 4 me

Base Price$
Total of additional equipment
Packaging and transport
Total Price
Date:
Month: Day: Year:
Signature:

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