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9000 Jymni Wheelchair

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Invacare eForms For additional information, visit www.invacare.com/eForms Customer Service: 800-333-6900 Fax: 800-678-4682 www.invacare.com To order Literature: 800-828-6282 Invacare eForms offer new functionality! Invacare is pleased to offer you an upgraded solution to your ordering process. Our enhanced order forms allow you to fill out a form electronically, print and fax the form, save and email* it to Customer Service, or maintain the business practices that work for you today. The format has been revised to reveal a cleaner look with electronic selection and input functions. *Saving and emailing the eForms is available with Acrobat Professional software If you are using Adobe Acrobat Professional If you are using Adobe Reader • View and download all forms • View and download all forms • Save blank versions of the forms to your desktop • Save blank AND completed versions of the forms to maintain electronic records • Complete forms electronically • Print blank or completed forms • Complete forms electronically • Fax completed forms to Customer Service • Print blank or completed forms • Fax completed forms to Customer Service • Email completed forms to Customer Service by using the 'Email' button at the end of the form. Please note: The 'Email' button at the end of the form will not work with Adobe Reader. The 'Email' button will only work while using Adobe Acrobat Professional. For information on downloading Adobe Reader for free, or puchasing Adobe Acrobat Professional, please visit www.adobe.com. NOTE: All specifications and dimensions are approximate. For the most current pricing information, go to www.invacare.com/homecare. Page 1 of 4 Invacare® IVC™ 9000 Jymni™ Wheelchair Price List and Order Form Customer Service: 800-333-6900 www.invacare.com Fax: 800-678-4682 To order literature: 800-828-6282 TRANSACTION TYPE: Order Date Quote Account # P.O. # Company Name Phone # Address State 0 City Contact Name Zip Code Country Comments Special Note The Invacare IVC 9000 Jymni pediatric wheelchair offers seat widths and depths to accommodate the pediatric client for short-term rentals. FRAMES 9JYLT BACK TYPE All below selections come standard with fixed height arms 7.5", adjustable height arms 8'' - 10'' in 1'' increments. Removable flip-back arms. FRAME TYPE 9000 Jymni Light Weight Chair ................................. $885.00 FRAME WIDTH AND DEPTH WD00 10" x 10"..................................................................No Charge WD20 12" x 10"..................................................................No Charge ADJBH R Recliner Frame ........................................................... $390.00 Recliner is only available in U240 black nylon upholstery. Recliner back height 16" plus 11" with headrest extension. This selection comes standard with rear anti-tippers. This selection must be made when WD42 and 17STF are selected. Not available with 17" seat-to-floor height, unless chair is a recliner. ANGLE Not available with 17" seat-to-floor height, unless chair is a recliner. WD22 12" x 12"..................................................................No Charge WD42 14" x 12"..................................................................No Charge POSITIONING STRAP OPTIONS Not available with 17" seat-to-floor height, unless chair is a recliner. 14" x 14"..................................................................No Charge 16" x 14"..................................................................No Charge SEAT TO FLOOR HEIGHT 15STF 15" Seat to Floor Height ......................................... No Charge 16STF 16" Seat to Floor Height ............................................ Standard Only available with 20" rear wheels. Only available with 20" rear wheels. 17STF Adjustable Angle Back with 10° Bend ....................... $100.00 Recliner and angle back must use conventional arms. Arms do not flip back on recliner. This selection comes standard with rear anti-tippers. Not available with 17" seat-to-floor height, unless chair is a recliner. WD44 WD64 Adjustable Ht Back with 10° Bend ............................ Standard Adjustable back height 14"-15". Factory set at 14". SEAT POSITIONING STRAPS 1311BK 1515 1321BK Airline Buckle Seat Positioning Strap ................. $50.00 Push Button Style Seat Positioning Strap ........... $50.00 Hook and Loop Seat Positioning Strap ............... $40.00 A9900 E0978 CHEST POSITIONING STRAPS 9515 Push Button Style Chest Positioning Strap ....... $100.00 E0960 17" Seat to Floor Height ......................................... No Charge Only available with 22" rear wheels. ARM TYPE All above selections come standard with fixed height arms 7 1/2", adjustable height arms 8" - 10" in 1" increments. Removable flip-back arms. 18JY Full Length Fixed Height Conventional ................ No Charge Recliner and angle back must use conventional arms. Arms do not flip back on the recliner. 19JY Full Length Adjustable Ht Conventional ................... $130.00 Recliner and angle back must use conventional arms. Arms do not flip back on the recliner. 28JY Desk Length Fixed Height Conventional .............. No Charge Recliner and angle back must use conventional arms. Arms do not flip back on the recliner. 29JY Desk Length Adjustable Ht Conventional .................. $130.00 Recliner and angle back must use conventional arms. Arms do not flip back on the recliner. 78JY 79JY 88JY 89JY Full Length Fixed Height Space-Saver .................. No Charge Full Length Adjustable Height Space-Saver .............. $130.00 Desk Length Fixed Height Space-Saver ................ No Charge Desk Length Adjustable Height Space-Saver ............ $130.00 NOTE: All specifications and dimensions are approximate. For the most current pricing information, go to www.invacare.com/homecare. Revised August 20, 2012 Form No. 00-295 Invacare® IVC™ 9000 Jymni™ Wheelchair MISCELLANEOUS ACCESSORIES CASTER AND WHEEL OPTIONS 9357JY CASTER OPTIONS 1687 1686 AT902 6" x 1" Dark Grey Comp Urethane Casters ............... Standard 6" x 1" Composite Urethane Casters ...................... No Charge 6" Composite Urethane 3 Spoke .............................No Charge WHEEL OPTIONS 1763BK 4763BK U1763BK 1764BK 4764BK U1764BK 20" Composite Pneumatic Tires ........................ $117.00 20" Composite Pneumatic/Flat Free Inserts ...... $232.00 20" Composite Urethane Tires ......................... Standard 22" Composite Pneumatic Tires ........................ $117.00 22" Composite Pneumatic/Flat Free Inserts ...... $232.00 22" Composite Urethane Tires .......................... $113.00 This comes standard with rear anti-tippers. Not available with Recliner or Angle back type or 10" and 12" deep chairs. A1576 9691 Wheel Lock Extensions ..................................... $39.00 Push to Lock Wheel Locks .......................... No Charge 1577QR 1487 Quick Release Axles ......................................... $86.00 IV/Oxygen Holder Package Assembly ............ $158.00 1488 Oxygen Holder Package Assembly ................. $151.00 1360 Adjustable Rear Anti-Tipper ............................. $82.00 1360B Adjustable Rear Anti-Tippers- 20" Wheels ....... $82.00 Pull-to-Lock wheel locks are standard. Not available on Recliner or Angle back type. A9900 A9900 E2213 A9900 K0108 Not available on Recliner or Angle back type. A9900 E2213 1" Forward Positioner ...................................... $120.00 Anti-Tippers for 22" rear wheels. Anti-Tippers for 20" rear wheels. HANDRIM OPTIONS COLOR OPTIONS BHDRM Black Handrims ......................................................... Standard FRAME FINISH ACCESSORIES SEAT ACCESSORIES L8651 Omit Seat Upholstery ................................. Less $10.00 9120 Solid Seat Insert .................................................. $98.00 A9900 BACK ACCESSORIES 1483JY Stroller Handle ............................................................ $91.00 9130 Solid Back Insert ....................................................... $107.00 L8601 1483R Omit Back Upholstery ........................................ Less $10.00 Headrest w/Push Handle Extensions .......................... $95.00 Not available on Recliner or Angle back type. 104P 105P 08P 24P 34P 61P 62P 66P 71P Electric Teal .............................................................No Charge Midnight Blue ..........................................................No Charge Deep Purple .............................................................No Charge Wet Black ................................................................No Charge Satin (Flat) Black .....................................................No Charge Electric Red .............................................................No Charge Electric Blue ............................................................No Charge Electric Purple .........................................................No Charge Silver Vein ...............................................................No Charge Only available in 14" back height. UPHOLSTERY COLORS U240 Black Nylon Upholstery ............................................ Standard Recliner is only available with U240 black nylon upholstery. Recliner back height 16" plus 11" with headrest extension. U550 U67 Midnight Blue Vinyl Upholstery ........................... No Charge Black Vinyl Upholstery ......................................... No Charge NOTE: All specifications and dimensions are approximate. For the most current pricing information, go to www.invacare.com/homecare. Revised August 20, 2012 Form No. 00-295 Invacare® IVC™ 9000 Jymni™ Wheelchair FRONT RIGGING OPTIONS Seat to Floor Matrix 6" Casters Seat to Floor Height FRONT RIGGINGS J932A 70° Footrests with Aluminum Footplates ................... $190.00 J932A-14 80° Footrests with Alum Ftplts - 12" and 14" deep ... $190.00 J933A J934A Front Caster Rear Wheel Rear Wheel Size Mounting Position Mounting Position 15" Top 20" Top Not Available on 10" deep frames. 16" Middle 20" Bottom 90° Footrests with Aluminum Footplates ................... $190.00 Elevating Legrests with Aluminum Footplates ........... $270.00 17" Bottom 22" Bottom Knee-to-Heel range is required with J934A J934A-14 Elevating Legrests with Alum Ftplts - 14" deep ....... $270.00 Not Available on 10"and 12" deep frames. FOOTREST/LEGREST ACCESSORIES 1820 1346 Non-Removable Device ..................................... $12.00 Heel Loops ......................................................... $39.00 Weight Limitation 125 Pounds Invacare recommends all wheelchairs be fitted to the consumer under the guidance of a healthcare professional, knowledgeable of the particular limitations of the product. A9900 E0951 Standard on Swingaway Footrests. KNEE-TO-HEEL RANGE Knee-to-Heel Range must be selected if J934A is chosen. SHEXT 7" - 10" (Short Extended) ...................................... No Charge MDEXT 9" - 12" (Medium Extended) ................................. No Charge LGEXT 11" - 14" (Long Extended) .................................... No Charge Comments Print Form Email Form Clear Form NOTE: All specifications and dimensions are approximate. For the most current pricing information, go to www.invacare.com/homecare. Invacare Corporation USA One Invacare Way Elyria, OH USA 44035-4190 800-333-6900 Revised August 20, 2012 www.invacare.com ©2012 Invacare Corporation 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. Form No. 00-295